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<br />'liAC llndnrsi.qned underatanda t.hat thle per:mi.t lnay bl!! I$ubject. to "deed reatrictions'" which.
<br />may be more re3t.ri cU,v" than City' Le.qulatioru.. The undersigned aeeumes x:esponeibiU.ty for
<br />eompli....nce ..i tb any appl,l,~.l;d"e dGled restr;i rlt10ll~.
<br />B. UNLICF~3ED CONTRACTORS AND C~NrRACTOR RES?ON5IBILITIES
<br />If the owne~ had hired a contr.actor or contcactor8 to undertake work, they may be required
<br />to be, lic.:en~ed j 0 accordance witll st!lte and local regulatiolls. If the contract.or i. Dot
<br />licen:!ed fl. tequ1.red by law, bt:Jth t.he .ownel" and oont.t:llctOI: may be cited for ". t'lll5demeano.r:
<br />vtoliltion undee state la". It t.llfi OWI\.U: or tllt:ended contrlllct:or are llJlcert.in as to what
<br />Ucensing requi.teJll4tlt" ma,Y apply for: the int:e.nded work, they are advisac1 to cont.act. the
<br />Cit.y of Zephyrhi.llt: BlIUding' Uepart_II'1ftnt, 613-786-6611.
<br />Furthermore, J f th@ owner has hh:ed a contractor or contr.ctoJ::l;, he is advJ....d to have the
<br />contractor's I slgn pOl'tiQna of the ....Contractor Section!lN of this appli.~.tlon fOI: ~hich they
<br />will be re.sponlJlble. If you, us the owne1: :!1~1\3 -'5 the contractoI:, you are iodicat,inq that
<br />you, lather than the contractor, are responsible for. the work. If the contraotoc wish..
<br />you t'o ai.gn ae contr<llctor thAt lQfty be an indication that he is not properly li,c.eneed and is
<br />not enti tlAd to pernll, ttinq pri ~rilequ in the ci ty of. l.ephyrhills.
<br />C. TRANSPOR'l'ATION IMPACT FEES AND UTI LI'fY CONNECTION l"Ef:S
<br />,D. COllST..UCTUlON J~IEH LAW CCHJ\PTEP 'll3f F'JJOJUDA STA.TtrT!S, AS AMENDED)
<br />r certlfy that I., th~ applicant, have hoen provided with a copy of ~~loddll';!; construction
<br />lien Law - Homeolmer' s P~otect.ion Gu.id"!!'" prepared by thft Flor1.da Depa.rtJllenl of Aql:iculture
<br />and COnl'll~r Affairs. If the applicant is someone ut:,her t.hat the nowne::'\ r cerify that I
<br />have obtained a copy of th~ above de~c~1b~d document and promiee in qood faith t.o deliver
<br />it to tJ.-.oa "o\omerN prior t,o Comll\EUlCeIrlent.
<br />E. CoNTAACTOR' S/OWN~R' S ArnMVlT
<br />! c.ertity that all the info~tion in thia application is accurate and that all work will
<br />be done in compliance wita all applicable. laws requlatinq construction. Eoninq, and land
<br />d~vl!!.J.QpmeJ1t, .
<br />Applicllt10n 1. hereby macle to ob~llln IS. permit to do ,.otk and ingt.allation as i.ndlcated. 1
<br />o.rtify that no work or in,t.llar.ion has c~en~ed prior to issuance of a permit and thlt
<br />all WO!'K. will be perfoITCled to llJeet standards of all lawB cegulatinC) conlltr::uatj,on, City
<br />codes, zoning Is<)ula.tion8, .l11d land developlnent regulation. in the jur1.diction. I also
<br />certify that I underatand that th~ regulations of other governmentAl agencies may apply to
<br />the intended wor.k. and that it i8 my r..pon~1bility to identify what .otions I must take to
<br />be in comp11anoe. Such agem:ies include but are not 1.iJl\1ted to: *Depart:m.ent, of
<br />ltnvll:QlU1lent.l Requlati.on-CypJ:.... Barha,ade t Wat,land Areas and Env.tconmentally S.n.! ti ,,-a
<br />Landsr Watex/W.5tewater Trea~nt
<br />-Southw.ct Florid& Water Management District-Wells, cypress Bayh8ad., Wetland ~easf
<br />~t~ring Watercouc.~S
<br />.A1."J\W Corps of (p..ngin&e~.-Se.W1IlllI, Docks, Niilviq'llble Waterwqys
<br />*Depart:ment of He..lth " Rehabilitative Serlrlcea, Enviroruue.ntal He..lth Unit-Wells,
<br />W.,tewater Treatment, geptie Tanke
<br />*U.S. EnvirunD\8ut",). Prott!ction Agency-1\sbestQa abatement
<br />I also certify that, if fill materi/Jl 1,$ to be used in flood Zone ~A.'I or 'r\A. etc. of, it ia
<br />\1l1der-stood thl't a dX!l 1.nagB lJl.n illddr:Eln~in9 fl. .. compensiltlng vollUM" will be :ml:lni tted which
<br />is prepared by a professional eng.ineer re<,;rlster:ed in the State of Florida proto I: to p,.rrrdt
<br />lesuance.
