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<br />u".u.L\...I:,!'j.:JJ:,U CUNTRACTORS AND CO\';:PAC;:O?, P.ESPONSIBILITIES
<br />If the owner has hired a contractCJ: or con1:ractors to undertake work, they may be required
<br />to be licensed in accordance with stata and local regulations. If the contractor is not
<br />licensed as required by law, both the OWl1e:: and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner 0:: intended contractor are uncertain as to what
<br />licerising requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges ,in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<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 applicant is someon'~ other that the "ownerll, I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to 'commencement,
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work Or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development 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 Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<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, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "All or "A,etc.II, it is
<br />understood that a drainage plan addressing a "compensating 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 />authority to violate, cancel, alter, or set aside any 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 plans, construction, or violations of any code, Every permit
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension 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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTI/.
<br />
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<br />'J2;;:t O~~NT SIGii!'~NTgfr
<br />
<br />~~~~;yO~FFLORID~~~ ~;~~;yO~FFLORIDA t=J()l~
<br />
<br />The foregoing instrument "as ,i!Skp,,-wledged . The foregoing in;;t+ument ,Ha~OWJ,ed~:~
<br />Befo,,!~e this -"..1!2 day of --H..K2 , ~ Before~ Kft~ ~ day of .,., % '"~
<br />by -t-J~(Y'-~ ~JlVO_/~'\. by -I=~d ~ -q_~/c....
<br />(name f person acknowledged) (name of pe~~on acknowledged)
<br />~ho is personally known to me, or ..>1;:Lho is personally known to me, or
<br />
<br />o who has produced 0 who has produced
<br />(type of identification) (type of identification)
<br />id take an oath. and ~ ~~id n~ oath
<br />
<br />
<br />
<br />person a ing ac~nowledgement Si~at re 0 -Perso~taking acknowledgment
<br />~a\. Angela Hellria .,... if\. Angela Helma
<br />. )Ii My Commillion 00185587 r"~ My Commission 00165587
<br />
<br />Name typed, p;\~c:f=X@"~m\~~'f\Nf Name typed, P~cPR!r!.sJM!!~€?@7
<br />
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