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<br />C:UIIUJTlU!lS OJ<' !'li:mlJT l\FFID1\Vl'l'
<br />1\ . NOT I ~~ QF ]) E E])]1 E ~; 'I' Ul.(.::!'L(J.1I~J.
<br />Th~ undersiglled unJerf,l:li,(j;'--'liiilL -liiis'i'i:,IJiL 'i,I'( iH~ ,;u!'jl:cI LiI "I!t:d 11~!;Lriclionn" lIhich lay be lore restrictiva th
<br />reguJ(]tiul!S, Till! 1Ilidl:ISiYlleU in;;;lIilfc:; 11'::P'.!lliiildlil.y [Ill cl'"plitllICC wiLh illlY applicable lleeu restrictions,
<br />
<br />"
<br />,CiLy ""
<br />
<br />B, UNLICE!~S_hi;]) CON'l'H^C'l'()j(~; JIllU CUWI'lU\C'J'Uj( HESl'ONSIlJILI'l'IES
<br />If the owner has lJ[ed a contriJCLor-o~:'-(~ul;t:r;lclors'lo"uii'JI;'i:l~}'-e-~;'oiT;ti1ey lay be raquired to be licensed in accordmce \(iUl
<br />state and local rcguliJLions, If the conLrilcLOI b noL 1 iC11n!;eil ili; requifl:u by lall, both tha ollner and contractor IJ1 be
<br />dtell for a mistleaeilllor '!io]olion \JllrJer uLilLe lilli, If [Ill' OIII!!'1 or InLI!nlleu contractor are uncortain as to what liJol1sing
<br />requirCllents ~oY ilPpll' for L1le inLI'ntJcd \1'.11)" 1111'1' ill': i1l1..i';I:r1 \.0 CUIILild the City of Zephyrhills Uui111ing Departllent, (013)
<br />788-6611.
<br />
<br />Furthermore, if tile uliner liils Iii red il cUlIll"dol l'l cOillnl;loll;, hi; is iJdvised to have the contrilctor(s) sign portions of the'
<br />'Contractor Sections" uf lids ilpP] iCiJLiol1 (or \iilicll L11i~Y :,ill bil le!ipoll~jiole. If you, as the Ulmer Ilign as tha cor tractor,
<br />you are indicating Lilat you, raLher I.hilll till' cOI1Lrilcl.ol, ille [I;;ipon:;ibln (or Lhe \lork. If tha contractor wishes you to Ilign
<br />as contractor that VilY be lJn ili'Jicill.iOil L1lilL lie is noL prc'piJr1v licensed ':\lld Is not entitleu to peuilting privilegell in tha
<br />City of Zephyrhills,
<br />
<br />.,J,'
<br />
<br />C. TH^H.~l!Q!J!'0}'JQ!!. H1I'j\CT FJ';I;~:) )\111) U'J'LI~,,r'Cin_C.9NNEC'l'ION FEES
<br />
<br />0, CONS'l'l\UC'l'ION LIEN l:i\\'i (Clli\l''l'EH 'ILl, FL,OHIIJl\ S'l'J\'l'U'l'ES, l\S J\MENDED)
<br />I certfyYti8L-I~li\eQiipIlc~iiL-,--iJiiv'e'Gl;-rili' providc:d \/illl i1 cOPl' of "F]oriua's Construction Lien Lall - Ilollluowoar's Protection
<br />Guille" prepMeo by the FIoriUil lJepiJ[L~!!lIl of rlljriClIllure <IIHJ COIl:;\I~er fl[fDirs. If tllU applicant io SOJleOIlU other than Ule
<br />'o~ner", I certily Lilut I hol'e oblaillell <I cup/, of tllIl <lbO','11 1\\'::1:[ illlli) tlocll~elil uliU prolise in gooo faith to de1iver"it to' the
<br />"o\iner" priur l.o co:wellce~elll.