<br />A pernllt issued shall be ~onstrued to be ~ liaen... to proceed with the work And nol a8
<br />au~hority to v~ol.te, cancel, a1ter. or set a~1Qe any provisions of the technical codes,
<br />nor shall, 11SU4nce ot a permit prevent the Building Of~ioial from ther.after requiring a
<br />correction of error. in plana, con~t~uction, or v101~tio~3 of any code. ~vecy p.~t
<br />issued shall become invalid unlf:BB the work authorized by such pllnUt is CCllllDE!JnC.a within
<br />six months of i.eu.nee, or if work authorized by the permit is .u~p.nded or aban~oned for a
<br />period of aix month:l after the time the work is co.umenced. One 90 dilY extehBion of'ti.me
<br />IMY be allowed for the pettttit with fee cha:t'ge or $15.00. The extens1.on eball be requeeted
<br />in wJ;1\;1n~ to the 8uildin9 official. An approved inspection anuat be 109<)8d du~1n9 each six
<br />month period, or the proj~ct will :;le conflldered aba;ndonllld.
<br />WARNING TO OWNERt YOUR E'A[LURE TO RECORD A NOTICB OF COMMENCEiHBNT MAY RESULT HI YOUR
<br />PAYIt-I'G 'nIICE 10R !HP. ,NTS TO YOUR PROl'Itf.tTY. Ti" YOU INTEND '1'0 OBTAIN FINANCING, CONSULT
<br />WITH YOURLENOER ATTORNSY 81i2'ORE. RECORDING YOUR NOTIC~ 0 OMMENCEKSNT. JOBS UNDER
<br />~2,SOO IN VALUE NBED TO RECORD AND ~OST A ~NOTICg OF NCBHENTN.
<br />
<br />
<br />
<br />9iGi1""U~ER O~ J\GENT SI......T"~." CONTAACTO~
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<br />STATE OF FLOR:\~,~ ^ i,., ,/I
<br />COUNTY or----L~
<br />The tore90~~~~1,s~~~ w.as ftoknowledQed
<br />
<br />:;~:~~~-~*--.' ~
<br />
<br />(name of ~eJ:.on aClrnow"'i:~
<br />~o 1., pexeonally known to me, 0::
<br />
<br />STATE OF nORlDA M . ,/ '"
<br />COUNTY 01" _ Ii V\ n rs;...e.-.
<br />The forBqoing ins nt "'a~ acknowlcd<1~<!__...
<br />Be,fore me t . a of UJ' y\p ~ f~'
<br />by
<br />(name of per.on acknowledged)
<br />~o i8 personally known to me, or
<br />
<br />
<br />o who has produced___
<br />(type of. l.dent1ticat..ton)
<br />and ",hoD did l&l?id not. take an oath.
<br />
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<br />s.ign~ture of person taltilll1 aClk(t~wl.dgement
<br />
<br />o who haa produced
<br />~.~type of identification)
<br />and who [Jd1d ~d not take an oath
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<br />~~ . ~IA~~_____
<br />Signature of perBon takinq .~edgment
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<br />or I" d' Co
<br />1w8Q(}3--NOTARY :-~i~j NO~::'(Y Se!'/~ce & Bon lng .
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