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<br />A. NO'l'lCI: or DlI:li:p RI;STIUC1IONS
<br />The I.I.Ilder'.igned Wl(111r.tan~ thilt thb permit uy be .ubject to "oe.d rutrictions" which
<br />Illay b9 1101;' rntrigUve th.n City nqulation.. The undereigned aeiUl1le, rupone1!bUity for
<br />cQRp.l.iance wi.thanyap.pHcabh d'edn.trictigna;
<br />8. U'IlLICENSED COllt'RAC'l'ORS "NO CON'1'RAC'I'OR REi'~i%8ILr'I'I!S
<br />It t,n. owner hu hired 4 contractor or contractora to undertake work,' thllY IUY be required
<br />to be liCen.ed in accordanoll with .tate and loc'al nQuhtign.. If the,conthctgr 11 nO,t
<br />liolln.lld.. required by law, both the ownllr .nd oontr.ctor maybe cited for 4 &1,demeanor
<br />vLohUon Wldllr .tate law. If the' owner or int,nded contr.ctor .re uncertain ae to what
<br />11cenling uq\lir8lllenta may apply fOI; the intencle~ 'work, they ere advised to contact the
<br />City ot Z.phyrhill. Building Department, 813-780-0020,
<br />l'urthemore"if the owner h&s hired. contr.ator or contJ;actou, hll 18 IIdvised to have the
<br />contrectorl.) sign POfUon" of the, "CQi\tractOJ: hatign." of this .pplioation tor, which they
<br />will be r...pon"ible. It you, ,1l8 thll gwne:- .i9'l'la a. the oontraotor, ydu .re ind1c.ting that
<br />you, utber t~nthe contractor, are re.pondble tor the work, ,If the oontUQtor whhee
<br />you to dgn n contractor that 1Il4)1 be :.n l.1'I<U.OI~ion that' hill is not prop.rly l1clin..d IInd 18
<br />not entitled to~rm1tt1ng pr1vllegea in theC1ty or Zephyrhilla.
<br />C, TIW'iSPORTATrON IMMCT rilES ~p UTILIT\' CONNl;CTION FEIS .
<br />o. CONSrIlOC'l'UION LIEN LAltI (CllJU>1'n 71-3, I'LORltlA STA'tUTES, M lIHENDED)
<br />I c.rt1ty th.t I, tbe applicant, h.ye been prOvided with. oOPy'of "Florid'" Construction
<br />lhn LIIW - HOlleowner' 'I, Protection Quide" prepu'ed' by the Flor1<1a Oepllrtlllllnt ot 1\9rioulture
<br />and Con~~er Affoir~. It the app11cant 1. '~on. other that t~e "owner", l,cerity that I
<br />I\.Ve obtUned a COpy ot tho aboy!' de.odbed dOOUlll8nt and promJ.n in Qood tdth to deliver
<br />it to the .owner" prior to cOIMI.nOelll9nt.
<br />E. CONTAACTQR' 8l0HliER' S AFFI tlAVJT
<br />I certify tnat '11 the infotlllation in thi. .pt)lication is accurate and'that 1111 work 101111
<br />be done in cOlllpliance with 1111 .pplioable laws rt9Ulatinq Conltr\1otion, z;on1nQ, anQ land
<br />develo!X1ent.
<br />App1i~at10n is hereby maaa to obtain II pemit to do work lIJld inltalilltion 18 1nd1oated, r
<br />ceruty that no wotk orinlltall.t.l.on h.. oOlllll_noed pdor to i"u&hoo ot . pemit and th.t
<br />all WQrK wiU b. Pertomqd to ",e.t at.~rdaof .11 law. l:equlatlng construction, City
<br />cod.., %onin9 rOQulations, and l.nd' deve10PlMrit r89ullltions in the jur1.'cl.1ction. r IllaO
<br />certity thllt I ,Wlderstand thllt the reOlllat10n. or other govertll18ntal IQeneie, ~y lIpt)iy to
<br />the intended work, and that it it lilY "etpQnlib.f.l1ty ~o identity w~t 1I0tiona r muat take to
<br />be in cOlllpliance. Such ageneiu .f.nclude but are not lillLited to: "Dep.rt:lllent ot
<br />Enviro~.nt.l a'9ukation-CyprG$. Rayheade, Wetl.nd Area. and Enviro~entally Sensitive
<br />Land.8, WaterlWastewater Treatment
<br />'Southwest rlorida Water Hall49eJ1\ent Diatrict~l'Iel1e, Cyprus Bayhallds, Wetland Me..,
<br />Alter1nQ WaterCOUrses
<br />',,",y CorJIs of tn91.J\een~seawol1., DO.Ck., Navigable Watuway.