<br />
<br />. '~~',-"
<br />
<br />E.. CONTI\J\C'l'OH I S LQ~lil~)l'._~)..._!~EtLU{\_YX'X
<br />l'cer,tify that arlllie in(onation ill l.lli!; ,)pplicillio:1 i;; iICClllill.!1 olld Lliill all work will bu uone in cOl'lpliance with all
<br />app-Jicable la~s regul(]Lin'j cUllsLrucliull, 7,1,1IiiII'J, ,):1.1 JiII:J li::','e,]lil)~eIIL,
<br />
<br />,',pplicalicl1 is 1:'~['2iJi ;JilOe Lo OlJLilill i1 pl~I'J! l. l.u il') \1')1 L ;illlJ JII:;l.allillioll ill! illuicilteu. I certify that no \lark or
<br />installatioll has coe~ellclld prior Lo is;;UilIlCI~ o[ ,1 pel,1 i L illld \l1i)L ill I \lI)rk Ifill be perfonod to loot sLanuardB or all lallB
<br />regulatillg construction, CiLy coues, wllillg rcguL1Liol\!J, iilld LIII,I uevelopMcnt ragulations in the jurisdiction. I also
<br />certify L1lat [ ulluersLolIl] L1liiL Llie ICII'JlilliclI:; llf olllllr I]O'iCll1iJeIlLil] iltjeneies !'Joy apply tu tbe intal1ucu \lork, and that it ill
<br />Ii' responsibi jHl' Lo irlellli (y \llioL ileL iOllS r "uIIL Lill,lI l.o be il\ co~pliilllce, Sueh agencies incluuc but arc not lilited to:
<br />I OeparuenL o[ EI~;'J..[__~.I_1!:!~1j...lI.U~~g~ll~.U.~~ - C'ipresl) Bilylleilrls, \{el:lill1d ^rea8 alld Rnvirolllentally Sensitive Lanue,
<br />\{"l.e I /\ii1S le';(ii LI! I' 1 lea l~ellt
<br />I Soutll'liest Florida. \iil~.QiJi~~~g~.~~J_~l.I!.Lri.c1 ,. \lell8, Cypress Bil'(IiQaUB, \/etland t\reas, t\lteril1~ Watcrcouroes
<br />I Miy Corps o[ f;~i-'L~!:~ - Seawal'Js, /Jud.iJ, HiI'.'i(jallJe \!iJLer\iiJYs
<br />I DeDartlent o[ Il~.QHJ!~Deh~.!E~(]_t)..'I.~.S~.r:I!.~:.I:.:'Ll':~I\,jr~~l~~II~~J__!~~_al.tll_~I1J.l - \lello, Wastewater TreatlJent, Septic Tanks
<br />I US Env i ron3en ~~l1:i.~.hec ll.Q~I..i~_~.~D - "I, bE!, lUl; i\billlJ~r:lll
<br />I also celli[]' L1lil\., if fill aillcriill iE to 1)11 used ill 1:]ol)rJ ZUlli! "1\" lIr "I\,eLe,', it is unuerstooO that a drainago plan
<br />addressing u "coupcniJaLin'J vu]uije" Hill L'e :;u!JJiLll:rJ \filil:11 il; prepoHl:U lIy u pro[esllional engineer registerell in the State of
<br />Florida prior Lo pcr~it issuilnce.
