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<br />CUI1IJ1T J 011:; ul" l'1~m1J'J' l\"'F'lIJIW.LT
<br />1\. NUT1.er;: UF IJEI':IJ m::lTIUC'J'10U:J
<br />The undersigned undeJ:stands I:l1n I: I:I1Js per.ml t may be
<br />may be 1II0re restrictive thall CIty t~g\llatlon1'l. The
<br />compliallce with any appllcalSle deed ~"'RI:t'icl',JoIH1.
<br />B, UNLICENSE:IJ CUN'l'HI\C'l'UHS l\NI.1 COII'l'HI\C'l'UH l\/~fa'OIWllJlI,j'l'H:S
<br />If the owner has hlt.:ed a conllilctot ur cOlltJ:nclol:9 1:0 IlIHJertake work, they Inay be requJ,red
<br />to be llcellsed 111 acconlnllce wlll1 IlLote Illld l.ocllI J:f>gu.l.nllons, If the contrac\:or is not
<br />licensed as requIred by .Law, both I:he owner. nllcl t:Olllrflclor lIIay be cited for a misdemeanor
<br />violation ullder state law, l( the oWller 01: .Llltellded CUll tractor are uncertain as to what
<br />licellsln9 re1lulremenls moy apply (ur the .Illll"!ndl"!d wur:k, lhey are advised to contaat I the
<br />City of Zephyrhills Buildillg Ueparl:lnelll:, 013-'/OU-6611,
<br />Furthermore, if the owner has hIred n cOlll:rnclor or contractors, he is advised to have the
<br />contractor (s I sign port10118 of the "ColltJ:oclor. nectlolln" of this application for whiah theYt
<br />will be responsible, If you, os the oWller slqns lllJ the cOlltractor, you are indiaating that
<br />you, rather thall the contractor, ate respollslLlle [or lhe work, If the contractor wishes '
<br />you to sign as contrActor that limy be all illd.Lcal:lon that he is not properly licensed and 181
<br />not entItled to permll:tiny pJ:lvlleyes ill the Cll:y of Zel'hyrhills,
<br />C. 'l'11J\NSPOn'l'A'J'lON IMPACT E'EIi:S ANIJ U'I'jJ.,l'J'Y COlHmC'J'10N f'l;;I':S
<br />U, CONS'J'nUC'l'UIOII J,lf~N 1.I\W (CIII\P'I'lm '/13, FJ.OI\I Ul\ S'I'I\'J'u'ms, AS I\ME:NUEU)
<br />I certify that 1, the appllc:alll:, have baP-1I ptovideu w.l.th a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" ptel'nred by the E'lorida Depar.tlllent of Agriculture
<br />and Consumer Affairs, 1.f the appllcaut Is someolle other that the "owner", I cerify that I
<br />have obtained a copy of the above descrlued documellt alld promise in good faith to deliver
<br />it to the "owner" prior to cOllunencemeut.
<br />E, CON'l'nAC'l'OH' S/OWNE:H' S 1\E'E'llJl\Vl'l'
<br />I certify that all the In[onl1otloll 111 tills appl.lcatloll is accurate and that all work will.
