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<br />cC;t".lD I -r I cr'-tS (Jl~. fJER' 1Y"\- (;FF I IJ(\\) I T
<br />
<br />A. NOT I CE Of"" qSC::J_:_..CE~";Tn:; CT I ':'J.::2jl
<br />
<br />Ihe,undersigned understands Ih~t Illls p~rroit m~y be sublect to "deed restrictions' which ~ay be ~0re restrjctivc than City
<br />regulations. The undersigned Q5Su~e5 respDns!blllt1~for compliance Mlth any ~pplic~ble deed restrictions.
<br />
<br />E. UNL I CEt'-ISED C(UiI[lj~i~l~ORS AND CONTRACTOR RESPQ!:lf0...D~Ll T I F5_
<br />
<br />If the o~ner has hired a contr~ctDr cr cDntr~ctors
<br />state and local regulations. If the contractor Is
<br />cited for a ~isdeneanor violaticn under state laM.
<br />requirelents ~ay apply for Ih0 in!~nded "ork, they
<br />788-6611.
<br />
<br />to undertake Hork, they may be required to be licensed in accordance "ith
<br />not licenHd as required by la\l, be,lh Ihi: e'\I~er and ontrac\C<r nay be
<br />If th~ o~n~r or int~nded contractor are uncertain as to "hat licensing
<br />ar~ advised to contact th~ City of Zephyrhills aui\ding Depart~entJ 18131
<br />
<br />Furtheroore, if the OHner h;s lllred a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />'Contractor Sections' of this application for Mhich they will be responsible. If you, as the o~ner sign as the contractor,
<br />you are indicating that you, rather thon the contractor, are responsible for the we.d:. If the ce,ntracte.r "ishes ye,u to sign
<br />as contractor that oay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIOf\! FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORID~ STnTUTES, ns AMENDED)
<br />
<br />I certify that 1, the applicant, have been prov(ded with a copy of "Florida's Construction Lien La~ - Ho~eDHner'5 Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so!c6ne other than the
<br />'owner', 1 certify that I have c,btained a, co'py of the above described document and prc'c,i"c in ge.od faith to celivu it te, the
<br />'owner' prior to co.~encer.ent.
<br />
<br />~ 1. ';' ~:: "
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the infofffiation in this application is accurate and that all work "ill bc done In compliance Hith all
<br />applicable laHs regulating construction, zDning, and land develop~ent.
<br />
<br />Application is hereby ~ade to vbtain a permit t~'do work and install~tion as indicated. 1 certify that no Hork or
<br />installation has co~~enced prior to issuance of a permit and that all work Hill be perfor~ed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land develDpnent regulations in lhe jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply to the intended work, and that it is
<br />my responsibility to iden!.if! liha! actions I Illust take to be in compliance. Such <192"ci2S ir,clude b,d ~I e I>[,t li,1ited ta:
<br />
<br />, ,-
<br />I Departee"t of Environ~ental ReGulatiDn - Cypress Bayheads, Hetland nreas and Environmentally Sensi tive Lands,
<br />Water/WasteHater Treatment
<br />f: Se.uthllest Florida \Iater l!a_12a!l!,~,ent District - IIe11s; Cypress Bayheadsr Hetland tlreas, ri\\erir,g Ha\ercoufS2S
<br />I Ar~y CorDS ,of EnQineer~ - SeaHalls, Docks, Havigable UaterHays
<br />I Departeent d \\ealth !',_l'r:t1i\bilitative S~rvices. EnviroMJ!:ntalllealth Unit - \Ic,lls, \I..steHatu Treat;:;::r,l, Septic Tanks
<br />I US Envirc,n~ental prc,tEcti~i'.S1. - r,sbestos abatement
<br />
<br />also certify that, if fill ~atf:rial is to be used in He,od Zone 'n" C'f "n,etc.', it is \llIdu5le,e,d lidt ;, dr~ainage plan
<br />addressing a 'co~pensating yolule" will be sub~itted Hhich is prepared by a professional engIneer feqisteieJ in the Slale of
<br />Florida priH to per~it iS5u"nce.
<br />
<br />r, perllit issued shall b" ((,nstruro to be a license to proceed ~Iith the He,d: .,nil nc.t oS a\lllle'rity Ie' vi e, 1:'\[' , cancel aller, or
<br />set aside any provisions ~f the technical codes, nor shall issuance of a permit prevent the Building Official fr0~ thereafter
<br />",0' d" ' ","" ti ,," .,f mo" i" P 1,"'; co", ,,,,Ii,,, " ,'" ,.ti "" of '"V "01,, C,,' i "~co ti i "",,1 ,to, II """" i ,n ti d
<br />unless the tiC.rk authH iice! by such perro,i t is cc,m~enced within six monlhs nf iSSlIJrll:c" e,r if ltC., \. autj,r'1 J ;cD by the pcrli t is
<br />suspended Dr abanonned fDr ~ period of six lonths after the t;~e the wDrk is commenc~d, O~e 90 day c:lf~sjOII Df ti~e, ~ay be
<br />alle,wed for the per;,>,it rlll,!, fee charge of $15.00. 1he extensie.n "hall be rcq!ll:sl~d in \iri\in~ te, the St1ilding Official. An
<br />apprDyed inspeclie.n r,us\ \,~ le'ylF'u ollrin9 each si~ month period, or the pre.jC'cl Iiill lip cc,r,sidui::C <<bollde.r,ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT I N YOUR P()'f I NG Tt-.J I CE FOR I MPRO\/EMENTS TO YOUf'< fC1ROPERTY. I F YOU
<br />INTEND TO OBT~IN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO ~;:::cor-m AND POST A "NOT I CE OF cm1tv1ENCEi'IDJ r" ,
<br />
<br />
<br />SIGNAT~ ~~ SIGNATunEJ:.____~--~-:.- ~
<br />-------O\:"E"-O"- A~~-:KW"'~ corneJCTOR ~~
<br />DATE --("QJ~IQO----------------------- DATE__---ULLo)f2Q-------------
<br />
<br />NOTARY AS TO ~ 9.b~ .'
<br />OWNER OR AGENT __/:5..JJ1:l.t-.&~J!.J._J:3RawJ::J.----.-
<br />
<br />NOTARY ('IS TO ~()..&~
<br />CONTRACTOR___~)cry~~~~~---
<br />
<br />MY COMMISSION EX~
<br />
<br />,
<br />
<br />MY Cm11'1l 55 I ON
<br />
<br />
<br />~y~ '
<br />~J:g\. KA'ffiLEEN J BROWN
<br />~A. ~ MY COMMISSION '# CC 8'<u
<br />-'OF 1'-"",- EX.. __"",9
<br />1-80(). PIRES: ~/l2'200
<br />3-NOT ARY Fla, Notary Ser. 3
<br />~,'e-"~_ ICS& Bonding Co.
<br />......
<br />
<br />#'....y'~ KATHLEJ!NJBROWN
<br />
<br />~.... MY COMMISSION '# CC 825469
<br />'f'qOFI'-I:l" EXPIRES: ~/12'2003
<br />1-8O().3-NOT ARY Fla, Notary Service & Bonding Co,
<br />
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