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<br />I\. NOTICE OF DEEU :.,:..:;jT."'.~.'''':.;:J.UN;;'
<br />The undersigned understands that this permit may be
<br />may be more restrictive than city regulatiohs. The
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contr~ftors 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 law, 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 Department, 813-780-0020.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Cohtractor Sections" of this ~pplication 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 indica~ion 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 STA~UTES,AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy.of "Florida's Construction
<br />lien Law _ Homeowner'sPr6tection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is som~one 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 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 />Appliqation 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 issuahce 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 inolude 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 "A" or "A, etc.", 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 />$2,500 IN VALU 0 NOT NEED TO RECORD AND POST A '\NOTICE OF COMMENCEMENT".
<br />
<br />..$a~
<br />
<br />S~r.~URE: CONTRACTOR
<br />~V'---
<br />
<br />STATE OF FLORIDA
<br />COUNTY 0 F IIi LL.{ L!. (J rL. (; u 6d
<br />The foregoing instrument was acknowledged
<br />Before me this IZ-rrl day of /11"'1t1 L , 20 {J6
<br />by . EtJ$$4 /'-1. I/o J..J..G~I'/,J
<br />riV (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />subject to "deed restrictions" which
<br />undersigned assumes responsibility for
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF . 1I11-L-S!3tl:J!ZlJ"r;tf
<br />
<br />The foregoing instrument was acknowledged
<br />Before me this IZ:rH day of "'11'12-/ '- , 200.(;'
<br />by €u,$$,f "'1. Ho L. L€IZ~r--J
<br />
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />Dwho
<br />
<br />identification)
<br />e an oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />'d no ~ke an oath
<br />
<br />
<br />acknowledgement
<br />
<br />
<br />Name t~F~~' Erinted or stamped
<br />.:'~~~~ Elizabeth Mullins
<br />::i ~}~ Commission # 00527014
<br />~~""r~ Expires March 9, 2010
<br />#st.~ til>!'ldQO Troy F"1:1 ,,,"",,:,;;;".. l., .11~ aOO.3d~.7fJ19
<br />
<br />Name
<br />
<br />typed( ~rinted or stamEed
<br />"~~A~'-l.:.?'If, Elizabeth.Mulllns
<br />....9... ..\~
<br />iti a~ Commission # 00527014
<br />--~~.;...,..lf~: Exoires March 9, 2010
<br />'f,ff.i'~"\'" ~Cft..:ll.o.J ': ,0,/ Fall'. . InSl,:ranc;"'"llt: eoo.}o.;-'/C19
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