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<br />() . NUT I CE Ur:. _.Qg_~!L.ll~qlI.tU~LUJ.!~g~ b t I tl than &By
<br />'he u"d~;;i9~;d~';;'standg that this pertlt lay be ~~b;!ct to "d,ed r~strlctions' "hith ..ay ~ .O~! ~!~ r t ve
<br />r~9uI3ti~ns. Th~ undrr,igned assu'~s r!5p~n!ibjJity for c~~pli~nt~ with eny ~rplit~bl~ deed restrlc\l~n5.
<br />
<br />.,.. 11f'( r"I'[')r.. F E"'."'O' NS 18 ILl T lES
<br />f.l . UNL 1 CENSEO _J~.!J\'ir ~f)J~J]J.m~...B,':l9. _._~.Qt._._~.ll;-!. .....'.L...L.'?_ :....._......._.__................... .
<br />If the ..~-;;;;;.h~;-"iili;d.~ tontrllttllr or contractors to underhte "tlrk, they ~ar bl! requirl!d h be liunSl!d In acrmlanu lIith
<br />state Ind lotll regulltions. If the cDntractor is not licensed as required by I~", both thr owner and t~ntfact~r lay be
<br />cited for a lisdeleanof violation under stat~ lall_ If the ONner or intended contractor ar' unctrtain as to "bat llclnslng
<br />requlrp~pnt, .ay Ipply for th, intlnd!d "Drk, th!y 3rl ~dvi~ed to cont~[t the City Gf Zephyrhills Building D.part.ent, (QSal
<br />799-UII.
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<br />Further~ote if the owner hi, hired I (ontractQr ~r contr~ctnr5, he is advised ttl hay! thv contractor(s) 5ign pprti~nl ~f the
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<br />'Contrlclor Slctions. of thi5 application fOf "hlch thlY "ill b. r!sponsi~le. If you, as the OIlO!t lign 15 .the cu"trat~~r,
<br />y~u Irl indicating that YQU, rath.r thin the tontractor, ~r! r!5ponslble for the Mork. If th, contractor wishes you to 519"
<br />ft5 contrlctor that ..y b, an indication that he i5 n~t properJy li(l!ns!d and is not ,ntitled t~ pet.itting prtYllevv~ In the
<br />City of lephyrhil15.
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<br />c . TRlltNSPOf:\T AT 1 UN ~ l'IP{~CT F:...s.s.~-1~N.l~_lJI..!1-LLL...J,;b!.t~HI,;1;.TJ O.!~L.f:..~Eq
<br />
<br />n. ~UNS fF(UGT IQbLb-.,LI;!LJ",.aw.. (C1-I/:'Jf~nSR '71:3, F L.on.1 Df\ 8TfHU'fES ~ (.)9 AI'1ENUED:'
<br />I certify that I, thl applicant, have b!ln providvd with a cory of 'Flo.rjda'~ CQnstruction litn l." . HOlro""Pf'S Prot,ction
<br />Guid,. pr'pared by the Florida Dlp.rt,ent ~f Agritultur, Ind Consuwer Aff,irs. If the applicant is sOlton. ot~vr than 'he
<br />"o""l!r", I certify th~t I haye l'btainl'd I topy ~r the '''Gye de!icribed dtlClIlIIeflt and prollliu in 9(lod faith to delhl!f it to the
<br />"~~ner. pritlr t~ co~.enc!.ent.
<br />
<br />I=:. . G9N-r:R(:'!C~QB..:..E...Lm.,~.~1l.:...~-1Jt=x:J..R'O.~~.lI
<br />I clrtify that all the infor,alion in this appljcatl~n is Irtur~te and that all "ork will be donI! in to.plianel! "lth all
<br />~pplicabl1' la"5 regulating cpnstructi~n, loning, and land developatnt.
