<br />COIJlJl.'J'IOW; Ol!' PlmMl'l' 1\H;'lIJ1\Vl'l'
<br />1\. NO'l'JCg or- /JE:I!:lJ 1lf;:lTIUC'I'LOI~:;
<br />'l'hQ ullde!:signed ulldeJ:stnllds that thls pennlt lIIay be subject: to "deed restrictions" which
<br />may be more restrictive thall City tP4ulatiomL The ulldersiglled assumes responsibility for
<br />compliallce with any applicable deed restrict-lollr..
<br />B. UNI,ICENSEIJ CONTIV\CTOHS 1\N1J COHTIV\CTOH m::a'OIISlBII.l'l'U:S
<br />If the oWller has hired a cUlItractor or: contractors to lllluertake work, they lI\ay be required
<br />to be Licenseu ill accordance with slale and l.ocaJ regulallons, If the contractor is not
<br />licensed as requlreu by law, hoth the owner nnd contr.actor may be cited for a misdemeanor
<br />violatioll under state law, If the owner or ill tended cOlltractor are uncertain as to what
<br />licensing requlremeuts may apply fur the lntenued work, they are advised to contact'the
<br />City of Zephyrhills Buildillg Department, 013-'100-6611.
<br />Furthermore, if the owuer has hired a cOlltractor or COli tractors, he is advised to have the
<br />cOlltractor(s) sign portions of the "Contrilctor Sectiolls" of this application for which they.
<br />will be responsible, If you, as the oWller sigus as the contractor, you are indicating that
<br />you, rather thall the contractor, are responsJbJ", for the work, If the contractor wishes
<br />you to sigll as contractor that may be an indlcntion that he is not properly licensed and is
<br />not entitled to permitting privIleges in the CIty of Zephyrhills,
<br />C, TH1\NSPOHT1\'l'ION IMP1\C'l' FEgS ANlJ U'l'J J,ITY COHlmC'l'ION FEES
<br />IJ, CONSTRUCTUION ],IEN IJ\W (CII1\P'J'lm'113, 1;'J.l>HIIJ1\ S'I'1\'l'U'I'ES, 1\S 1\MENDED)
<br />I certify that I, the applicant, have been provided wIth a copy of "Florida's Construction
<br />lien Law - 1I0meowller's Protectioll Guide" pJ:epared by the Florida Department of Agriculture
<br />and COllsumer 1\ffairs. If the applicant Is someolle 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 commellcement.
<br />E, CON'l'HAC'1'OH' S/OWNEH' S 1\E'F'ID1\VIT
<br />I certify that all the in[onnation in this application is accUl.;", ; l-hat all work will
<br />be done in compliance with aLL applicable iaws regulating construction, zoning, and land
<br />development,
<br />1\pplication is hereby made to obtain a permit to do work and 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, 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 illY 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 1\reas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest E'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />1\ltering Watercourses
<br />*Army Corps of Engineers-Seawalls, 1J0cks, Navigable Waterways
<br />*Department of Health & Hehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Enviromnentai Protection 1\gency-1\sbestos ilbatement
<br />I also certify that, if fill mate/:Jal ls to be used in E'lood Zone "1\." or "A,etc,", it is
<br />understood that a drainage plan addressIng a "compensating vol wile" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />1\ permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to vioiate, 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 cOlluuenced 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, 1\n approved inspection must be logged during each six
<br />month period, or the project wlll be conRiderf:'d "bandoned,
<br />W1\HNING TO OWfH':H: YOUH F1\ll.UHE '1'0 HECOHD 1\ NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
<br />P1\.YING TWICE E'OR IMPHOVEMENTS '1'0 YOUH PHOPERTY, IF yOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR 1\N 1\.'l"l'ORNEY BEFORE RECORDiNG yum, NOTICE OF COMMENCEMENT. JOBS UNDBR
<br />$2,500 iN V1\LUE lJO NOT NEEU TO HECOHD AND POST 1\ "NOTICE OF COMMENCEMEN'r",
<br />
<br />
<br />"'GN^,I'U"~~~" ~J
<br />
<br />
<br />ST1\TE OF FLOIUD1\. a
<br />COUNTY OF \ 0..5(.0
<br />The foregoing instrument wa,= acknowledged. ,
<br />Before me this -f'&o..day of _~bn~a""j, a 2200
<br />hy tv\. S
<br />(name 0 person acknowledged)
<br />Bfio is personally known to me, or
<br />
<br />
<br />S '1'1\'1' E: 0 F F LOIU lJ1\
<br />COUNTY OF "P~co
<br />'l'he foregoing illsLrumenL was ackllowledyed
<br />Before me this ~ day of F~br-c.tA,.'1' ~~O
<br />by :re('t.~'f Hook~
<br />_/ (lIa1l1e of person acknowledged)
<br />~who is persollally kllOWH to lIIe, or
<br />
<br />D who has produced
<br />(type
<br />Ddid not
<br />
<br />o who has produced
<br />(type of identification)
<br />O:Hd not take an oath
<br />
<br />
<br />Sig.
<br />
<br />
<br />Sig
<br />
<br />acknowledgment
<br />
<br />Name typed,
<br />
<br />U...ne
<br />
<br />
<br />..
<br />..
<br />
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