<br />
<br />,', peruit iSSUe'] Sllilll be COllstruc:d l.o ~I.; ,1 I iCllilil'2 Lo plO(:1211\1 \;ith L1Je \iOrr. ul1d not illl authority to violate, cancel alter, or
<br />set asioe an'i ~rl.ivisiol1s o[ Lhe Lechi1icill codell, 1I0l' [;llilll lSliulIllce o[ a permit ~revent the nuiluing Official frol thereafter
<br />requiring a co[rectiull o[ errors ill pla!IS, cOlIsLrucLiIJ!1, or viuli.111olls o[ allY coua, Every peult issued shall becolo invalid
<br />unless the ~orr, auLhorized by such \1I2ruiL is co]~;ellr:erl ',:iLhill sh uOIiLhs o( issuance, or if worK authorizad by the pertit i6
<br />suspended or abal\'Joileu [or 0 period o[ six lild.llli idtu the ti::e the \lor}; is cOlLlIenceu, One 90 day e1.tension of tile, lay be
<br />alJo)(ed [or Lhe peluitliiLh fei; cliiJ[~': of il~"I)(1, '[l1i~ l'yl..I'li!;!!)11 i;liilll Oil reque6tell in \triLing to the Uullding OffIcial. ^n
<br />2;,proYCQ ir:s~'ccLil):1 ~'J:)L lie logged Ihll!;)() [';dl "jv ~(\IIL11 i'lli'ioll, or Life project will be consillerell ubanlloncll,
<br />\ir',RSIHG TO U'~',~::ii: YOIj!! F,ilLUiiE TO iif:U;ii[) ,i I;U!'!U: (I' '(!li;!':!:U!!!';!if )((,Y 1\r:~ilJLT IN yaUH P^YlHG T\l1C8 FOn 1HPHOVE1IEKTS TO YOUIl
<br />FF.OmE. I? YUU I m:!W 'fU O!lT,''! H F I ~ii!iClli',;, U)!i~.:ULr \i 1 rii YOU!I Li~Hllf:1l Oil l\lj ^1'TOIlHEY UEFOIlE IlliCOIlJJiHG YOUIl K(YllCB OF
<br />CIJr,IjEHCEHEHT, ~iJi!:; U!i:JEfI 12, ~,()O 11; '.'r'liIH; UU I:UI' I:L!:!) '\11 li!)))!!l) fl:LI i'UST 1\ "NUTlCE UP CUlOlEHCEHENl'''"
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<br />STi'iE Or f~,\
<br />coum OF _L~..<::.__~___...__u_..__._ ......
<br />Tile f 0 l"l2\j 0 i 11 \jic;!J,~; L nl/lI~.1 L ',-li.H, ll. d.'1l m;.L l~ d (J I.! d
<br />iJ ef 0 r (; m l2 III i [-; ~:;,d_-_JJ__. I J (F.\3.. !J y
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<br />wll 16 )(; .sOllt1l1y 1\110'.'111 Lo 111(~ jOt' '.;110 llil:)
<br />pro due (; d ._ _______.________h__.._____.. ___. _.____.._ n
<br />as ide 1\ L if i C ,1li 011 ell I d ~Illo lli d / l1i rJ 11 0 I
<br />all oalh
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<br />alure)
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<br />(lIame Typed, 1'r.llll:l2rl or ~; l.iIII1P(~il)
<br />liOTMn PUULIC
<br />
<br />,.~~'.l~';:j;;:, JUNE M. HERNDON
<br />~{l"'''i!
<br />i::~}: MY COMMISSION' CC 590009
<br />~: ~~i EXPIRES: FpbflJlUY 1. 2001
<br />~ -o;l Banded Thru Nolary PublIc Underwrlters
<br />. ..'
<br />
<br />
<br />~,T^TE UF FL~
<br />CUUIiT\' UF ----t='~'5 CO
<br />'1'1.1(; 101'(.1901119 il).Q..tyr'i.nt WilG tlclmowledged
<br />IJI~[or(.1 me this t:> 'I , 19~ by
<br />
<br />
<br />who has
<br />
<br />. - ....-..- --.--...- ---.--.
<br />(t1tlllH~ Typed, Printed or Stumped)
<br />t10'1'^HY PUBLIC
<br />
<br />
<br />JUNE M. HERNDON
<br />MY COMMISSION' CC 590009
<br />EXPIRES: FebruaIy 1, 2001
<br />,.' Bonded TI1ru NotlIIy PublIc llnderwrl18F1
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