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<br />COIWITIUIIS OF PERMIT AE'P'lIJ/\VI'l'
<br />A. NOTICE OF LJEEIJ Rf:STIUC'I'IONS
<br />'l'he undersiglled ullderstallds that thls pennlt may be subject to "deed restrictions" which
<br />may be more restrictive than City ['egulatiolls. 'I'he ulldersigned assumes responsibility for
<br />compliance with any applicable deed restrictiolls.
<br />B. UNLICENSED CONTRACTORS AND CON'I'R/\C'I'OR RESPONSIDILI'l'lES
<br />If the owner has hired a cOlltractor or. contractors to ulldertake work, they IItay be required
<br />to be licensed in accordallce wI t11 s ta le and Iocca 1 regula tiolls. I f the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the oWller or illtellded cOlltractor are uncertain as to what
<br />licensing require",ellts ",ay apply (or: the Jlltellded wurk, they are advised to contact the
<br />City of Zephyrhills Buildillg Depart"'ellt, 013-700-661l.
<br />Furthermore, if the oWller has hired a cOlltr.actor or. cOlltractors, he is advised to have the
<br />contractor(s) sign portions of the "Colltractur Sectiolls" of this application for which they
<br />will be responsible. If you, as the oWller signs as the contractor, you are indicating that
<br />you, rather than the contractor, are respollsible [or the work. If the contraotor wishes
<br />you to sign as contractor that may be all indicatioll that he is not pr<>perly licensed and is
<br />not entitled to permittillg privileges ill the City of Zephyrhills.
<br />C, TRANSPORTA'rrON IMPACT FEES AND U'I'ILITY CONNEC'nON FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORID/\ ST/\'I'U'I'ES, /\S /\MENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department 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 documellt alld promise in good faith to deliver
<br />it to the "owner" prior to comlllencemellt.
<br />E. CONTRACTOR' S/OWNEH' S Af'FILJAVIT
<br />J certify that all the infonnatioll ill this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulatillg construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a pennit to do work and installation as indicated. I
<br />certify that no work or installatioll has cOllunellced prior to issuance of a permit and that
<br />all work will be performed to meet stalldards of all laws regulating construction, City
<br />codes, zoning regulatiolls, and land developmellt regulations in the jurisdiction. I also
<br />certify that I understand 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 compliance. Such agencies include but are not limited to: *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Enviromnentally Sensitive
<br />Lands, Water/Wastewater 'l'reatlllent
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Ellvirolllllental Health Unit-Wells,
<br />Wastewater 'freatment, Septic 'I'allks
<br />*U.s. Envirolllnental Protection /\qellcy-/\sbestos abatement
<br />I also cer.tify that, if (ill material .is to he IIsed 111 F'lood Zone "A" or "A,etc,", it is
<br />understood that a drainage plan addressing a "compensat.ing volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authurity to violate, cancel, alter, or set aside allY provisions of the technical codes,
<br />nor shall issuance of a pennlt prevent the Duildlllg Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is conunenced within
<br />six months of issuance, or If wurk authorized by the permit is suspended or abandoned for a
<br />period 'of six months after the time the work is cOllunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The E:'!xtension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNEH: YOUR FAII,URE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS '1'0 YOUH PROPERTY. I F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC ENT. JOBS UNDER
<br />$2, 50'~: Vf\~O'~' NEED '1'0 HECOHD AND POST A "NOTI E OF COMMENCEMEN "
<br />
<br />~ ~-,
<br />
<br />SIGNATU E: OWNER OR AGENT
<br />
<br />
<br />F FLORIDA
<br />OF
<br />egoin9 instrument was ac~owledged' ,/
<br />me this ~ day.R of .TliN , a iL2-r
<br />JACK K , JI .
<br />
<br />(name of person acknowledged)
<br />~ho 15 personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />~id n~t take an oath
<br />
<br />yiu).jN
<br />
<br />Signature of person taking acknowledgment
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ' o...sW
<br />'I'he foregoing inst~ment was acknowled?=<A---.tL
<br />Before ~hJ..s !if. day of WlM'le , ~
<br />by )~ l~
<br />(name of person acknowledged)
<br />~Who is personally known to me, or
<br />
<br />STATE
<br />COUN'l'
<br />The fo
<br />Defore
<br />by
<br />
<br />o who has produced
<br />(type of identification)
<br />and wh99did Odid not take an oath.
<br />
<br />f:(~/,x: ~;dt
<br />
<br />.
<br />Signature of person taking acknowledgement
<br />
<br />
<br />~
<br />
<br />
<br />JAMIE POPL''.WSKI
<br />Name t)"ped,
<br />
<br />
<br />JAMIE L POPLAWSKI
<br />MY COMMISSION II DO 265182
<br />EXPIRES: November 14, 2006
<br />Bonded ThIU Notary PubHc UnderwrIteIl
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