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<br />JUL-13-'9'~ TUE 11: 19 ID: TEL NO: l=!i::l:>::;. rU':'
<br />- CONDITIONS OF ,mANIT Arrl~VIT
<br />A, NOTICI or DIIO ft!STRICTIOH5
<br />~h. und.r.igned unde~.tand. that this permdt m.y be .ubject to ~d.ed re.triction.- Which
<br />may be more re.tr1ct1ve than City requlatlons. The under.1ined a..um.. :eaponoibility for
<br />complian~. with any applicable deed :e.~~lct1on.,
<br />8, UNLICENS!D CONTRACTOR! AND CONTRACTOR RESPONSIBILITIIS
<br />If the owner ha. hi:ed a cont~aetor or contrlctor. to undertake work, they may be ~equired
<br />to be 1ieen.ed in accordance with .tat. and local :egulation.. If the contraotor 18 not
<br />licensed a. required by law, both the owner and contracto& m.y b. cited fo: a ~.domeanor
<br />violation under .tate law. If the owne~ or intended contractor are unce~ain .. to What
<br />licensin9 requlrem.nt. may apply for the intended work, they are advi.ed to contact the
<br />C~ty of Zephyrhill. Building Dep.r~nt, 813-788-8511.
<br />further.mo:e, if the owner ha. hired a contractor or coneractor., he 1. advised to have the
<br />contractor(.) .iqn portions ot ~he .ContrActor Sec~1on.M of chi. .ppl~c.tlon fo~ wb10b they
<br />will be re.pona1ble. If you, a. the owner .19n. al the contractor, you are 1ndicatin9 that
<br />you, rather than the contractor, are reaponaible fo~ the work. It the contractor wi.hea
<br />you to .iq.n .. contractor that may b. an indication that be 1. noe properly liceD.ed and 1a
<br />not .n~itl.d to permitting privilege. in the City ot Zephyrhille.
<br />C, TlWfSPOM'A'l'ION IMPACT nls AND UTILITY CONNECTION ruB
<br />D. COHSTRUC'1't1IOH 1.II:H LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEND!Dl
<br />I certify that I, the applicant, have been provided with a copy of -Florida'. Con.t~uct1on
<br />lien 1.aw - H~oWft.r" Protection ~u1deN prepared by the Florida Oepartment of Agriculture
<br />and Con.~r Affair.. If the applicant ia someone other that the .owner-, I cer1fy that I
<br />have obtained a copy of the above described document and prom1.e 1n 900d faith to deliver
<br />it to the .ownerM prior to commencement.
<br />B. CONTRACTOR' a/OWNER' 8 AtrIDAVIT
<br />I certify that all the information in thi. application i. accurate and that all work will
<br />be done in compliance with all applicable law. &equlat1ng construction, zoning, and land
<br />development.
<br />Application 1. hereby maae to ootain a p.~t to do work and 1n.tallation .. indicated. I
<br />certify that no wo:k or installation ha. comm.nced prior to i.suance of a p.~t and that
<br />all wo~k will be performed to m..t standards of all laws revulat1nv construction, City
<br />codes, zon1n; re;ulationa, and land development requlation. in the jur1'd1ctLon. I also
<br />certify that I understand that the regulations of other vovernmental agenc1es may apply to
<br />the intended work, and that it i. my reaponsibility to identity what action. I mu.t take to
<br />b. in oomplianoe. Such ageD~i.. 1nclud. but are not limited tOI *Departmant of
<br />Environmental Regulation-Cypre.. Bayhead., Wetland ~e.. and Enviroftmentally Sensitive
<br />Lane., Water/wa.tewater Treatment
<br />.southwest flor1da Water ~nagement bistrict-Wella, Cypre.. aayheada, Wetland ~e.a,
<br />Altering Waterco~r.e.
<br />*Azmy Co~. 0: Bn9ineer.~Seawall., Docks, Navigable Waterways
<br />*nepartment of Health , aehab11itativI Servic.., Environm.ntal Health Unit-Well.,
<br />Wastewater Tr.atment, Septio Tanke
<br />.U.S. inviro~ntal Protection AqenCY-ABbestos abatement
<br />I also certify that, it till material 1s to b. ~..d in Flood Zone ~AM 0: ~A,.tc,., it 1.
<br />understood that a dra1n.;e plan addrea.in9 & "campen.atin; volume- will be .ubm1tted which
<br />1. prepaced by . profe..1onal eDviDBer re9i.te:ed ~n the State ot Florida pr10r to pecmit
<br />ia8Wlnce.
<br />A permit is.ued ahall b. conatrued to be . licen.e to proceed with the wor~ aDd not a.
<br />authority to violate, cancel, alter, or aet ..ide any provision. of the technical code.,
<br />nor shall 1..uance ot a perm1t prevent the Building Off1c1al from ther.afC.~ requiring.
<br />correction of error. in plan., con.truotion, or violatlon. of any code, Ivery permit
<br />issued .hall be~ invalid unle.. the work authorized by such permit 1. commenced within
<br />six month. of i..uaDce, or if work authorized by the per.mit 1. .u.pended or abandoned tor a
<br />period of aix months after the time the work 1. cOIlIIIlanced. one 90 day eateMien ot time
<br />~y be allowed for the pe~t with f.. cha~ge of $15.00. Th. exten.ion ahall be requ..ted
<br />in writing to the Building Offioial. An approved in.pect1on ~st be l09ged during each aix
<br />month period, 0: the p~ject Will be eonaidered abandoned.
<br />WARNING TO OWNERI YOUR FAI1.URE TO ReCORD A NOTICI or COMMENCItMDrT MAY RESU1.T IN YOUR
<br />PAYING TWICE fOR IMPROVEMENTS TO YOUR PROPB:RTY. IF YOU INTUD TO OBTAIN rlHAHCING, CONSULT
<br />WITH YOUR LJ:ND!:R OR A1I A'l'T EY asroJ\E RBCORDING YOUR NOTICE OF CCHDNCIMUT. JOBS UNDIR
<br />$2, 500 IN DO NOT D '1'0 RiCORD AND POST A \\HO'1':tCIl or C016lEHCEMEN'l'M.
<br />
<br />
<br />_~s.~j. ~
<br />UGNATVRE, CQN'1'MC'1'OR
<br />
<br />SIGNA'l'U OIIHER OR MINT
<br />~~"'C"\5A~
<br />STATE 01' ~
<br />COUNTY OF nToi"\.
<br />The toreoolng i~~nt w~owledged
<br />eef~~ me t:bla~ day ot~ , ~
<br />by ~ ~~ --')~...
<br />
<br />ft ...'.. --~..'...- .._\.......""',.~)I., ,..'""I""'!"....,4,
<br />
<br />STAT! Of FLORIDA C. '
<br />COUlfTY 01' 1~"'5
<br />The foregoing Inatrum.nt W~\r=~Wl'd9ed
<br />Betore me th.:l.. \ 3 ~~t. I. u~u , M~C>
<br />by ~~ 'S. 't
<br />'nam. ~f oerson .oknowl.~q.dl
<br />
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