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<br />A. hOTICB OP DIED RJ!:ST1UC'l'IONS
<br />The undersigned unde~.tands that this permit ..y be subject to ~deed restri~~ionsN which
<br />RIllY be more restrictive thin City requlationa. The undersigned assum.s r.sp"nsibllity f"r
<br />compliance with IIny appliclble deed restrictions.
<br />8. UNLICI:NSED COKTJlACTQRS AND CONTJlACTOR Jl.ESPONSIlltLITIJ:S
<br />If the owner has hired a contractor or contractors to undertake work, they _.y b. required
<br />to be licemled in accordance with at ate end loce1 regulation,s. If the oontr..ctol' 1.11 not
<br />lic~lIed .8 required by 1,11\1, both the Olmer and contraetor may be el ted ~or " mad_anor
<br />violation under atate law. If the owner or intended contractor ar. uncertain .8 to wh.t
<br />licensing requirelHntll may apply foz; the intended work, they II>;. advised to '~ontact the
<br />City of Zephyrhills Building Depll~nt, 813-788-6611.
<br />Furtherlllora, if tha owner blla h.t.red a contractor or contraotorll, h. is advia.!ld to have the
<br />contractor(.) siq.n portiona of the ~Contr.ctor S.etlQnaH of this applle.tlon for which they
<br />wll1 be responslble. If you, as the owner signa a. the oontractor, you axa indicating that
<br />you, rather than the contractor, lire responsible for tbe work. If the cont~'ctor wish.s
<br />you to Sign all contractor that may be an indication that he i. not pxoperly licensed and ia
<br />not entitled to permitting privileqe. in the City of Zephyrhills.
<br />C. TJUufSPO.R'!'ATION IMPACT lEES AND UTIl.IT'i COKNECTIQN nEs
<br />D. CONS'l'll.UCTUION LIEN !JI)r ICIIAPT!R 713i P"LORUIll. lITATUTBS, AS AMBNDIl:Dl
<br />I certify that I, the applicant, have bel!ln providsd with a copy of "Flo1:ida' " Con.tr~ction
<br />lien Law - HOfIIeowner' s Protection GuideN prepared by the rlorida o.p.rtment '3f Aqri<:!1.ll tur..
<br />and Consumer Altairs. If the applicant i. someone other that the "ownerH, r cerify that I
<br />have obtained · copy of the above descz;.t.bed dOCUlllant and promise in goocl flli'th to deliver
<br />it to the "own..rN prlorto comnenc~ent.
<br />E. COHTRACTOR'S/OWkER'S AlrIOAVIT
<br />I certify that all the infoCllation in this application is aoeurate and th.t ,lll work will
<br />be done in oOlllplianQ<t With all applicable laws >;equlating OOl'latr\lction, 'ZOnil~g, and land
<br />development.
<br />ApplJ.cation i. hereby made to obtain a pel.'lllit to do work and 11l.stsllat:ion as ind1oated. I
<br />certify that no work o~ inatallation has commenoed priOr to is.uanoe of a pe~t and that::
<br />all work will b. perfo-=-<! to m.at standards of all laws regulatinq oonstruc'~ion, City
<br />cod.., ~onlng regulations, and land development regulations in the jurisdict,lon. I also
<br />cartify that 'I undez;st:and that the regulations of other gbvernmental agenciel may apply to
<br />the intended work, and that it i. my responsibility to identify wlu.t: actions I must take to
<br />be in compliance. SUch agencies inolude but a/::e not: lira1ted to. *DeparbDant of
<br />Envirol1ll\ental Regulation-c,ypress Bayheada, Wetland Areaa ..net BnvirolJlnentally Sensitive
<br />Lands, Water/Wastewater rreatment
<br />"South_st Florida Wat.r Manaq_ent District-Ifel,!a, Cypress Ilayhead.., Wetland Area.,
<br />Altering Watexcour.es
<br />"Army Corps of Engineers-Seawalla, Docka, Naviqable Waterways
<br />"Dl!lpartment of Health & Il.ebabilitative Sl!lrvice., Environmental Health 17nit-W.allll,
<br />Wastewater Treatment, Septio Tankll
<br />"U.8. Environmental Protection Ag.ncY-~besto.abatement
<br />I also certify that, if :1:.1.,11 material is to ba used in Flooct Zone ~AN Or "A,.~tC.N, it ill
<br />~nclerl!ltoocl tbat a dJ::a1.nage plan addresaing . "c::omp.n.ating Volume" wIll be s'.U>m1tted which
<br />i. prepared by a profeadonal enqineer registered in the Stat.. of I'lorida prior to peDllit
<br />issuance.
