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<br />COIWI.TIUln: Uli' I.'lmMIT 1\li'FlIJ1\Vl'l'
<br />1\.' NO'J't'Cg O/i' IJI!:J!:IJ Hr;WrHJC'1' Lor4~;
<br />The undersigned undeJ:slands that this permit /IIay he .qubJect to "deed restrictions" which
<br />may be more restrictive than City tf~glllations. The undersigned assumes responsibility for
<br />compliance with any appljca~le deed ~estriction~.
<br />B. UNLICENSED CONTHl\CTOHS /\NIJ CUNTHl\CTOH Hfi:SPUIISIB 1./,J'I'U:S
<br />If the owner has hired a cont1:<1I.:tor or contr:actors to undertake work, they may be required
<br />to be licensed ill accordance wiLh sLaLe alld 10e<1J reguJilliolls. If the contractor is not
<br />l~cens~d as requIred hy law, both Lhe owner ilnd conL.tacLor may be cited for a misdemeanor
<br />vJ.olatJ.olI ullder state law. If the oWller or inLended cOlltractor are uncertain as to what
<br />licellslllg requlremellls may apply (or. lhe lnLellueu wor.k, they are advised to contact'the
<br />City of Zephyrhills Buildillg Vepartmellt, 013-'/00-6611.
<br />Furthermore, if the oWller has hired a cOlltractor or COli tractors, he is advised to have the
<br />contractor (s) sign portions of the "ContJ:ncLor. flectionR" of this application for which they.
<br />will be responsible. if you, as lhe owner s.igns 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 cOlltractor that may be all ind.lcation that he is not properly licensed and is
<br />1I0t entitled to pennitt.lllg pr.lvileges in lhe City of Zephyrhills.
<br />C. TRl\NSPOHTl\'l'lON IMPl\CT F'EI~S /\NV U'l'll,l'l'Y COHNF:C'l'lON FEES
<br />D. CONS'l'RUC'l'UION I,lEN Ll\W (C/I/\PTr:H '113, n,OIH /)/\ STl\TUTES, /\S /\MENVED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />liell Law - 1I0meowller's Protection Guide" pl:epal:ed by the Florida Department of Agriculture
<br />and COllsumer l\ffairs. if the applicant is someone other that the "owner", I eerify 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. CON'l'HAC'l'OH' S/OWNEn' S l\/"f'lIJ/\VIT
<br />I certify that all the ,infoJ:Jnalion in this application is accurate and that all work will
<br />be done in compliance wilh all applicable laws regulating cOllstruction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pennlt to do work alld installation as indit:ated. I
<br />certify that no work or installation has cOllunenced 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, zonillg regulations, and lalld development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lnay 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 illclude but al:e not limited to: *Department of
<br />Envlronmental Hegulation-Cypress Bayheads, Wetland /\reas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest f'lorida Water Management Vistrict-Wells, Cypress Bayheads, Wetland Areas,
<br />Alterillg Watercourses
<br />*Army Corps of Ellgineers-Seawalls, /Jocks, Navigable Waterways
<br />*Department of lIealth Ii Hehabilitative Services, Envirolllllental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U. S. r~nvirollmental Protection /\gency-l\sbestos nhatement
<br />1 also certi[y that, if fJ.l1 mater:JilJ. .Ls to he used in f'lood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "colnpensa.t:ing volwlle" will be submitted which
<br />is prepared by a professional eng1neer .r:eglstered 111 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 plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or .Lf 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 wlth fee charge of $15.00. The extension shall be requested
<br />in wdtlllg to the Building Offlcial. /\11 approved .inspection must be logged during each six
<br />month pr,,'jod, or the project wlll be conRiuet'pd iluandoned.
<br />WJ\HN.lNG TO OWNl!:H: YOUH Fl\ll.UHE '1'0 HECOHV l\ NOTiCE Of' COMMENCEMEN'l" MAY RESULT IN YOUR
<br />PAYING TWICE F'OH IMPHOVEMENTS '1'0 YOUH PHOPERTY. I F YOU INTEND '1'0 OBTAIN FINANCING, CONSULT
<br />WI'l'lI YOUR I,ENDER Oil. 1\N 1\'l"l'ORNEY BEFORE RECOHlJlNG YOUn NO'nCE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN V1\LUE VO NOT NEED '1'0 HECOHV AND POST /\ "NOTiCE OF COMMENCEMEN'l"".
<br />
<br />
<br />SlGf11 ~
<br />
<br />
<br />STATE Of.' FLOIUV1\ ..,-:)
<br />COUNTY OF r tJ..SCO
<br />The foregoIng instrument was acknowledged
<br />Before me this ~ day of F~brCA.~"'j' .H'~OO
<br />by
<br />~/ (name of person acknowledyed)
<br />Y"who is persollally kllOWIl to me, or
<br />
<br />ST1\TE OF' FLOHIVl\ B
<br />COUNTY OF Q,SC.O
<br />The foregoillg instrument was tcknowledged. ,
<br />Before lIIe this ~ay of F... ('&.\At"j ~, W i!...ooo
<br />by
<br />~..-'" (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />8(1id 1I0t
<br />
<br />of identification)
<br />tak all oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />s::(id no~th
<br />
<br />
<br />Sig taking acknowledgment
<br />
<br />Name typed,
<br />
<br />
<br />
<br />Name
<br />
<br />,\,'11"1,
<br />
<br />typed,f ." .. d'f'or
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<br />""'#IW.,~\"'" All;' I
<br />
<br />,/., Bahr
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<br />'\,1\1,15,20 2
<br />iC,) THRU
<br />';'II~G Co.,INC.
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