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<br />APR-:21-94 THU
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<br />9:05 GENERAL HOME DEVEL,QPMENT P.02
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<br />COI'IIJI T IONS OF F'E:RI"I.l'.r AFF J: l)(W IT.
<br />A. t:l9T~Ce: OF DEEO REST~~l.CTtON~. . ,
<br />Th. undlr.lgn~d understands that this pa~.i\ ~3Y bt sub)." to 'diad r~$trict'on.' which I~Y b. lor. ro~tr\ctlv. than City
<br />regulations. The. undrrslgned a55U.C~ ro;ponsibility 10r co'pliant. with ~ny applic.hll deed re~trlc\ions,
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<br />B. UNL I t;;ENSE' 0 CONTRACTClr~S AND CONTRAC!pR RESPJjN~tLlV LIT I E~
<br />If th. owner has hired. contractor or c~,,\rlctor' to undert~ko work, thlY .ay b~ required t~ bt licensed in accordanc. with
<br />stitt and IDCII regulations. If the 'tontr~ctor lG not licensed as required by laM, both the owner and contractor lay be
<br />cited for I 11sde'l!anor violation under ~tah hll, 1f thl! oHner or intllndl:d contractor are uncerhin as to IIhat llcendng
<br />requir.aents aay apply for the intl!nd~d lIork, they ar. advised to contact the Ci~y of Zephyrhills Building Dep~rtlent, (8131
<br />788-6611.
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<br />FurtherlDr" if the o"n~r h~s hired i t~~tractor or c~n\ractors. he is advised to have the con\rattorlsl sign portions of the
<br />'Contr~ctor Sections' of this application for whlch they Mill be re5po~sible. If you, as the OMner sign as the contractor,
<br />you ar. Indicating that YOUI rather than the contractor, art responsible for the Mork. If th, contractor Mlsh,s you to sign
<br />, as contractor that lay be In indication Ihat he is not pr~perly licensed and is not entitled to per.itting privll.gf$ in. lhe
<br />City of Zephyrhills.
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<br />c. 1RANSPORTATION IM~ACT Fe~S AND UTILITY CONN~CTION FE~~
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<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDEO)
<br />I certify that I, the applicant, have b~~n provided with a copy 0' 'Florida's Construction Lien la~ - H~leoMner'l Protection
<br />Guide' prepared by the Florid. Depart.ent of Agriculture and Consuler Affairs. If thr applicant is SOleone olher than thl
<br />'owner', I certify 'hat 1 have obtain~d a copy of the above described doculent and proiise in good faith to deliver it tD the
<br />'o~n.r' prlor~!o tOlaencelent.
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<br />~ E. COt-J-TRACTOR' S/Ol-H:J~B..':JiLAF'FlnAVIT
<br />I certify that ill the infor.alion in this application is accurate and th.t .11 Mork "ill be don~ in cOlplianc' wltb .11
<br />applicable laws regula'in; construction, ~oning, and land developlent.
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<br />Applic.tlon is hereby I.d. to obtain I p~r.it to do Mork and Installation a5 indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a pertit and that all work Mill be perforled to aeet standards of .11 lall5
<br />regulating construction, City codes, loning fegulations, and land develop.ent regulations in lh. jurisdiction. 1 Ilso
<br />certify that I understand th~t the r~gulations of other govern.ental agencies aay apply to the intended Mork, and th.t It is
<br />ay responSibility to identify what adilll" I lust hk. to be in co'pliancr. Suth agencies lnclud. but ar. nllt H.lted to:
<br />. OPDart,ent of Environ.ental ReQul~ti~n . Cypress Bayhvads, Wetland Areas and Environ.entally Sensitive Lands,
<br />. Water/WasteMater Tr~at.l!nt
<br />t Southwest Florida ~~ter "~n~Q~I~nt District w Wells, Cypress Bayhcads, Wetland Areas, Alterin9 Natercourses
<br />f Arty Corp,; of EnQjneers .. SeaMal15. DC1t,h, Naviq~bh hternys .
<br />f Departlent Df Health , R~habilitative ~Qrvice~, Fnvirontcntal Health Unj~ . Wells, Wastewater Troa\.ent, Septic Tanks
<br />t US EnvirDn.ental Protection AQcncy - A:bestos .batelent
<br />I also certify that, if fill laterial is tD be used in Flood Zone -A' or 'A,etc.', i\ is understood that a draina91 plan
<br />addressln9 i 'colpensatinq volutc' will be sublitled which is prepared by a professional enQineer re9istered in thl Stale of
<br />Flllrida prior to per.it issuance.
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<br />A per.it Issued shall be construed to be a license to proceed Mith the "ork .nd not as authority to violate. cincel iller, ~r
<br />set aside any provisions of the tethnical codas, nor shalJ issuance of a perlit prevent the Building Official frOI there.fter
<br />requirinv . correction of errors in plan.;, construction, or violations of any code. Every per.it issued shall beeO'1 Invalid
<br />unless the Mork authorized by such peroit is cOltenced Kithin six Donths of i5suancf,' Dr if Mork authorized by the per.it is
<br />suspended or abandoned for a period 01 SIX eonths after the 'tile the Hork is cOI.enced.' One 90 day extension of ti.e, liY be
<br />allowed for thl perllt Kith fet charge of ~15,OO. The .x\ension shall be requested in writing to the Buildin9 Official, An
<br />approved inspecti~n lust be logged durin1 each six lonth period, or thll project will be considered abandoned,
<br />WARNING TO O~NER: YOUR FAILU~E TO RrCORll ~ NOTICE OF COHHfNCEHEHT MAY RESULT IN YOUR pAYING TWICE FOR JHPROYErtENTS TO YOUR
<br />PROPERTY. IF YOU JNTENO TO OBTAIN FlllAI{I:IUG, eOl/SULT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR IIOnCE OF
<br />COKHENCENENT. JODS UNDER \2..500 IN VAlU,' DO HOT NEED TO RECORD ^"~;:~~2r=--
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<br />, SIGNATUREs COHT"ACTOR
<br />1- 'L.5- 2... ~?3 ..:.J, )J- - "'2 7) - - 0
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<br />STAlE OF FLORIDA
<br />COUIHY OF .
<br />The fore9~in9 instrument
<br />befc',~e me th i s
<br />
<br />
<br />
<br />was ~cknowledged
<br />, 19_ by
<br />
<br />was ~cknowledged
<br />, 19_ by
<br />
<br />who is pGr"c,n.all y known to mQ 01" who h..
<br />produced
<br />as idClntific~tiol1 and who did/did not
<br />hlal .an oiath.
<br />
<br />who is personally ~:nown to me or who h~.
<br />produced
<br />u idontification .and who did/did not
<br />take a.n oath.
<br />
<br />(Signature)
<br />
<br />(S1gn"ture>
<br />
<br />. (Name Typed, Pr lnted 0\. Sti\mped)
<br />NOTARV PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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