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<br />CUND I T I Ur'.IS UF F'FHf'II T ('IF r=-[ D{~'v' I T
<br />(',. r~QI.IS;;E q.E_'pEF~ILfis.SU3J.~IIQtJq.
<br />The undersigned understands that this pertit ~ay ~e subject to "deed restrictions" which pay be lore restrictive th~n City
<br />regulations. The undersigned issu.es responsibility for co~pliance with any ~pplicable deed restrictions.
<br />
<br />f( . LH'L~J CE NS EJ) C or~!.T I1f~~.l..Qg$__ol'm.(;Qtj.TF3J!.C_I(Jn_ r;:r:::: ?F:.l.JJ~l? IJU LL.U.s_~~~
<br />If the owner has hired a contractor or c~ntractors to undertake work, they may be required to be licensed in accordance wili,
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contr~ctor tay be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended worh, they are adyised to contact the City of Zephyrhills Building Depart,ent, (813!
<br />788-66 II .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign pDrtions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />(~. n3B.N!?POrnAT I ON I r'IFACT FJ.~_~$_.tlt:H>"'JX.rJ.'=.1J:_'.L..c,;gJ~N.EC_LliJ..t:L.E.,g~$.
<br />
<br />n. c.;;UNSTRUCT I ON L I E!:LJ,...BJ~ (CH'~F'TEF\ '71 3 ~ FLUP If H) SrlnUTES ~ (,S (,t'1EI1DED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's ProtectlrJ,
<br />Suide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', [ certify that I have obtained a copy t>f the above described dt>[tllllent and prt>lIlise in good faith to deliver it It, Ih..
<br />'o~np.r" prit>r to co..ence.ent.
<br />
<br />E. ~.9J'nf:{)CTQR I S/m!Nf;B.~t:L.l)EE:..LQi!2a:L
<br />I certify that all the inforlation in this applicatit>n is accurate and that all work will be done in cOlllpliance with all
<br />applicable laws regulating construction, <oning, and land developlent.
<br />
<br />Application is hereby .ade tt> obtain a per.it to do work and installatit>n as indicated. I certify that nt> wor~ or
<br />installation has cOI.enced prit>T to issuance of a per.it and that all work will be perfor.ed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdictit>n. I also
<br />cprtify that I understand that the regulations of t>ther gt>vernlental agencies lay apply to the intended work, and that it jo
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not ]i~ited 10:
<br />. Depart.ent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treatlllent
<br />t Southwest Florida Water Nanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health 1 Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />. US Environ.ental Protection Aqencv - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flot>d Zone "A" or "A,etc.", it is understot>d that a drainage plan
<br />addressing a "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the State (,f
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, (,
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafle'
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalId
<br />unless the work authorized by such per.it is co'tenced within six tonths of issuance, or if work authorized by the perlllit is
<br />suspended or abandoned for a period of si~ lonths after the tile the work is cOllenced. One 90 day e~tension of ti~e, .ay bf
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be It>gged during each six .ooth period, or the project will be ct>nsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCENENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />j~~
<br />
<br />~
<br />SIGNATURE: CONTRACTOR
<br />
<br />\0~
<br />
<br />STATE OF FLORIDA
<br />COUN IV OF \), t\ ~..tl +"- \
<br />The foregoing instrument was acknowledged
<br />befct\-e me this \\\c:..'\\'\" 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~_1
<br />The foregoing instn.lment'\o'JCl.s ackno\o'lledgerJ
<br />befc.re me this l\1'L'lf, 19~ by
<br />
<br />~c..~.. UO~EL
<br />\'<ItlCt is persc.nally hnown to me or '''Iho has
<br />IH' oduced fL. 'DA... l.1 <:..
<br />as identificatie,n and whet did/~nc.t--.,
<br />tal,:e an oath.
<br />
<br />R-te~QO VOG6L.
<br />whD is personally known to me or who has
<br />pl.Coduced K- Pl\.. Ltc.... ~" __
<br />as identification and who did did n:t';
<br />take an oath. ~~
<br />
<br />(S i gntl tU\"I" )
<br />
<br />~ v.~ kP1J~E:
<br />(Name Typed, Printed Dr Stamped)
<br />t~Q.T AIlY.....flJ.~L Ie
<br />
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<br />
<br />(5 i gila tLll-e)
<br />
<br />f~v,,, ~i~_
<br />(Name Typed, Printed OJ- ~?t,a~)
<br />NOTARY PUBLIC _ '
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<br />'-~;l NC(.r}
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