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95-5428
Zephyrhills
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1995
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95-5428
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Last modified
3/4/2009 2:39:07 PM
Creation date
7/6/2006 10:25:25 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
95-5428
Building Department - Name
KARPENSKI,EDNA
Address
5942 13TH ST
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<br />" . <br /> <br />CONDITIONS O~ PERMIT AfFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The und~rsigned understands that this penH lay be subject to "deed restrictions" IIhich uy be lore'restr.ictive than City <br />regulatIons. The undersigned assules respDnsibility:for cOlpliance lIith any applicable deed restrictions. <br />. . <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . <br /> <br />If the ollner has hired a contr~ctor or contractors to undertake 1I0rk, they lay be required to be licensed in accordanc~ lIith <br />st.te 'nd loc.l regulations. If the contr.ctor il not licensed al required by lall, both the ollner and contractor lay be <br />cit~d for a lisdeltanor violation under state lall. If the ollner or intended contractor are uncertain as to IIhat licensing <br />requirelents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, 1813) <br />798-6611. <br /> <br />Furtherlore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the <br />"Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor Nishes you to sign <br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provided with a copy of "Florida's Const~uction Lien LaN - HOleollner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the <br />"ollner", I certify that I have obtained I, copy' of the above described doculent and prolise in good faith to deliver it to the <br />.Ollner" prior to cOllencelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the inforlation in this application is accurate and that all 1I0rk lIiII be done in cOlpliance lIith all <br />applicable lalls regulating construction, zoning, and land developlent. <br /> <br />Application is hereby .ade to obtain a perlit to do Mork and. install~tion as indicated. I certify that no 1I0rk or <br />installation has COllenced prior to issuance of a per_it and that all work lIill be perforled to leet standards of all lalls <br />regulating construction, Ci ty codes, zoning regulations, and 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 />IY responsibility to identify IIhat actions I lust take to be in COlpliance. Such agencies include bllt ill e 1I0t hlited to: <br /> <br />It ~.I#- <br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive ldnds, <br />Water/Wastewater Treatlent <br />f Southwest Florida Waier' "anaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses <br />f Arlv CorDS of Enoineers - Seawalls, Docks, Navigable Waterways <br />f DeDartlent of Health L Rehabilitative Services. Environlental Health Unit - Wells,' Wastellater Treatlent. Septic Tanks <br />I US Environlental Protection AQency - Asbestos abatelent <br /> <br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan <br />addressing a "colpensating volule" Nill be sublitted which is prepared by a professional engineer regist~icd in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued' shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issll~d ;hall bee ole invalid <br />un,less the.lIork authorized by such penH is cOI..nced within six lonths of issuance, or if work authc'i lied by the perli t is <br />suspended Dr abandoned for a period of sil lonths after the tiae the Nork is co.,enced. One 90 day c~t~"siou of tile, lay be <br />allolled for the perlit Nith fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An <br />approved inspection lust be logged during each six lonth period, or the project will be considered ab.lldoned. <br /> <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, . CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF C~~ENT". _ <br /> <br /> <br />SIGNA~~~~___-=----- <br /> <br />DATE________~LQL~L'i~---- ------------ <br />NOTAR~ . / PI .A <br />CONTRACTOR____ ~~JL-- <br /> <br />" <br /> <br />MY COMMISSION <br /> <br />--------------- <br /> <br />MY COMMISSION ....^' ....~55'ON-----I-- --- <br /> <br />L66l '9 eunr 'dJC3 'WWO:) AVII ~ <br />~IO e~~s 'OlIQnd AqON ~~ ! <br />~3dVH:>S 1 HllCnr ". ~.... <br /> <br />~ <br />~ ~c:. <br />" n <br /> <br />JUDITH '-. SCHAPER <br />Notary Public. State of Florida <br />My Comm. Exp. June 6,1997 <br />No. CC 292357 <br />
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