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<br />DEC/05/2005/MON 04:24 PM
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<br />ZEPHYRH liS au! WING
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<br />FAX Nt. 813-780-0021
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<br />P. OJI/OOI
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<br />A. NonCE O&' DUD Rli:8TRICTI: i-ls
<br />The. \lna..rdgned underatall.de hat this peJ:lIlit may b. .sUbject to' "~8d tastrict1ons" whioh
<br />may be more res,Crictive. th,an City requlatione. Ttlo undeuiqned assl.llIles reaPoflllibHity tor
<br />compliance with my'llppl1cab 1& deed re.trictions. .
<br />B. ONLICENSSD CON~RACTORB b CON~RAt~OR RESPONSIBILl~IES
<br />If' t.~ D1<ner. nas n.l..rM a con ractor or. Qont~\ptorB.. t.. underl:ake wDrk, they IIlllY be required
<br />to be licen.ed in eccor.dance ~1th ~t.te and iaeal tegUlat~ons. I~ the contractor is not
<br />l..icen.ecl as raqu1red by Lilw, "oth the o_er end oontract()Z ....1'. be c.1ted for e' lIIi..d......Dor
<br />violation ~nder a~.t. law. f the owner or .intended contractor are Uncertain ee to ~het
<br />licensing req~rement8 .~y a ~ly for the 1ntende~ workl they are a4v~ed to contact the
<br />City ot ZephyrhLl~s. Building Department, 813-1BO-0020.
<br />FllrtlleX\llOre" 11' tile gwner ha 'h.ired ~ contractor or cODtraotor,B, h. ie advised tg h&ve ~h.
<br />contractor Is) Biqn po,,~.L"n" I. the "CotI'::i:act:or. Sectione" oL I:his Iipp~;icab.oil ror ioIbich t"ey
<br />~ill be' tespons1ble. 1. f you '.as i;he owner signe a' the cotltr4icl:or, yClu ar.. indicai:inq that
<br />you, rather thoan the. contrac c:'r, arlll ('esponaibl. for tha work. :It: the contractor IIi she.
<br />you to iti<;Jn .. ocntractO:l:t.n. ti. _if be an. ;i.ndication that he ie not: propl!r~V .l.i~I).t.<! and ie
<br />not entitled to permittiDq p ~.1l.ge. in the City of Bepbyrhillm.
<br />C.- 'rRMISP01U'ATIOIl IHPAC'I' FE ~ AND t1TILU'lt. CONNECTION P'l!:E:S '
<br />O. CONs'fR0C70rON LIRN LAW C flAPTl!:R 713. MAIDA STATUTES,' AS IIHEltfO&:D) .
<br />I 'oerf1fy that I, t~e'appI1c n~. "Aye been proyided ~.i.th a copy'of "Florid.). Construction
<br />lien Le.. - Homeown.r'e.Prote ~on ~~id.wpr8pared by the Florida Departn.nt of Aqr1eu1~u~e
<br />and Con.~~.r ~ffair.. If tn ~~plicant ia ~omeon. other that tne ~owner", Io.riCy ~hat I
<br />beveooteineo a copy 01 the V9 descr~ed do~ent and pro~~.. in ~oQd faith to del~ver
<br />it to the ~ownerM prior to~ eneem.nt.
<br />'E. CONTRI\Ct'OR' S/OWN&Il.' B A!'F :VIT
<br />I cartjfY.~hat all. the 1n~o on in thia applicatiQn'i, accurate and that ail wo~k viIi
<br />b. done in compliance with .a ~ appllcab1. la"8 ~equl&tinq ggnetructLOh, zoninq; 4n~ land
<br />d.....lopm.nt.... . .
<br />Appllqation 1s hareby nadet 'Obtain. permit to do ~tk and in.talia~ion as indicated. I
<br />. eert.ity th..t no wbrk crlnat 1..ti.on Ii.... OOlllllll!ncea prior t9 i..el2ance at e perl\lit and that
<br />all work wilL b-. p~rfQ~.ed ~ meet standards of all lews requlating oonstruction,:tty
<br />C~8, zoning requlat.io118, C1. ,.land claveloptU!ril: regulatioru. in the jur isciiCtion , I also
<br />.certify th..t ! .und.rstan'd tn '. the re;uliltions o~ .other govern_ental agencies may apply to
<br />the intended work, and that .1 . is my r..ponsibll~ty'~o identity what actions I ~st t.ke to
<br />be in compliance. Such eqen 88 inolude but are not limited to: .Oepar~meni: o~
<br />~nTiro~.nt.l Requliltion-Cypr sa Bilyh..ds, Wetl~nd Ar..s a~d En~ironaehtally sen.it1v9
<br />Lands, Ifllt4u;/W..t.....ter Trea ent . .
