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05-4092
Zephyrhills
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05-4092
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Last modified
3/6/2009 3:45:18 PM
Creation date
3/6/2007 10:05:57 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
05-4092
Building Department - Name
Z-HILLS TOURIST CLUB
Address
5216 7TH ST
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<br />D. UNL.lC~N~ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner has hired a contractor or contractors to undertake work, they may be required <br />to be licensed in accordance with state, and local regulations. If the contractor is not <br />licensed as required by lawr both the owner 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 />licensing requirements may apply for the intended work, they are advised to contact the <br />City of Zephyrhills Building Departmentr 813-788-6611. <br />Furthermorer if the owner has hired a contractor or contractorsr 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 YOUr as the owner signs as the contractorr you are indicating that <br />your 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 applicantr 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 "owner", 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'comrnencement. <br />E. CONTRACTORrS/OWNERrS 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, zoningr 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 constructionr City <br />codesr zoning regulationsr 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 workr 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 Bayheadsr Wetland Areas and Environmentally Sensitive <br />Landsr Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wellsr Cypress Bayheadsr Wetland Areasr <br />Altering Watercourses <br />*Army Corps of Engineers-Seawallsr Docks, Navigable Waterways <br />*Department of Health & Rehabilitative Servicesr Environmental Health Unit-Wellsr <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 "A" or "A,etc'"r 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, cancelr 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 plansr 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 periodr 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 FINANCINGr CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER <br />$2r500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />c(~RE~ AGENT d~;!f}co7i~- <br /> <br /> <br />STATE OF FLORIDA V0. ':;r\ 0" STATE OF FLORIDA <br />COUNTY OF , 6A ~~ COUNTY OF <br />The foregoing -rument VIas acknowledged ~ The foregoing in rument wa/Vu2JowledgedoQ; <br />Befo me th' day of ~Jt , ~ Before e this I day of. _ \... , ~g:)!V <br />by by <br />(name of person acknowledged) (na e of person acknowledged) <br />~o is personally known to mer or ~is personally known to mer or <br /> <br /> <br /> <br />Owho <br /> <br /> <br />Sig <br /> <br /> <br />of identification) <br />take an oath. and <br /> <br />Name typed, <br />
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