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<br />A.' NOT I CE OF DEE:]:) F:EST:c;: leT J: :J;\I:::;
<br />The undersigned understands that Ihi;-p-,;;=-~-i..~~y-t~~.n;ubject hi "(h'ed restridic,ns" \;hicr, milV be eore' restrictive
<br />regulations. The undersigned assu~es responsibility for cOlpliance with any Jpplicable dc[~ r~5trictions.
<br />
<br />ti,er: 'Ci ty
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<br />B . LI N L ICE N ~J~_~Q~'i T R A G..I.IJE.f.Lf:':!.I::L9 CO l':LT F-;: ACT C1 F\ G: E 'C, Fe, (] i\i;3 J E~ I LIT I ["': ~":;
<br />If the Oliner has hired a contractor or contractors ~\~;i-e~t;I:~~-~;~;~~-tl;~\,--;~.;.;:-ui;;'-;~{l~i-~~~d-t~,-i~-ii.censed in accc,ro;]ncp. with
<br />state and local regulations. If the contractor is not licens[,,! a" requirrrl by 1011, both the OIH1er and contractor :Jay be
<br />cited for a misdeceanor violation under state IaN. If the OHner Dr intended contractor are uncertain as to what licensing
<br />requirements aay apply fc,;. the intended tlor!:, they ere advised 10 conLlet the Ci Iy [,f Zep':yrhi l!s Bui lding Deparhent, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the cDntractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tho uork. If tho contractor wishes you tD sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TF:ANSF'ORT r=) T I 01'1 II'1F'ACT FEES At'~D LIT I 1;- I TV _r;::(:n:,\ji'ii~J-:II.Qt'!_FLS:::3
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<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided ~ith a copy. of 'Florida's Construc~ion Lien La" - HD~eowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the. applicant is sOIPone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promiso in good faith to deliver it to the
<br />"owner' prior to co&mencement.
<br />
<br />E. CONTF:(',CTOI~ I S/Ql.JNER I S P,FFIDPI~n T
<br />I certify that all the information in this application is accurate and that all work "ill be done in compliance with all
<br />applicable laws regulating cnnstruction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a perait to do Kork and installation as indicated. I certify that no worK or
<br />installation has cD~menced prior to issuance of a permit and that all work will be perfor~ed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply 10 the intended nork, and that it is
<br />'Ay r1sponsibility to identify lihat actions I r.;ust take to be in cor"pliance. Such a~t'ncir:s include but are Dc,t lir;;ited te,:
<br />t Deoartffient of Environmental Requlation - Cypress Bayheads, Hetland Areas and Environ;ental!v Sensitive Lands,
<br />Water/Haste"ater Treatment
<br />t Southwest Florida Water Manaqement District - Wells, Cypress Bayheads, Hetland Areas, nlterin~ Watercourses
<br />t Army CorDs of Enqineers - Seawalls, DOCKS, Navigable Waterways
<br />J Department of Health 1, Rehabilitative Services, EnvironmenLl1 Health Uf'..0. - IHls, fl,lstenater Treahent, Septic Tanks
<br />t US Environ~ental Protection Aqenct - Asbestos abatement
<br />also certify that, if fill material is to be used in Flood Zone 'A" or "A,otc.", it is understood that a drainage plan
<br />addressing a 'compensating volume" Kill be submitted which is prepared by a professional englneer registered in the state of
<br />Florida prior to permit issuance.
<br />
<br />A per~it issued shall be construed to be a license to proceed Kith the HDrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perGit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any [ode. Every ~it issued shall becole invalid
<br />unless the ~ork authorized by such per~it is corn~enced ~ithin six ~onths of issuance, Of if Hork authorized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tilE the "Drk is cOD~en[ed. One 90 day extension of tile, aay be
<br />allowed for the permit Nith fee charge of SI5.00. The extension shall be reqUEsted in uriling to the Building Official. An
<br />approved inspection ~lIst be logged during each six nonih period, or the project 1.li 11 be cc,nsi,!ered abandDned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT ]11 YOUR rAYlliG TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LEHDER OR nIl ATTORNEY DEFORE RECORDING YOUR HOTICE OF
<br />COtIMENCEI1ENT. JOBS UHDER $2,500 III \'~UJE DO NOT NEED TO RECORD filiD POST ,', "NOTICE OF COi1!;cI!CU';C:W.
<br />
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<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGHATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ()
<br />COUIlTY OF r ns~O
<br />The fC<j-c?qc, i nq i nc;:t.!-UfT:E'nt ',.13.5 c..ckne,,'ll edged
<br />t.efon?;n;~' this ,,,.)4 ,1c;,Q3 by
<br />
<br />~l{~~e LL ~ -tS.av.AlJ
<br />VJhCr i~. pL.;l-~::.c(n~jlly knc,~)n to me [II ~~Jhc' h::\s
<br />p )-oduced
<br />ctS i _ ::I ItifiCEtt;ion ~:"nd VJho
<br />
<br />11-# C
<br />
<br />
<br />STATE OF FLORIDA f)
<br />COUNTY OF r A. ~ C 0
<br />The foreqoinq instrument was acknowledged
<br />befol-e m~th is &. ~ c.I ,19Q 3 by_
<br />
<br />~u~<;e 1I )V\~ row~
<br />I:nown to me Dr who ha5
<br />
<br />
<br />cllld l'lhc, d i<:[1C!id not~
<br />
<br />~C~
<br />
<br />
<br />(Name ed~ F'j-intccj (1)- Stamped)
<br />timJiELF'II[lI,JC.
<br />
<br />(Name Typed, Printed or Stamped)
<br />(,lOT Af;:Y PU8L I C
<br />
<br />... ....
<br />..~~ OFFICIAL SEAL
<br />(Il) SUSAN A. McCOLLUM
<br />: My Commission Expires
<br />, April 16, 1997
<br />'\~CIP~ Comm. No. CC 263679
<br />........
<br />
<br />(.~~\ OFFICIAL SEAL
<br />Il SUSAN A. McCOLLUM
<br />I. . : My Commission Expires
<br />\~ - j April 16, 1997
<br />~~CIP~.' Comm. No. CC 268679
<br />........
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