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<br />B. WliicENSEIl CONTRACTORS AN!l CONTRACTOR RESPONSI~ILITIE~, , ' ,,'" 0' ,i(~!l
<br />Ittl'.Dimer has hired ~ contractor or rontractors to un~ertale ""rl, ~ey ..y he regulIed to ,he hC~ad:'ln,aCCOrdan~.,~ltll:l&1~
<br />'tale and local regnlabons. It tie contractor I, not Iteensed as re!lll",d by law, botl the owner and contractor lay:b,,,. ilt!!
<br />" ci te~ lor a li,deleanor violatl~nunder stat, law, If tie, o'ner or intended co, tractor are",!cer~ ~'.to, wbat licaiil.~ .;~,~
<br />. requueJlents Jlay apply for the Intended work, they are ad\'lsed to contact the CIty of ZephyrhIlls BUIldIng Deparf:lent,;(813)~](';f.
<br />788-6611 .. "')+.~t;~::''i'
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<br />'~."Further.llore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions~4f!th"
<br />" 'Contractor Seetlona" of this application for wbieb they .ill b, rasponaible, It you, .. th, owner 'ign.. the COIItr'a~!lIll
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contracto;',wishes you~~td'lln
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in.!t,he
<br />City of Zephyrhills.
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<br />who is~~c:>~ally ~o me or who has whoisCpersona1~j.~__'!p~o me or who has
<br />produced .~ "_ produced-------
<br />as identification and who did/did not as identification and who did/did not
<br />take an oa\ij. \.'\. ~\ \/ ,', take an oath.~ ~ ,\ V .',
<br />\~~ 1.(,{,~" ~~~,~ ~~ ~~I'('o..'''''_
<br />( Signature) ...." An..,,, H Ke''''''. ( Signature) ...."'.... _ H """.., , . >:i. .
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<br />~~::y T~g:~i/rlnted or St"~':;::=~~~~~~~LI~rinted or ~~,;~:'"
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeowner's Protection
<br />Guld," pl'pared by th, UoJ'ida Deparl:lent of Agriculture and ConauleI Affairs. If tI, applicaht i, soleone other tlan!li~i( .
<br />'owner', I certify tlat fhav, obtained a copy of the above described docUlent and prollse in,good fai th to dell vor it b1i,\b'
<br />"ownar' prior to co..encUlon!. , " , . ii,{
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<br />E. CONTRACTOR' S/OWNER I S AFFIDAVIT '.\~~;
<br />I certify that all the information in this application is accurate and that all lIork will be done in cO.llpliance'withaI1h~\.
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to ohtain a peIllit to do work and installation as indicated. I certify that no' work or \:I2.lj~~(
<br />ln,tallatian bas COIIenced prior to l,suance of a perlit and that all .orl .ill be perfoIlea to I"t 'taopard' of all I~~~,
<br />regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also'":'"
<br />certify that I understand that the regulations of other ~oveInJlental agencieR lay apply to the intended work, and that it'!s
<br />IIY responsibility to identify what actions I lust take to be incolpliance. Such agencies include but are not lilited to:'.'
<br />* Deparl:llent of EnviroDllental Regulation - Cypress fiayheads, Wetland Areas and EnviroOlentally Sensitive Lands/":
<br />. Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses.~
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* De artJent of Health & Rehabilitative Services LnvirDnll~1tal Health Unit - Wells, Wastewater ~reatJent, Septic Tanks
<br />* US Envirolllental Protection Agency - Asbestos abatl!!lent(
<br />I also certify that, if filllaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainagepl&F.K~..
<br />addr..'ing a 'cUlpensating voIUl'" .ill be subllitted .bich is prepared by a profesaional ..gineer registered in th, Sta~o~
<br />Florida prior to peIlU iasuanca. '~:)~J
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<br />A POIllt iasuod shall h, construed to b, a license to proceed with th, .orl and oat as authority to vinlat",cancel alt.
<br />set aside any provisions of the technical codes, nor shall issuance of a peIllit prevent the Building OffiCial frOJ therea(te't-.
<br />reguiring a correction of error, in plans, construction, or violatioos of any cod" Every perait issued ahall bec",'ielalla
<br />unless the work authorized by such perait is cOllllenced within six lonths of issuance, or if work authorized by the periitils:
<br />suspended or abandoned for a period of six IIOnths after the tile the work is cor.menced. One 90 day extension of,~tiJe,~f'
<br />allow,d for tI, p,"it with fee charge of 115.00. Ibe extension shall b, requested in .riting to the BuildiDg;O~ficia~,
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. ><;. ~;;
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IMPR.oV~STOy'
<br />PROPERTY. IF YOU IHTEND TOOBrAIN FINANCING, CONSULT IiIrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOuRiN01ICBOF','
<br />COMHENCRHENT. JOBS UNDER' $2,500 III VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHRNCIDfENT". . . . ,",.... _"'.
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<br />STATE OF FLORIDA.
<br />COUNTY OF '\? ':'\...~ ~
<br />The foregoing instrument was acknowledged
<br />before me this 1- \ , 19_~ by
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<br />STATE OF FLORIDA
<br />COUNTY OF ~~~.,,~ ... ...,.
<br />The fcregoing instrument war, aCknouledged:"j.(l!:::.
<br />before me this -,- \ , 19~ by
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