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<br />:=: (~: >< ;~) ;: '-,- :'~ C~ '< '3 ~~~' ~~-
<br />
<br />P,. t10T I CE OF D.sJ::.nJir=:~~lf::.U~::),j::1,>I,~;,
<br />The undersigned understands that this p!:rnit .~y hr subj~ct tn "deed restri:tions' ~!lich ;~y be 80re restrictive than City
<br />regulations, The undersigned assuacs respD~5ibility for COlp!iance "ith ~ny ~pplicahlD Jeed restrictions.
<br />
<br />B . UN L ICE 1'10. E Q_ CO 1\1 T R A G.IQ!3cS {:c~LP, CON T R (:-,i;;.':Il1I:~,_E:s_0J::I)i\12TJ:qL,-LIJJ:::':~
<br />If the owner has hired a contractor or contractors to undertake "ork, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a nisdeceanor violation under state IaN. If the OMner or intended contractor are uncertain as to "hat licensing
<br />requirenents ~ay apply for the intended ~ork, they are advised to contact the City of 2ephyrhi!ls Building Depart~ent, 18131
<br />788-6611.
<br />
<br />FurtherDore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, arc responsible for the work. If the contractor wishes you \0 sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitled to per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TF:ANSF'ORT(~TION H1F'ACT FEES Af\W UTIL_ITY COI\li.iECTTOl',j FEE':?
<br />._~---'-"--'. ......----....---...--......-...-..-.-.-.-
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy. of "Florida's C0n5truc~ion Lien La" - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, if the, applicant is SOIDeone other than the
<br />"owner', I certify that I have obtained a CDPY of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to co~mencement.
<br />
<br />E. CONTF:tiCTOF: ' S./ mUJ.SB 1 S P,FF I DAV I T
<br />I certify that all the infor~ation in this application is accurate and that all work "ill be done in COMpliance with all
<br />applicable laws regulating c~nstruction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a perait to do ~ork and installatiDn as indicated. I CErtify that no work or
<br />installation has co~menced prior to issuance of a permit and that all work 11il1 be perfDrned to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply tD the intended work, and that it is
<br />my r1sponsibility tv identify what adions I !:iust take to be in co~pliance. Such agencies include but are not limited te,:
<br />t Deoarlment of Environmental Renulation - Cypress Bayheads, Hetland Areas and Environ;entallv Sensitive Lands,
<br />Hater/Wastewater Treat~ent
<br />t Southwest Florida Water Manaqement District - Hellsl Cypress Bayheads, Hetland nre~s, ~ltering Watercourses
<br />t Ar~y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Department of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, WastcHater Treatlent, Septic Tanks
<br />t US Environmental Protection Aqencv - Asbestos abatement
<br />also certify that, if fill material is to be used in Flood Zone "n" or "n,etc,", it is understood that a drainage plan
<br />addressing a 'compensating voluae" "ill be submitted which is prepared by a professional engIneer 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 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 Df errDrs in plans, construction, or violations of any code. Every p~rlit issued shall becole invalid
<br />unless the .ork authorized by such pernit is com~enced within six ~onths of issuance, Dr if "Grk authorized by the permit is
<br />suspended or abandoned for a period of six ~onths after the time the Hork is com~enced, One qo day extension of time, ~ay be
<br />allowed for the permit "ith fee charge of $15.00. The extension shall be requested in "riling to the Building Official, An
<br />approved inspection must be logged during each six ~onth period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Mny RESULT l~ YOUR PAYl~G THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR nN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT, JODS UNDER 52,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO:1MEHCEMENT",
<br />
<br />~J)1 ,.:B..~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGlliHUliE: COHTf.:I1CTOF:
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />ST~TE OF FLORID~
<br />COUNTY DF Pasco.
<br />
<br />The foregc1illg illstrl.lmellt ~J25 2c~~nct~Jledged
<br />b.?fc,,-e mE' 1:1; i s February 25" 1 q~ by
<br />
<br />Russell M. Brown
<br />\^Iho is p~l-c<<n31.i '/ ,nc,vn-I tc, i;;E' x:.x-XX.)f'X:XX~
<br />~K~~*~*~xxxxxxxxxxxxxxxxxxXXXXXXXXXXXXXXX
<br />xxx iolJ*)()XX XX xx'Jtxx'x' ~',ncl 'ihc< xMx:l / did jW t.
<br />t~I'l:?,::<,n o. ,,,,,,,i;t1rp'. _~ d'. /J
<br />~~t:di-"PII-
<br />( ;:) i q Il ie, t U1- ,::< )
<br />Brenda L. Buchanan
<br />
<br />(I,LJmcc' Typ ed, Pc i ,,;;.~J;'~li'.. '3 tz<moed )
<br />f:ICJlJ)f:LPIJFIL,I,[ f" ~~ \ ~RE~~:'~~AB~~~~~AN
<br />
<br />\. 1 My Commission Expires
<br />".~"e aIi!;/ Nov. 13, 1996
<br />, ....~:~.... Comm. No. CC 240110
<br />
<br />who is personally known to me Dr who has
<br />
<br />produced
<br />as identification and who did/did not
<br />take "In oath.
<br />
<br />(Signa tun? )
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY F'U8LI C
<br />
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