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<br />COI/J)lTJUN!J UF I'lmMIT AVF'lIJAVIT
<br />1\, NO'l'I CE UF' DEJ;;IJ HE!I'l'IU CT L OIW
<br />The. undersigned undeJ:stands that th1s pennlt lIlay be subject to "deed restrictions" which
<br />may be more restrictive than City regulatlons. The undersigned assumes responsibility for
<br />cOlnpIlance with any appl:lca~le deed restrlctlolls.
<br />B. UNLICENSED CONTH1\C'l'onS AND CUN'l'IV\C'J'OH m:Sl'ONSlIH l,j'['U:S
<br />If the owner has hired a contractor: or contractors to undertake work, they Inay be required
<br />to be Ilcensed In accor.danee wlth HLaLe ami iocni reY\llaLions, If the contractor is not
<br />licensed as requIred by law, hoth Lhe owner illld contractor may be cited for a misdemeanor
<br />violation under state law. l[ the owner or intended contractor are uncertain as to what
<br />licensing requlrements milY apply [or. the intellded work, they are advised to contact'the
<br />City of Zephyrhills Building Department, 013-"00-6611.
<br />Furthermore, If the owner has hired a contractor or cOlltractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Rectlon:'!" of this application for which they,
<br />will be responsible. If you, as the owner sIgns as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indlcation that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMP1\CT P'EES AND U'l'JJ,ITY CONNECTION P'!!:ES
<br />D, CONSTRUC'l'UI0N LIEN Ll\W (CIlAP'l'P:R '113, f'l,OIUlJ1\ STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, have beell provided wlth a copy of "Florida's Construction
<br />lien Law - Homeowller's Protection Guide" prepared by the E'lorida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E, CONTRACTOR' S/OWNER' S AE'!,'lDAVl'l'
<br />I certify that all the 1n[ormation in this application is accurate and that all work will
<br />be done in compl.iance with all applIcable laws regulating construction, zoning, and land
<br />development, ,
<br />Application is hereby made to obtain a permit to do work and installation as indit:ated. I
<br />certify that no work or installation has cOllullenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies Include but are not limited to: *Department of \
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvirolUuentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, !Jocks, Navigable Waterways
<br />*Department of Health & Rehabilltative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic 'l'anks
<br />*U.S, Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fIll maled.aJ 1s lo he used In F'Iood Zone "A" or "A,etc.", it i.
<br />understood that a drainage plan addressing a "compensating volwne" will be submitted which
<br />is prepared by a professional engineer registered In the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plaiis, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is cOlamenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is cOllunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15,00. The extension shall be requested
<br />in writing to the Building Official. An approved Inspectlon must be logged during each six
<br />month period, or the project will be considered C\bandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECOHU A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 1'0 YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE REeOHUING YUUR NOTICE OF COMMENCEMENT, JOBS UNDER
<br />$2,500 IN VALU" UO "0'1' ""go '1'0 N"CONU ANU POS'!' ~l~~~~
<br />
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF r~
<br />The foregoing instrument was acknowledged
<br />Before me this ~ay of 6ert', , 19.25
<br />by Marly rr-&-
<br />_/ (name of person acknowledged)
<br />lB'who is personally known to me, or
<br />
<br />STATE OF FLOHIDA
<br />COUNTY OF
<br />The foregoing instrument was aCk~owledged
<br />Before me this ~~ty of ,<::,..pp-r, , 19 '1!l...
<br />by MCLrf-J;, I cur~
<br />~ (name of person acknowledged)
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