<br />.DePIJ;tlllent ot H9alth , P..habiJ.~tat.f.vlI Serv.f.ce., Envirol'll1lant.l Health Onit-Well"
<br />WlIsteliner Trelltment, Septic Tanka
<br />'O.S. Environmental Protection Aqency-Asbestos abatelllent
<br />I dao certify thilt, if fHl Ill4ter.ial 11' to ba uled in Flood Zone .A" or "A, etc.", it h
<br />undeutood that adrllinagCl plan adclre.,.!.nq a .OOlllpenaa,t1ng Y'olUIDe" 101111 be .\lblnJ.ttec:l which
<br />i, prepared by a proreuional engineer re9hteced 1.n the State ot floridll priOr to ~nllit
<br />iuuance.
<br />A permit issued shall'be con"trued 'tobo . l1cen.e to proceed with the work and not II'
<br />.uthority to Violate, cancel, a,lter, or .et uide, .ny provis10ns ot the teclmical codee,
<br />nor ahllll i"suance ot 4 pe.mit prevent the 8Ui1dlng 0::10i.l trom therearter r9qu1ring a
<br />correction o( errore in plans, conetrugtion, or, viol.tion. ot any code. Every pern1t
<br />.I.n\JeQ Ihall becOln4l invalid unle.. the work autllorl,zed by .uoh permit 18 cOIIIIIenced within
<br />.1~ ~nth. ot .I."U4nCe, or it WOrk .Uthorl~.a by the pernit 1. .uspended or ab.ndOned tor 'a
<br />period of six /lonths after the t1.llle.,the work 11 CO....nced. One 90 ,,<lay extension of til1le
<br />III&Y b" allowed tor the permit with fee gharge of $15.00. The Clxtension ehlll be requuted
<br />1n writin9 to'thl Bu.ilciing Oftioilll. An approved 1n.pection 'IIlUlt be 10QQed durinQuch .ix
<br />lIonthperiod,or the proj!lct will be oon.ic;llll'eqabandoned. ,
<br />Wl\J!,NING TO OWNER: rOOR r'AILOP.& '1'0 ~OP,IlA. WO'rICIOr C~NCtHEN'1' MA,{ RBSULT IN '{DUll
<br />PAYING TWICE i'OR IHi!RC>VEHENTSTO 'YOORPIjoPERTY. IF YOU INTEND TO 08'l'lUN FINJUlCING, CONSULT
<br />WITH YOUR L&.NDER R ~:rTORNEr iI&,FORE R~COROJNG YOUR NOTICE OF COMHENCtH~NT. JOB'S t1NOtR
<br />~o III VALUE ED TO REC0lUl'MO '051' ^ "II Ct OF COHMtNCENENT".
<br />
<br />
<br />
<br />SIGNATURE; OR AGi:NT SIGNATURE, COHTMCTOR
<br />
<br />
<br />
<br />
<br />StATE or n.olUDA
<br />COUIlT~ 6r
<br />The forogoing instrument wae eC!tnowlodged
<br />Betore lIIe, this ----.slay of , 20_
<br />by ,
<br />(n&llle ot per.on .gkngwhdqe(11
<br />~ho U per.onally known to lie, or
<br />
<br />o who hu prodUOed
<br />(type ot ic;lentLfication)
<br />.nd who Odic;l [Jjid not tske an otth
<br />
<br />NOTA flY PI iF r r (' - "TATI' m' "'I nlJ rDA
<br />~"t'YP,~d, 8fltfdrg 'f, ~S~
<br />
<br />~~.)Co~mi~SiO~ # DD61~374
<br />, ".,,,,,, Expires. Nav. 16,2010
<br />BO:o.rOED THRU AJ1A..,"nc BONDING CO., INC.
<br />
<br />Signature of penon teUnQ .oknowlod9l1ent
<br />
<br />Halle typed, printed or .tamped
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