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<br />CO/WIT/OIlS oJ!' PlmMI'J' Al!'(i'lIJAVl'l'
<br />A. 'NOTICE UFO LJEEO HE:~rl'nJ.C'1' LON~J
<br />'rhe undersigned understands thllt thls pennlt may be ~lJhJect to "deed restrictions" which
<br />may be more restrictive than City t!~q\lJ.ationi'l. The undersigned assumes responsibility for
<br />compliance with any appllca15J.e deed rer,triction!1.
<br />B. UNLICENSED CONTIV\C'1'OHS ANIJ CUN'1'HAC'J'OH HE~H'UrWllH 1,J'I'H:S
<br />If the owner has hired a contuwl:or or conl:J:llctoJ:i'l to ulldertake work, they Iltay be required
<br />to be licensed in accordance will. nlale II III I local J:eyulalions. If the contractor is not
<br />licensed as required by law, hol:h the owner. and contJ:actor may be cited for a misdemeanor
<br />violation under state law. if the owner or ill tended contractor are uncertain as to what
<br />licensing requirements limy apply for the Jlltendm..l work, they are advised to contact I the
<br />City of Zephyrhills Building Departrnellt, 013-700-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor ::lectJ.oIIA" of this application for which they,
<br />r
<br />will be responsible. If you, as the owner s.Lqns as the contractor, you are indicating that
<br />you, rather thall the contractor, are respollslb.Le for the work. If the contractor wishes
<br />you to sign as contractor that may be all illdication that he is not properly licensed and is
<br />not entitled to permitting prJ,vlleges in the City of Zephyrhills.
<br />C. TfV\NSPOH'l,^,l'lON IMPACT F'EE3 AND U'l'1.l,ITY CONNECTION FEES
<br />D. CONS'l'RUCTUION j,IEN IJ\W (C"AP,/,(1:n '113, n,OnllJA !J'l'^,J'U'l'r;S, AS NiENUEIJ)
<br />I certify that 1, the applit:<lnt, have ueen provided wJth a copy of "Florida's Construction
<br />lien Law - 1I0llleowuer's Protection Guide" prepared by the E'lorida Depar.tment of Agriculture
<br />and Consumer Affairs. If the applicallt is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above descrIbed document alld promise in good faith to deliver
<br />il: to the "owner" prior to COllllnencelllent.
<br />E. CON'l'RAC'l'On' S/OWNEn' S AFFIIJAVI'l'
<br />I certify that all the lnfot:lllatlon in tills applicatIon is accurate aud that all work will
<br />be done in compliance with all appl.Lcable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permIt to do work and installation as indit:ated. I
<br />certify that no work or installation has cOllullenced 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, zoning regUlations, and land development reguiations in the jurisdiction. I also
<br />certify that I understalld that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliallce. Such agencies JIH:lude but are not limited to: "'Department of I
<br />Envirolllnental Regulation-Cypress 13ayheads, Wetlalld Areas and EnvirolUllentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />"'Southwest Florida Water Managelllent LJlstr1ct-Wells, Cypr.ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />"'Army Corps of Engilleers-Seawall1'l, Docks, Navigabie Waterways
<br />"'Department of lIealth & Hehab111tative Services, Envirolllllelltal Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Envirolimental Protection Agency-Asbestos abatement
<br />I also certi[y that, .Lf f111 mate/:.Ial .l.s to be used in J!'lood Zone "A" 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 eng.llleer registered In the State of Florida prior to peJ:mit
<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 pe.tmit p.tevent the Building Official from thereafter requiring a
<br />correction of errors in plaiis, cOllstruction, 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 cOllunellced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. 'rhe extension shall be requested
<br />in writing to the Building Offic1al. An approved Inspection Inust be logged during each six
<br />month period, or the project will be considel:ed abandoued.
<br />WAllNING '1'0 OWNEH: YOUH FAILUHE '1'0 HECOIUJ A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I
<br />PAYING TWICE FOR IMPROVEMENTS '1'0 YOUJ\ PHOPERTY. I I." YOU INTEND '1'0 OBTAIN FINANCING, CONSULT
<br />WITfI YOUR LENDEJ\ OH /\N J\'1"l'ORNEY BEFOHE RECOIUJING YUUl\ NOTICE OF COMMENCEMENT. JOBS UNDBR'
<br />$2,500 IN VALUE IJO NO" HEEIJ '1'0 HECOHD ANIJ POST A "NOTICE OF COMMENCEMEN' ".
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<br />~~~~;yO~FFLORIDA f?&LS~
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<br />The foregoing instrument was acknuwledged
<br />:;fore J1it;~~~Of ft~tU,-r, j!JJ~
<br />
<br />,~ ~l1alne of person acknow1edgedl
<br />rn-wilO is personally known to \lIe, ur
<br />
<br />~o has produced
<br />(type
<br />MQid not
<br />
<br />
<br />of identif1cationl
<br />take an oath.
<br />
<br />STATE OF FLOIUDA I'Q
<br />COUNTY OF 1:2.5 Co
<br />'rile foregoing instrument wa~cknowledged ,. i
<br />
<br />~~fore me }!)~i-i!:}~ldL/' ~~ :r-~
<br />
<br />"../ (name of person acknowledged) :
<br />lf1lho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />~id not take a oath
<br />
<br />Name typed,
<br />
<br />~
<br />person taking acknowledgement
<br />"'~~"~;;'" Suzanne Bahr
<br />~'i~\ CQlilmi~~IQr:1 # CC 790B 17
<br />prill tetl t;~ 'E~m~oov. 15,2002
<br />c;.#!::, BmmEO THRU
<br />',. A,LANTIC BONDING co., INC.
<br />
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<br />S1gn
<br />
<br />tlallle
<br />
<br />~"~ SblZilRne Dal:u
<br />typ, ',""'}hr. ~slUr'=#~t:MQ81lJ1
<br />~;J.A.1~E Exp . N9Y, 1 5, 2002
<br />~,"'1".......~," f....'iOd; THRU
<br />"',R~,~\''''\. ,:.\.i ...<:, 'JNDING co., lNC
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