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<br />A.' NorlCE or DEED RCSTRICTIONS
<br />Thll W1du'81gned W\dentan~ that thb permit uy be .\Il:)ject to "~ed restrictions" which
<br />may be more re.triotive than City regul.tiona. The undersigned aleume' re,pona~bility for
<br />conplianc. with any applicable d.ed r.strictions~
<br />B. UNLICENSED CONtRACTORS N-lD CONtRACTOR RliSl'OIfSI8ILI'I'I!S
<br />It tn. ownor has hired 0 contractor or contractora to undertake work, 'they may be required
<br />to be licenaed in accordance wit~ .tate and loc'l regulation.. If the contractor ia ,not
<br />lioen.ed .a required by iaw, both the owner and oontractor may be cit.d for a a1sdemeanor
<br />violation under .tate law. If the'owner or intended contractor are uncert.in .. to WhIt
<br />licensing requirement. may apply for the intende~ work, they are advised to contact the
<br />City ot Zephyrhill, Building Department, 813-780-0020.
<br />Furthemore. if the owner h.a hired a COntractor or contractou, he i. adviaed to have the
<br />contractor Is) aign pOftions of the .Contractor Seotion.M of thi. application to~ which they
<br />will be re.ponaibie. It you, a, the owner .lgna I' the contraotor, you are ind1cating thAt
<br />you, rather than the contractor, Ire re.ponslbl. tor the work. ,If the contrActor wishee
<br />you to &1gn a. contractor that may be 'an ind1ea~ion that'he ie not properly 11cen.ed and ia
<br />not entitled to permitting privilegee in the City or Zephyrhll1..
<br />c. rlWiSPORTATION I~PACT n:ES AND DTII.IT"t' CONNECTION FEES
<br />o. CONSTilllCTUIOIl LID! LAW (CHAP1'n 71.3, 1'L01UDA STATuns, AS AMENDED)
<br />I oertify that I, the Jpplicant, hay. b..n provided wlth a oopy'of -Florida'. Construction
<br />li.n Law - Hom.owner'.,Protection Quide" prepated by the Florida Department ot Aqrioulture
<br />and Consuner Affairs, If the applicant ia .omeone other that t~e .owneru, I cerify that I
<br />nave obtained a oopy ot tne .bov~ de.oribed document ana promia. in oood taith to deliver
<br />it to the .owneru prior to comeno...nt.
<br />E. CONTRACTOR'S/ONNCR'S AFFIDAVIT
<br />I certify tnat all the information in thi, application ia accurate and 'that all work will
<br />be don. in compliance with all applioabl. laws regulating conetruotion, zoninq, and land
<br />developnent.
<br />Appliqation i. hareby made to obtain a pe~lt to do work and inetaiiation a. l~oated. I
<br />Certify that no work or in.tallation ha. oomaenced prior to ie.uahoe of a permit and that
<br />all work will be pertorm9d to ~et .tl~rd. of all law. reqU1atlng construction, City
<br />cod.., %oninq regulation., and land' develo~nt requlations in the juri.diotion. I also
<br />certify that I understand that the requlatlon. ot other governaental aqencie' ~y appiy to
<br />tne intended work, and tnat it i. .y reepon.lbllity to identity w~t aotion. I mu.t take to
<br />b. in compliance. Such agencies include but are not liMit.d to: -Department ot
<br />Enviro~ental aegulation-Cypras. Bayh.ads, W.tland Area. and Env1ronRentally Sensitive
<br />LandJI, Water/Wa.t,water Treatment
<br />'Southwest rlor1da Water Manageaent Oistrict-Wella, Cyprese 8ayhoads, "etlan~ ~...,
<br />Alterinq Watereourses
<br />"Anly CoIJl' of ~91.neen-Seowal1., DeCu, Nav1qabl. Waterways ,
<br />"Department or Health , Rehabilitative S.rvlc.., Invironment.l Realth Onit-Well.,
<br />Wast.wat.r Tr.atm.nt, Septic Tanks
<br />'U.S. ~nvironaental Protection Aq.noy-Asbestos abate.ent
<br />I aiso certify that, if fill mAterial i. to be u.ed in FlOOd Zone .AN or ~A,etc.N, it i.
<br />understood that a drAinAge plan addre..inq a .Oo.pen..tLnq volum." wlll ~ e~tted which
<br />1. prepared by a protas.ional anqin.er reqi.tered in the State ot rlorida prior to pe~it
<br />188\lallce,
<br />^ permjt issued shall ,be construed to be I 11cen.. to proceed with the work and not as
<br />authority to violate, cancel, a,lter, or ,et add., any providons ot the technical codea,
<br />nor 'hall issuance ot A permit prevent the Build1nq ~tt10ial froa thereatte. requiring a
<br />correction or errors in plans, construotion, or violation. ot any cod.. Every pe~it
<br />i..ued shall b.c~ invalid unl.., the work .uthor~zed by .uoh permit i. cORm.noed within
<br />.1a ~nth. or l..uance, or it work .uthori~ed by the permit 1, su.pended or abandoned tOr'a
<br />period of six nonths after the t1me,the work 1. commenced. One ~O'day extension at tiMe
<br />may be allowed tor the permit with fee char;o of $15.00. The extenoion ehall be requ.sted
<br />in wr1t1nq to'th. Building Ottiolal. An approved in.pection '.ust be logged durinq .ach six
<br />Month period, or the prOject will be con.laered abandoned.
<br />lf1\Jl.NING TO OW'NER: rOOR D.ILOR& TO JU:COp'D A NO'I'ICR or C~NCtHEN' HAY RESULT IN YOUR
<br />PAYING TWICE i'OR INPROVEMENTS TO 'YOUR PROPERTY. IF rou INTEND TO 081'AIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEr iu:f'ORIl RECORDING YOUR NOTICE OF COMMENCEHENT. JOBS t1NDER
<br />$2,500 IN VALUE '80 N01'iNEE I. ~,'RD'AND POST A .NOTICE OF COHHtIlCENENTN.
<br />
<br />
<br />Gz~Abu /lA- ~~
<br />SIG TORE i OWNi:R OR A. ENT SIGNMURE I CONTRACTOR
<br />
<br />STA.TE or n..oRIAil"b
<br />COONn or 1,\UlJlS, CY ~ '
<br />The toreqoinq in.tl~entwa~aCknOWled9,.d
<br />8efor~e thb ~ d.... ~ ~ J::t- . 2Qttl
<br />by ''''IC~W''\.:t..:;: ~
<br />~.. In.mo' at pereon ac~nowledged)
<br />~o is personally ~own to ft., or
<br />
<br />o who has produced
<br />(type of identifiCation)
<br />and W~d1d ,Od ,d lot taka an oath.
<br />
<br />StA'!'E OF FloOIUDA
<br />COUNT'(' or
<br />The foregoing instrument was acknowl.dged
<br />Before 11\8, thia ~y of , 20_
<br />by
<br />(n4llle ot per. on aoknowledqed)
<br />~ho i, personally known to Dei or
<br />
<br />o who ha. prOduced
<br />(type ot identification)
<br />and who Odid OIid not take an oath
<br />
<br />
<br />owledqollont
<br />
<br />Signature of pereon tak1nq aoknowledqment
<br />
<br />~ t~ " pri"';eg ~s. ~~An\RC9 .
<br />"'.W'" ;::,anura L. L>OZZl
<br />\ ~}CO~ission # DD615374
<br />...."...... ExpJres: NOV. 16, 2010
<br />BO:\DED n1RU AI1A\l1C BONDING CO,.INC.
<br />
<br />W--. typed, printed or ot.mp.d
<br />
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