<br />be done In cOlllpllance with all applicable laws regulating construction, zoning, and l.and '
<br />development,
<br />Application is hereby made to obtain a permIt lo do work and installation as indibated. I
<br />certify that 110 work or installation has cOllunenced prIor to issuance of a permit and that
<br />all work will ue performed 1:0 meet st-ondanls of ail lRws regulating construction, City
<br />codes, zoning reguiat.l.ons, and laud development regulations in the jurisdiction. I also
<br />certify that 1 understalld that the regulatiolls of other governmental agencies Inay apply to
<br />the Intenued work, and that It is mv responalblllty to Identify what actions I anust take to
<br />be in compliance. Such agencies Jncluue uut ate no\: lImited to: *Uepartlllent of I
<br />Ellvirolllnelltai negulatlon-Cypress Bayheads, Wetiand l\reas and Environmentally Sensitive
<br />Lands, Water/Wastewater 'l'realmellt
<br />*Southwest Florida Water Management lJlstrlct-Weils, Cypr.ess 13ayheads, Wetland Areas,
<br />Altering Watercourses
<br />"ArIllY Corps of EngIneers-Seawalls, lJocks, Nav.Lyable Waterways
<br />"lJepartment of Health & nehabllltatlve ServIces, Euvlrolllnental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tall'~s
<br />loU, S, Envi rolimell tal I? ro tectioll l\qellcy-l\abes t Ofl nlln I:ell\ell t
<br />I also certiCy that, If fLU ",ater.!nl .In to b,! used 111 Il'loud Zone "/\" 0.1: "A,e\:c.", it is
<br />understood that a drainage plan addressillg a "compensat:ing volwlle" will. be submitted whiah
<br />is prepared by a professional ellglneer registered 111 lhe State of Florida prior to pl!u:mit
<br />issuance,
<br />A permit issued shall be COliS trued to be a licellse to proceed with the work and not as
<br />authority to violate, callt~el, alter, or set aside nny 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 plaiis, construc\:ion, 0.1: violations of any code. Every peotanit:
<br />issued shall become invalld unless the work authorlzeu by such permit is cOllanenced within
<br />six lIIonths of issuance, or if work authorized by the permit is suspended or abandoned far a
<br />period of six 1II0nths after the time the work is cOl1unenced, One 90 day extension of time
<br />lRay be allowed for the pennit with fee charge of $15,00, '1'he extension shall be .requested
<br />in writing to the Building OfficIal. I\n approveu InspectIon lUust be logged during each six
<br />lIIollth period, or the pr.oject will be conllJ.del:ed nbnndolled,
<br />WJ\/UHNG '1'0 OWNlm: 'foun E'l\lI"UHl1.: '1'0 m;:COHU J\ IWTICr; OF' COHMENCEMEN'l' MAY RESUL'l' IN YOUR 1
<br />PAYING TWICE E'On IMPnOVE:MENTS '1'0 YOUn I? I\OPEI\'I'Y , 1. F' YOU IN'I'ENIJ '1'0 OB'1'AIN FINANCING, CONSULT'
<br />WITH YOUn LENUEI\ on /\N J\'l"l'ul\NEY BEFunE I\I!:CunUING youn NOTICE OF COMMENCEMENT. 01088 UNDER'
<br />$2,500 iN VALUE UO N01' NEEIJ '1'0 "ECOl\U J\N\) POS'1' J\ "NO"I'ICE OF COHMENCElHEN'r"_
<br />
<br />fluhJect to "deed restrictions" which
<br />unuerslglled assullles responsibility for
<br />
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<br />
<br />STATE OF FLOIUlJA R
<br />COUNTY OF abeo
<br />'I'he foregoing illS trulllell t wa~,\ acknowleuyeu
<br />Before lIIe this ~day of rvov'ew-ber, 1:r~
<br />by t-'br+<-j M()nburl"v---
<br />~/ (lIallle of persoll nclwowJ.edgedl
<br />~who is persolially knowlI to me, or
<br />
<br />!J'J'I\'J'~-: 01" E'LOIUIJA
<br />COUIlTY OF ? a,5C 0
<br />The foreyolng instrument wa, acktowledged r I
<br />Before lIIe this ~ay of ~ mlif'u....tae1, _~
<br />by Marf1 \'\A.o."",- ((e"-" ' .
<br />._./ (nallle of person acknowledged) .
<br />~ho is personally known to Ine, or
<br />
<br />o who has produced
<br />(type
<br />and J2!dld 1I0t
<br />
<br />ot idelltiflcatlonl
<br />. ke an oa th,
<br />
<br />U who has produced
<br />(type of
<br />and ...eaid not
<br />
<br />
<br />
<br />
<br />Ci/z.~
<br />0' person taking acknowledgment
<br />
<br />9i
<br />
<br />sl
<br />
<br />,'i~~.'.'!:;;"" S~z~ nne 8a hr
<br />~~"i.&'1f~~CommISSlon # CC 790817
<br />~'!l-!",~,{:;[: Exriw W1V. 15,2002
<br />"'~~'ij;'.;i.W:,::', \;, ',c.J THRU
<br />"".,npt.lr. AfLAt"llC -JONDING CG.. tNC.
<br />
<br />lIollle typed, printed or stamped
<br />
<br />",,\\~U~;;I.f... S UZ:}!l neB a h r
<br />:=~1";b"~(:':.Commission # CC 790817
<br />~;~.A);~ E-,pi!.< ~'!0\/' 15, 2002
<br />O;'?1........&~' THRU
<br />...",,~~,;;\...'.. Al I'" i! lC ~)-_JNDI"JG CO., INC.
<br />
<br />:
<br />
<br />Name typed, prInted ot stalllped
<br />
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