<br />A permit i..qecl Shall b. construed to be a li~se to prooeed with the work ,.nd not a.
<br />a~thority to violate, cancel, altar, or set .s.ide any prOVisions of the tecrn~ical codes,
<br />nor ahall issuance of a perm.t.t prevent tne Buildinq Official from thereaft.r ~.quirinq A
<br />correction of error.s in plana, oonat:ructioD, or Violations of any Clode. Every permit:
<br />i.sued .shall be~ inVlllid unless the work authorized by .uch 'peClllit ill COIlI:n.no.d within
<br />six months of issuance, or i~ work authorized by the pe~t i. suspended or abandoned for a
<br />period of s.ix months IIfte~ the time the work i. Commenced. One gO day extension of time
<br />may be allo_d for the pemit with fee charge of $15.00. The extellston ahall ba re'lcest:ed
<br />in writing to the BUilding O~ficia1. An approved 1n.llpection mullt be logged ,~urlng e~oh aix
<br />month period, or the projec,t w1l1 be considered abandoned.
<br />WARNING TO OWNER. Y'OUR m LuRE TO RECORD A NOTlel OJ!' COMHDICBHP.H'l' MAY RilSUL'f UI YOUR
<br />PAYING TWICE I1'OR IMPROVEMENTS TO YOUR P~PER1'Y. IF YOU INTEND TO OBTAIN FIN.I\HCING, CONSUL'!'
<br />WITH YOUR LENDER OR ~ ATTC'RN!:Y BEFORE RICORDING YOUR NOTIe!!: OF COMNEtrCIH!NT. JOBS UNDO
<br />$2,500 IN VALUE Do KOT NBEt' TO RECORD AND POST A ~NOTICE or CoMM!NC~Th.
<br />
<br />1 () l'
<br />do~/~ )(7R J'f}I.J}{'~
<br />SIGNA'l'lIRE. OWNER OR AGBNT
<br />
<br />&~~f ,~~)tT'j.O~:V'~
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />STATe OF FLORIDA D STATE OF FLORIDA
<br />COUNTY 01' rc... ~CD cOUNTY or '
<br />The foregoing instrument we. ackno'!l'ledqed""'r"'" The tox.voinq i)111~unent ~~g.~ _'" \
<br />Before 1M :this J..::r::-day of. "" ~ Before _ this l- y 0 1:9- ~
<br />by - .\-l by _ ~~
<br />me of pl!lrSon acknolo,ledgedl (nallle of person acknow!.edqed) is p.r.ona~ly known to me, or ho ia personally known to 1IIe, Or
<br />
<br />?~L6
<br />
<br />o who
<br />
<br />
<br />I'd
<br />
<br />ALICE L BELlAS
<br /># CC 88S49U
<br />EXPIRES: Nov 5, 2003
<br />Fla, Notary Service & Bonding Co.
<br />
<br />U9 Q'D N
<br />
<br />Sll]H~AHd3Z jO Al!J
<br />
<br />ALICE L BELLAs
<br />88S49U
<br />'EXPIRES: Nov 5, 2IJ03
<br />As, Notary Sell/ice & Bonding Co,
<br />~~D8:5 I) ~
<br />
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