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<br />CUfllJ1TJUllS uJ!' PlmMlT A/i'(;'lIJAVI'l'
<br />A, NO'l'ICE UfO lJElm m:!J'l'IUC'1'101~:J
<br />The' undetsigned ullderstands that l:IJ.i.s pennlt /IIay be lJuhJect to "deed restrictions" which
<br />may ve more restrictive than City tI~gulatlons. The undersigned assumes responsibility for
<br />compliance with any applJ.caUle deed r.estrictioIlS.
<br />B. UNLICENSED CON'l'HAC'l'OHS 1\N1J CUNTIV\CTon m:!>POIlSlI.lll.J.'I'U:S
<br />If the owner has Idled a contLaetor. OJ: cOlltnH.:tOr.S to undertake work, they .nay be required
<br />to ve licensed in accor.dalwe wilh nLate nlld .Locnl J:eyulalions. If the contractor is not
<br />licensed as required by law, both the owner nm) contractor may be cited for a misdemeanor
<br />violation under state law, If the owner. or intended contractor are uncertain as to what
<br />licensing requirements may apply for the .lnlellded work, they are advised to contact'the
<br />City of Zephyrhills Buildillg Department, 013-700-6611.
<br />Furthermore, if the owner has hired a cOlltractor or contractors, he is advised to have the
<br />contractor (s I sign portions of the "Contractor' flectlolllJ" of this application for which they,
<br />will be respolIsible. If you, as the owner slglls as the contractor, you are indicating that'
<br />you, rather thall the contractor, are responslule for the work. If the contractor wishes '
<br />you to sign as cOlltractor that may be an ind.Lcation that he is not properly licensed and is
<br />not enti tIed to permitting pd, vileges ill the City of Zephyrhills.
<br />C. 'l'Hl\NSPOn'l'A'l'lON IMPAC'l' FEES /\NO U'l'Jl,I'l'Y CONNEC'l'ION FEES
<br />D. CONS'l'RUC'l'UION LIEN LAW (CIIAP'J'lm '/13, n,OHLlJA S'l'ATU'rr~S, AS /\MENDEU)
<br />I certify that I, the applieallt, have ueen provided wllh a copy of "Florida's Construction
<br />lien Law - Homeowller's Protect1011 Guide" prepared uy the (o'lorida Depar.tment of Agriculture
<br />and Consumer Affa1rs. If the applicaut is someone other that the "owner", I cerify that I
<br />have obtaiued a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to COIlU1IenCement.
<br />E. CON'rRAC'l'OH' S/OWNEH' S A("("IIJAVI'l'
<br />I certify that all the 1nfol:l1lalion 1n lhis applieatlon is accurate aud that all work will.
<br />be done in compliance with all applIcable laws regulating construction, zoning, and land
<br />developmeut.
<br />Application is hereby made to obtaIn a permIt lo do work and installation as indit:ated. I
<br />certify that no work or instaIlatiolJ has COllu1Ienced prior to issuance of a permit and that
<br />all work will be performed to meet sl:andards of all laws regulating construction, City
<br />codes, zonilJg regulations, alld land development regulations ill the jurisdiction. r also
<br />certify that I understalld that the regulations of other governmental agencies may apply to
<br />the inteuded work, aud that it is my respousibility to identify what actions I must take to
<br />be in compliance. Such agencies include bul are not limIted to: .Department of I
<br />Envirollmental RegUlation-Cypress Bayheads, Wetland Areas alld Environmentally Sensitive
<br />Lands, Water/Wastewater 'l'realment
<br />*Southwest Florida Water Management lJ1strict-Weils, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />.Army Corps of Eugineers-Seawalis, /Jocks, NavIgable Waterways
<br />.Departmeut of Health & Hehabi11tative Services, Euvironmeutal Health Unit-Wells,
<br />Wastewater 'l'reatment, Septic 'ranks
<br />.U.S. EnviroJimental Protectiou 1\gency-Asbestos abatement
<br />I also certify that, if (111 l1Iated,a1 .Ls to he used ill I!'lood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a "col1lpensa~ing volw1Ie" will be submitted which
<br />is prepared by a professional eng.llleer regIstered ill the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be coustrued to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside allY provisious of the technical codes,
<br />nor shall issuauce 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 commenced 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 1nspection must be logged during each six
<br />month period, or the project w111 be cOllsider.ed abandoned.
<br />WAHNING '1'0 OWNEH: YOUH F1\lLUHE '1'0 HECOIW 1\ NOTICE OF' COMMENCEMEN'l' MAY RESULT IN YOUR I
<br />PAYING TWICE rOR IMPROVEMENTS '1'0 YOUH PHOPER'!'Y. I F YOU INTEND 'CO OBTAIN FINANCING, CONSULT'
<br />WITII YOUR LENDEH OH 1\N 1\'1"l'OHNEY BEFOHE I\ECOl\lJING YUU" NOTICE OF COMMENCEMENT. JOBS UNDER'
<br />$2, SUO IN VAltUE lJO NO'1' NEEO '1'0 IlECOIlO #\NO POS'I' 1\. "NO'l'lCE OF COMMENCEMENT".
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<br />SI~'rURE: ~ OH AGENT
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<br />S'l'A'l'E OF FLORIIJA n
<br />COUNTY OF rasC../)
<br />The foregoing instrument was ackllowledyed
<br />Before me this _!Iff.,-- day of mt:<Af ' J29~
<br />by :JereMY =.EtQQks
<br />(name of person acknowiedyed)
<br />~ho is personally known to 11Ie, ur
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<br />o who has produced
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<br />S 1 GNtyfU HE :~C'l'OH
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<br />S'1'1\'l'F. Of' FLOIUIJA ,
<br />COUNTY OF ~5. CO
<br />The foregoing instrument was acknowledged " ;
<br />Before me this ~ay of /n~ , W-~oo
<br />by Sere""'! HOD ks
<br />(name of person acknowledged)
<br />~o is personally known to Ille, or
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<br />of identification)
<br />take all oath.
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<br />\.J who has produced
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<br />and [):lid not take an oath
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<br />person taking acknowledgment
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<br />Name
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<br />.5lA..ULv\.1") e- Ba..hr-
<br />typed, prlllte~~:'t'~ta~dnne Sahr
<br />~/A-~<i;Commisslon # CC 790817
<br />~;,( A j;; Expires NOV. 15, 2002
<br />~~~,,,,,,,';jl.~~ BONDED THRU
<br />"",R~,\i,'" ATlANTI<': BONDING co.. INC.
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<br />thune typed,
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<br />p d ' '~~~I&""'CC 790817
<br />~~{ j;~ Expires NOV. lS, 2002
<br />~.%.i::........~~~~ BOHDED THRU
<br />";f,OH\:\;'~' ATI ANTi, SaNDING co.,. INC,
<br />I"n - ~
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