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<br />Application is h~rlby Madl! tl' obtain a p.rlit to do work and installatl~n as ihdieat,d. r certify th.t no wort or
<br />in!tllIAti~n has coa.enced prj(lr t~ issuance of . perait and that III "Or. "ill be perf~r.ed to I'tt standards of all IIHS
<br />requhting tonshuttilm, City cfldrs, unin9 requhtlons, ilnd hnd developlllent r!9ulation5 In the jurisdiction. I illsQ
<br />certify that I und!rstand that the regulltions of ~thel' gtlvl!rn_lntal agencies ,at apply to the intended tlPft, and t~~t it is
<br />Ill, rl!sponsibiJity to idenHfy Hhat attions r lust take tll be in tolplianee. Such agt!lIl::ies include but are n~t UI1t~d tOt
<br />· lkI!.artlent of Envinn"ntaU,eQlllation . l:yprV5'3 [lilyheads, Hetland Arlili ilnd Enyjl'lln'enhJJy S.nsithe land5,
<br />WaterIH.st,".t!r Tr'at'~nt
<br />I Soulh"!.l Florida Nater "anaQI,lnt District - Helll, Cypress 'ayheilds, Hetland Arlls, Altering HatercOUf&IS
<br />~ Ar.r Corps Df Engin11fJL - SeaNalls, Docts, Navlqabl' Nat,r"ays
<br />· D.p.rt.e"t Dr Health' RehabililatIve SerYic!s, EnvirQnlental Health Unit ~ Hells, Halte"at.r Treatl.nt, Septic Tanks
<br />· US Environ.ental PrDtectlon Aqlnty . Asbestos abltl~'nt
<br />I BlsD c&rtify that, if fill ~at&rial 15 to bl! us!d tn FI~~d Zone "A" or "A,etc.', it il undlrstood that a ~rai".g. plan
<br />addrl!55jn9 a .to~pen5ating vplu~~. "ill be !ubaitted which is prep.r,d by a prQfessi~nal 1'n910&!r rgglstpred in the SI.te 01
<br />rl~rida prior tp per.it iS5U3nte.
<br />
<br />A rer~jt i!!u.d shall ~e C~n5trued to bt a lite1l5P to proc..d "~lh the "or~ and not 15 authority to violAte, caneel .ltef, ~r
<br />set aside ~ny provisions of the technital (odes, nor shilll i5s~~nce of , p'r~)t prpvent the Buildin9 Official fro. thereafllr
<br />requiring I corr.cHcfO of error5 in plans, nnstfllttll'n, or vlohtlDn!1 of any tod.. Evl!ry per.it i!!lued Ihall hell'" invalid
<br />u'lles5 the "ork authorized by gUlh per.it is c~I'enced Hlthin gix lonths 6f issu~ncp, or if HQrk authnrized by the per.it Is
<br />SU5p@l1ded pr abandoned for a period of si~ tonths after the ti.e the Hork is (~R'enepd. One 9~ d~y e.t~nsion of ti.!, ley be
<br />all~"ed for the p.rait "lth fee (harge of "5.0Q. The ewteoslon shall b~ requested in writing to the Building O"lclal. An
<br />~vproved in5pection lust be Jpgged durinq each si~ ~onth period, or th~ projl!ct Hill be c~nsidpred abandL'ned.
<br />NARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF r,on"EnCEnENT nAY RESULT IN YOUR PAYING THICE FOR IRPRDVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO DBIAI" FINANCING, CONSULT WIIH YOUR lEMPER OR AN ATTORNEY BEFORE RECORDING TOUR NOTICE OF
<br />COMMENCEMENT. JOBS UHPER se,500 IN VALUE DO HUT UEEP TO RECORD AND POST A -NOTICE OF COnnENCEnENT".
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<br />SI6"ATURE: CONTRACTOR
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<br />,.".
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<br />SIG"^,UREI OWNER OR ABENT
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<br />~u{
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<br />STATE OF Fl~
<br />roUlITY or lJPDS
<br />lh~ fbregoing !Mstrume,nt was ~~~nDwl~dged
<br />b~fC'J'~ me thiQtf-()i -k~U.-r191!:.L by
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<br />
<br />who has
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<br />ST~TE OF F~ ~
<br />WUrtH Of (AU) 1il ~ ___ .
<br />The fe.reClc.ing il1stn.lmel1t~IfJas aclm,pwledged
<br />befc.re me this ..c9Ll- ~'U9~ by .
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<br />61;0
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<br />l.
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