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<br />C<-_.c:?L.'",dnce 'V-n ,,=,:" a!:j app~",~",ca~~",e c,eec, res~rj_ctions.
<br />B. UNLICENSED CONTRACTOi~s }\.ND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor: or contractors to undertake work, they may be r,equired
<br />to be licensed in accordance with stata and local regulations. If the contractor is not
<br />licensed as required by lawt both the owner and contractor may be cited for a misdemeanor
<br />violation unde;c state 1m-I. 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 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 SectionsH 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 Guiden prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerH, 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 regul~ting 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 "An or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volumen 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 COMMENCEMENTn.
<br />
<br />~---::;l----
<br />
<br />..L. C'::' .l!v.tJ.2j _'_UL_I_ ~_ 'C Y
<br />
<br />:~ C}_"':
<br />
<br />
<br />STATE OF ~~~('
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />Before me t~-a.t- day of -Nt)\! ,~
<br />by C Jna()l lj ~..
<br />(name of person acknowledged)
<br />~o is personally known to mer or
<br />
<br />df/~
<br />~ GNATURE: C RACTOR
<br />
<br />STATE OF FLORIDA [;1 :.:)
<br />COUNTY OF Cl"')C' A
<br />The foregoing instrument was tck/owledge~F~~
<br />B,efOre me thi~ ~ay of rJ,l) \I ,l'9.~
<br />by CJnvO-of 't'nCt L
<br />~, (name of per n acknowledged)
<br />~o is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />and whoD did ~d not take an oath.
<br />
<br />- JLYr;J-l't iJO
<br />~tu e of persof~a~g ac~nowledgement
<br />t".]\.. My Commlaslon 00165587
<br />Name typed, ~~e'tlP'~ia~~c!g~~~
<br />
<br />o who has produced
<br />(type o~n,tificatiOn)
<br />~d not~ake 1n oath
<br />
<br />C I /
<br />
<br />
<br />f perso ~aking acknowledgment
<br />~"~ Angela Helms
<br />!~ My Commlasion 00165587
<br />'\.. UBI 03, 26ffl
<br />Name typed, n~dF sl:amped
<br />
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