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<br />~"~~'--"'!".;)LU \...UN'l'AACTORS AND CONTPACTO?, ?SSPONSIBILITIES
<br />If the owner has hired a contractor or cont:cactcrs to undertake work, they may be reqtl:lred
<br />to be licensed in accordance with stata and local regulations, If the contractor is not
<br />licensed as required by law, both the Olome:c and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or 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 Guidell prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone 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 "ownerll prior to' conunencement.
<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.", it is
<br />understood that a drainage plan addressing a "compensating volumell 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 Hith'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 pennit is suspended or abandoned for a
<br />period of six months after the time the work is conunenced. One 90 day extension of time
<br />may be alloHed for the permit with fee charge of $15.00. The extension shall be requested
<br />in V1riting 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 COMMENCEl1ENTlI.
<br />
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<br />~A~~1:dOWNJf1~;~F:;;----- 4~t1oJl2/roY--
<br />
<br />
<br />STAn OF FWRiDA)? /> ~ STATE OF FLORIDA ~~ (;~
<br />COUNTY OF -=to. )L.,.,( ) COUNTY OF !:11L..,!l...> ... 1
<br />The foregoing i,nstrument Has p.ckI).owledgeq,~ _ ,_ The foregoin? instrument H~~nowled~~
<br />Befoce me tM;s,.<76 day of :'-<-K) , t._~ Befor~e thls ~ day ofctS-.L.1 ,H!:~'
<br />by h?~ ~~(i.-r, by q-lPf?L1 -:- _YYla,~_,
<br />(name of person acknowledged) ~ (name of person acknowledged)
<br />I':Si..who is personally known to me, or lJibo is personally known to me, or
<br />
<br />Dwho
<br />
<br />
<br />o who has
<br />
<br />
<br />Name typed,
<br />
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