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<br />LUND 1 11 (INS UF F'EnI'II T (\n:-l D(W I T
<br />;). NIJIl~~_PE._J)g.~!LBI;:_~IfUJ;JJJ.!I>lt;
<br />Ih~ nnd~rsigned understands that this perlit lay be subject to "deed restricti~ns" which lay be .or~ r~strictive than City
<br />regulations. Th~ und~rsign~d assnles r~spoflsibility for ro~pliance with any applicable deed restricti~ns.
<br />
<br />f-l . IJNL lJ';:~N8!;'!L_~Qt!IB.m:':IJt[\q._0.IJt.>.J;PNT F3D.I;ILJH,I3J:::!3FPH~JJ~'JJ,=LIJ.E;.f.J.
<br />If the owner has hired a contract~r or contractors to undertake work, they may be required t~ be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the OMner and contractor lay be
<br />cited for a lisde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended wor~, they are advised to contact lh~ City of Zephyrhills Building Depart.ent, IBI3'
<br />70B-bb II.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor 15' sign portions of the
<br />"Contractor Sections" of this application for Nhich they will be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contrilrtor, are resp,,"sible for the work. If the contrt\ctor Mishes you to sign
<br />as contractor that lay be an indication that he is n~t properly licensed and is n~t entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c ~ JBAN8POG TAT I (Jr.j I t'1F'HCT f-':;-'~_q_ ()f:HLJJ.IJ..I"....!.D::.n..GQl~Hf-:~l..LQJ::LFEE.!:?.
<br />
<br />D. r;.CJN~TRUCT IQH-L",LE;!L1-J\H (ClnlnPTEn 71 a ~ FLun 11)(\ 8T/nUlES ~ (\8 IWIENDEDI
<br />I certify that I; the applicant, have been pr~vided with a copy of "Florida's Construction Lien Law - "~.eowner's Protecti~n
<br />Suide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described docu~ent and pr~.ise in go~d faith to deliver it to the
<br />'owner. prior to cOI'encelent.
<br />
<br />F . G.otHJ1nCTQB..~(Jl'JNf;:[C..S_..DEEI..pn\lII
<br />r certify that all the infor.ation in this application is accurate and th~t all work will be done in co.pliante with all
<br />applicable laws regulating construction, zoning, and land developMent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOI,enced prior to issuance of a per,it and that all work Nill be perforled to leet standards of all laws
<br />rpgulating construction, City codes, zoning regulations, ~nd land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify "hat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />w Depart,ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />, ArlV Corps of EnQineers - SeaNalls, Docks, Navigable Waterways
<br />, Q~~art.ent of Health & Rehabilitative Services~vir~!~ntal /Ieal~~l! - Wells, Wastewater Treatlent, Septic Tanks
<br />J US Environ.ental Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill Material is to be used in Flood Zone .A" or .A,etc.", it is understood that a drainage plan
<br />ad~ressi"g a .c~lpensating volule" "ill be sublitted whirh is prepared by a professional engineer registered in the State ~f
<br />rlnrida prior to perMit issuance.
<br />
<br />n per.it issued shall be construed to be a license t~ proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro, thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per-it is co"enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended ~r abandoned for a period of six .onths after the tile the work is co.tenced. One 90 day extension of tiMe, lay be
<br />allowed for the per.it with fee charge of '15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six Month period, or the project will be considered abandoned.
<br />HARNING TO OHNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TH~OR IttPJRQYfMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBIAIN FINA"CINS, CONSULT HITH YOUR LENDER OR AN ATTORNEY .D~lmrCORDING Y R NOlI ,~
<br />COMMENCEMENT. JOBS UN S2,5{10 IN VALUE DO NOT NEED 10 RECORD AND POST A .N9.J.UiE-"Or' COMMEt4 ME
<br />/'
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTO~"'
<br />
<br />STAlE OF Fl~DA
<br />COUNTY OF . e.KtlJAvJO
<br />Tile foregoing instnlment
<br />before me this /-;)5
<br />
<br />f)I,'L-h tJ.d &~5/e{;2
<br />WilD is persDn~lly known to me or who h~s
<br />pl'oduced r:: L D):! 61 ' C-
<br />as 'dent if i ca t i c.n and who d i d/r1 i ri nett;
<br />t~k 1/ ')
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF HERNANDO
<br />The foregoing instrument was ~cknowledged
<br />before me this 6th Janua;ry. 1994 by
<br />Robert Charles Yankee, Who' proettiCetl dtivers
<br />license for identification
<br />",ho is persona 11 y kno"m to me Dr I~ho h~s
<br />pl-oduced
<br />as identification and \l'jho~/did ne,t
<br />~t ' ~n Ogt~. J.)1
<br />_a~~ ./~tE~-,
<br />Si.naturp) ,
<br />Nao ~ Brifl'Jt;'<::
<br />(Name Typed~ Printed Dr Stamped)
<br />tl.QJ AR'LfJ1BL I C
<br />
<br />\l'las ackrm\l'lledged
<br />~ 19 ~ by
<br />
<br />
<br />.~
<br />:k/~d~14 ~-5t&61U.:L____
<br />
<br />(Name Typed~ Printed Dr Stamped)
<br />NOIARY PUBLIC
<br />
<br />NOTARY PUBLIC' STATE OF FLORIDA
<br />MY COMMISSIOHEXP. 1IEC.13.l994
<br />BONDED THkU GENERAl INS. UND.
<br />
<br />,,~';f..':'~'" NADINE BRIDGES
<br />,~~~".b'>:f~ ~ OOMMl~N II CC 177330 EXPIRES
<br />';~: ~'1l Febnlary 26. 1996
<br />\r~,;;';.;~.; BONOEDTHRU TOO'I FAIN INSuAANCE.INC,
<br />"j,,"'~
<br />
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