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<br />1'/1& ny, Ulr/UU-UULI
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<br />
<br />.', NOnCE or DUO Ri:STRIC'rIONS
<br />, 'lQ under'signed undentanda that thb permit IllaY be subject to "deed restrictions" which
<br />n v be more restriotive than City regulations, The undersigned ..iumel relpon.~bility for
<br />.... ,pl~nce with any .pplicable deed nstrictionll.
<br />B - UNLICENSED CONTRACTORS ~D CONTRACTOR RESPONSIBILITIES
<br />-It the owner has hired a contractor or contraotore to undert.ke work, 'they may be required
<br />to be licensed in accordance with etate and local regulation.. If the contractor is not
<br />lioensed a. required by law, both the owner and oontractor may be citad for a ai.d....nor
<br />violation under .tate law. If tha'ownar or intendad contractor are uncertain .. to what
<br />licensing reqUirements may apply for the intended work, they .re advised to contact the
<br />City of Zephyrh1ll. Building Department, 913-790-0020.
<br />rurther1llore, if the owner hile hirad a COntraotor or contractol;s, he i. advieed to h.ve the
<br />contrsctorl.) sign po~tions of the ~Contr.ctol'; Seotions- of this application tOI'; which they
<br />will be respon.ible. It you, a. the owner 'i~ a. the contractor, you are indicating that
<br />you, rather than the contractor, are l;.sponsibla tor tha work. .It the contractor wishes
<br />you to 8ign a. contractor that may bean ind1oa~ion that' he i. not properly licOnsed and i.
<br />not entitled to permittinq privilege. in the City or Zephyrhl11s,
<br />C. TRANSPORTATION IMPACT FiES AND OTILITY CONNEC'rION FEES
<br />0, CONSTROC'l'UlON LItN L.AW (CtiAP'l'1:II. 713, FLOP-IDA STATOn!, AS lIHENDED)
<br />I oertity that I, the ~pplicant, h~ya baan provided with a copy 'of ~rlorida's Conatruction
<br />lien Law - Homeowner', . Protection Guide" prepared by the Florid4 Department of Aqr10ulture
<br />and Cons~er Affairs, If the applicant il lameone other that t4e -owner", I.cerity that I
<br />have obtained a copy ot tha above desoribed dooument and proml.e in good taith to deliver
<br />it to the -owner" prior to comnencem.nt.
<br />E. CONTRACTOR' S/OWNER' S ArrIMVIT
<br />I certify that all the intormation in thi. application ii .ccurate and'that all work will
<br />ba done in compliance with all appliOable law, regul.ting construction, zoning, and land
<br />developnent,
<br />Appliqation 1. heraby ~d8 to obtain a peJ;n1t to do work and instaliation a. 1ndioated. I
<br />Cert1ty that no work or in.tallation has oomnanced prior to issuahoe ot a permit and that
<br />all work will b. pertormed to meet standArd. of all laws requlatlng construction, City
<br />code., zoning requlations, and land' d.velo~rit re9ulations in the jurildict1on. I also
<br />certify that lunderstand that the regulation. or other governmental agencie. ~y apply to
<br />the intended work, and that it is my responsibility to identity wn.t aotion. I must take to
<br />be in compliance. Such agencies include but are not limited to: .Department ot
<br />Enviro~ental Regulation-CyprQ5S Bayheads, Wetland Area. and Environnentally Sensitive
<br />Landa, Water/Wastawater Treatment
<br />.Southwest Florida Water Wanageaent District-Welll, Cypreas Baynead., Wetland ~eas,
<br />Altering Watercourses
<br />'Aray Corps of tngineers-Seawalls, Docks, Navigable Waterways
<br />.Department ot Kealth - Rehabilitative Sarvica., Environmental aealth Onit-Wells,
<br />Wa8tew~ter Treatment, Septic Tank.
<br />.U,S. invironaental Protection Agency-Asbestos abatement
<br />I also certify that, if fill m4ter1.l 1. to be us.d in Flood tone .A~ or -A,etc.~, it i.
<br />under'tood that a drain4ge plan addressing a ~oompens.ting volumeH w1ll be .~tted which
<br />i8 prepared by a prorQ5.ional Qnginaer registered in the State ot Florida prior to permit
<br />i.suance,
<br />A permit issued sball.be construed to be a license to proceed with the wo~k and not as
<br />authority to Violate, cancel, a.lte~, or s.t aside. any provisions ot the technical codes,
<br />nor shall is.uance at a permit prevent tbe Building ~ftio1al trOD thereafter requiring a
<br />correction or errors in plans, construotion, or violation. ot any coda. Every pemit
<br />issued Inall bec~ invalid unle.s the work author1zed by such pe~t 1. c~enced within
<br />.ix ~nths or 1.auance, or 1t WOrk authorized by the permit is suspended or abandoned fOr 'a
<br />period of six ~onths after the t~..th. wo~k i_ commenced, One 90"day extension of time
<br />mAY be allowed tor the permit with fee charge ot '15,00. The exteneion ehall ba reque.ted
<br />1n writing to'tne Building Ottioial. An apPl;oved 1nspection'must be logqed during each .ix
<br />month period, or the project will be considered abandoned.
<br />~ING ~ OWNER: YOUR FAILURt TO AECOaO A ~OTICR or COMMENCEMENT HAY RESULT IN YOUR
<br />PAYING TWICE FOR INPROVEKENTS TO'yOOR PROPERTY. IF YOU INTEND TO OBTAIN FI~ANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNE't il.EroRE RECORDING YOUR WO'I'ICE or COIOlENCtHtll'l'. JOB'S UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICt or COHMENCENENTN.
<br />
<br />SIGNA'l'UREi OWNER OR AGENT
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />STATE or FLORIDA
<br />COUNTY or
<br />The toregoing in.tr~ent was acknowledged
<br />Before me thi' _ day ot . '2L
<br />by
<br />InAme ot pereoo aCknowledged)
<br />Dwho i. personally known to ~e, or
<br />
<br />Dwho has produced
<br />(type of identification)
<br />.:1d whoO did Odid not take an oath.
<br />
<br />StATE OF n.oRIDA
<br />COUNTY or
<br />The foregoing instrument w.s acknowledged
<br />Before lIle thil ----Pay of , 20_
<br />by .
<br />(n... or pel';son acknowledged)
<br />~ho il personally known to me, or
<br />
<br />o who ha. produoed
<br />(type ot identitication)
<br />and who Odid O1id not t.ke en oath
<br />
<br />Signature of person taking acknowledge.ent
<br />
<br />Signature of per.on taking aQknQwled~.nt
<br />
<br />N&mQ typQd, printed or stamped
<br />
<br />Nama typed, printed or .tampad
<br />
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