<br />'Soutb.wut Florida "ate%' Mana lIll\ent Districl:-WelLs, Cypress B"Y.h.aCls~ Net,Und A:ntUi
<br />Alt.erinq Watereours_. .. ..
<br />.AxayCorpe D~ Engi~eere-S.aw
<br />.Department of Health , Re
<br />W.s~ew.ter 7re.tment, Septic
<br />.u.s. En~ironmantal Pro~.cLio
<br />I also oertify that, if fl11
<br />understood that adrainaqe pl
<br />1s prepared 'by a professional
<br />.ieaU&I\ce.
<br />A pernit issued sh~l.be .coh. r.ued to be a licenae to prooeed witb the wo~k ~nd not: aa
<br />autb.orlty to vio~at., .ca~o.l} alt.rj or Bet asids.any prOvi5iona ot the t*chDLcal codes;
<br />nor ..hall i..uilnce of . perm! prevent the Building O~fiQi.1 f~om therearter tequ~ln~.1l
<br />correction of e~rora in plans .con8truc~ion; or violations Of any code. ~e%y ~ermlt
<br />issued shall becdme invalid u less the work authorized by such permit'i. oommencea within
<br />eil< Il\Onths of issuanc;:,;; ~ ;11' ""J:k authorhed bytne petio-:l.t: .1. llu.p.i1cti1d or abandoned for 'a.
<br />per.t.od of e.ix months atter th t iille . the work ia cOmlnenced. One 90 day eat:e~icn at U.I
<br />.may be allowed tor ~he permit *itn (ee eharga of $l$.OQ. ~h. extension enel~ be ra~~.t.d
<br />In writin.. to.'th. llu.l..ldin9' O:f ieial. ".n ap~Oired ;l.hspl!etion ltIust bel09Qed clw:inQ each six
<br />.cntb period, or the proj~ot ~ll be coneidered abandoned. .. ,.
<br />lfARIUNG TO OWNER: YOUR rAILU It TO RECOIUl A ~'rrce OF COHMBNci:MENX WAY RESULT IN YOUR'
<br />PAYING 'lWICIiI FOR IHPRO~TS '';0 'YOUJ\PIl6PIll\TY. IF YOU INTDlP TO OBTAIN rlNANCING, CONSULT
<br />Ifl TN YO(IR LENDER OR AN AT'l"OIl.N i BEI'ORe R.li:COROING Y'oull ROT .ICI: or C6tnif;NCEM5:HT. JOB's uNDBR
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<br />... SO. '" ...."" '" "",.""", "__... __ ~'~"";q.~~~
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<br />SIGNI\TOllEl OWNEI4. 01\ AGDlr SI NAtU CONT at{ '.
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<br />STATE OF FLORIDA '6':I\.TI: OF FJ,.ORlDA (~ .
<br />COUNTY or COUNTY OF
<br />The foregoing 1Dst~WIIent Waf TIle ioi:eqOi~9 lost
<br />Betore ne tnis_ dill' of. BeforCl m. his
<br />.~ ~.
<br />(nilfte' or pereon aeknowle
<br />o who ill person"liy known to
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<br />tLe, Docc.~ Navigable'Waterways
<br />litBtivw Serviees, Enviro~ent.~ Health Un1t-We~"
<br />~tn):s .
<br />'J AQ.noY-I\".il.eto:s a~temont
<br />. i:.rlill i:s to .b$ used. in r.l.OQd Zono "AU or ;oA....l:c,;; I it: i.s
<br />ft. edclreuil1q a ;'compensatJ.nq'volwile;' ",ill be submH:ted which
<br />engineer req1stered in ~he Stata of Florida prior to penult
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<br />1'1". typec:t.' print.ed. or
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<br />(ne.. o~ p. on acknowledged I
<br />o,no' bperaonally 'known to lI.f or
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<br />o who has produced
<br />(type
<br />and. ..liDO d~d Cldi.d Ro't
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<br />
<br />~o has
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<br />Signature or person taking ~c ~wledgeR8nt
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<br />S19natur~ 01. parson
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<br />N..... typed, pZ'~n~ed 02." i1t_ped
<br />""~!/"""" . Bobbie Swetland
<br />f~l:"~ MY COMMISSION # 00268763 EXPIRES
<br />~~. .~j . ..Februa~ ']J., 2QO~. '... ...... _____
<br />..,,;:.....It--- 60NOEDTHRU TROY fAIN INSURANCE. IN(
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<br />Xl::l.:l .l3(,,~3Sl::l-' dH
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<br />Wd~O:S SOOZ SO oaa
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