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<br />A. ' NOT1C,E or DiliP RI;STRIC1IOWS
<br />The I.l.Ilder.igned Wldeutand.8 th;lt this pe1'1llit IUIY be .ubject to "oe.d restrictions" which
<br />may be more re,triotive thanClty regulation.. The Undersigned Iliumel re.pons~bility for
<br />COIIplhnce witliany appHC&bh deedrutrictions~
<br />i, UNLICENSED CONTRACtORS !lND CONTRAC'I'OR R!iSfONSI8ILITI!S
<br />It t.n. ownu hu hired 4 contractor or contraotors to undert.ke work, 'they INY be required
<br />to be licensed in accordanoe with state and local requlation.. If the. contractor i. not
<br />lioensed a. required by law, both the owner and oontractor INY be cited for a &isdemeenor
<br />violation under .tat. law. If the' owner or intended oontractor ore uncertain al to what
<br />licensing requirement' may apply for the intende!f work, they are Idvhed to contact the
<br />City of Zephyrhill, Building Department, 813-780-0020,
<br />rurthemore,. if the owner has hiud a C(lntraoto% or contracton, he i. advised to hav9 th9
<br />contr,ctor(8) siqn po:rtion". of the, "Contractor llootion.M of this applioation to~ which they
<br />will be responllibh. It you. .u the ownu' .iqna al the oontraotor, you are indlcatinq that
<br />you, rather than the contractor, are re,pondble tor the work. ,It the contractor whhee
<br />you to 51gn a. COntrector that 11\0)' be '&1'1 lnd10at;ion that' ha is not properly l1cQn..d and 18
<br />not entitled to Pfll:JI\ittll\Q privilegea in the, City or Zep,hyrhillll.
<br />C. TI\.MiSl'ORT^TION r~PACT rlt~s ""0 UTILITY colijlJ;CTloNnrs '
<br />D, CONSTItOCTUION LIEN L.Alol (CllAl'TIk 71.3, I'LOIUPA STATUTES, M AMENDED)
<br />I oertity th.t I, the applicant, h~y. b..n prov1d~d with a oopy'of ~rlorida" Con'truction
<br />lien Law - HOllleowner' a, Protection ~uide" propated by the Florida Depllrtlllllnt ot Aqrloulture
<br />and ConsUlIee ",t(eirs, I f the "ppl1cant is .000cme other that tile "own9r", I, cnitythat I
<br />have obtained a OOpy of th~ above deecribed dooument and promie. in qood taith to deliver
<br />it to the "owner" prior to COlMlenoem.nt.
<br />E. COllTAACTOR' 810lolli.ER'S l'.fFztlAVn
<br />I certLfy th.t all the inforrAation in th,1I appliClltion is Iccurete and. that 1111 work will
<br />b. done in COlllpl1ance wi th all applioabl. law. requlatlnq con'tr\lotion, zoninq, Ind lend
<br />developnent,
<br />l'oppli<:,ation h hereby lllade to obtain II perni!; to do work llJld inlltaliatlon as lndioated. I
<br />Certify that no Work or 1n8tallation h&.. o~.no.d prior to i.euahoe of . p.~it and that
<br />aU WQrk wiJ,J. be P8d'o~9d to ~eet ata.nd.lU:,daof all lawI reqilladnq aonstrucUon. City
<br />cod.., zoninq regulations. and land' dn'tloPIMrit r.9ulations in the jurl'.c:t1otion. I also
<br />certify that I.undent4rfd that: the reO'ulation, or other qoverJll14lntd aq"l\cie. IIIllY appiy to
<br />the intended work, and tl\at .it i. lilY rt8ponlil>ll1ty ~o identity wh.lt aotion. I mnt tlk. to
<br />be in compllance. Such agenciss include but are not li~ted to: .Depar~nt ot
<br />Enviro~ent.l R9qU~.tion-CyprQ$s Rayheada, W.tl.nd "'rea. and Enviro~entAlly Sensitive
<br />Land., Wat.r!W....t.water Treatment
<br />'Southwest rlorida Water lolan4g=ent Diatrict~Welle, Cypress Bayheads, Wetland ~...,
<br />AltennQ Wltercourue
<br />'M1IY Corps of tng1.neere~Se5w411', Pock.e. Nav1qable. WaterwaYII
<br />'D9partraent or Helllth " RellabilJ.tative San-ic.., I:nv1ro~.nt.l Health DnH-Welle,
<br />Wa.t.wat.r Treatment, Septic Tank.
<br />'U,S. i:nvironaellt.l l?rotectiori AlJency-Asbestos abotelllent;
<br />101"0 ce:rtify that, if fill II\4terial1e to be used in Flood Zone -A" or "A,etc.", it 18
<br />understood that a drainage phn eddreulnq a -OolllPen.a,tJ..nq volUllle" will be .Ilbmitted which
<br />i. prepared by a prohuional lI11qineer r.qht.red in the St.t. ot rloridll prior to pendt
<br />iu\Jallce,
<br />'" peradt issued "llall'be con"trued 'to.be a 11cen.. to proceed with the work and not e,
<br />authority to violllte, cancel, a,lt.u. or .et a,ide, any provisions ot tll9 technical codee,
<br />no% .hall issuance ot 4 permit prevent the 8~ildlnq @tti01al trOD ther.atter ~.quir1n9 a
<br />correction ot errore in plans, oonst~otion, or,violation. ot any cod.. Every pernit
<br />inu9d shlill b.cCllNl invalid \Jnhn the work .utllorl,z"d by .uoh pet1lLit b cOllllle.nc9d within
<br />.ix ~nth. ot 1..~~, Or it wo~t .uthori~ed by the pemit 1, .uspended 0% abandOned tor'lI
<br />periQd of dx 1I0nths after the tae ,.the work h co....nced. On. ~O "d&y extension of tille
<br />lUy be dlowed for the permit with tee charie of $15,00. The extension ,heU be tequuted
<br />1/\ wrltinq to'th. Building Ot tioial. An approved in.ptotion .lauat be 101lq,d durJ,nqe.ch six
<br />1I0nth period, or the prOjllct will be Oon.ldned &l>&lldon.d. ,
<br />WlUiNING T() OWNER: YOOR tArt.URE 10 1\EC0llrD >AtlO'l'ICI or CC>>lMENCtHZN1 HAY RBI!UL'I' ni YOUII
<br />PAYING TWICEroR IHI?ROVEMENTSTO' YOUR Pl\OPERTY. IF YOU INTEND TO OBTAIN FINANCINO. CONSULT
<br />WITH YOUR LENDER Ol\M ....tTORNEY il&i'OJU: R~C()RDrI'iG YOUR NO'I'ICE or COMKENCtHt '8 ONDER
<br />$2.~OO III VALUE 00 NOT NEED TO RECORD 'AND P08T ^ OTICE or QOHMENCENENTN,
<br />
<br />
<br />SIGNATURE i OWNi:R OR l-GfNT
<br />
<br />STATE or FLORIDA
<br />COlJNTY or
<br />Tn9 tor~goin9 in'trUll.nt Will 4cknowled9.d
<br />Before - this _ day of . '2Q......
<br />by
<br />In6lll. ot per80ll acknowledged)
<br />o who i. P9.rsonally lcnown to II., or
<br />
<br />Owho ha, prOdUCed
<br />(type of id.nt1fioaUonl
<br />and wlioOd.1d Odid not t~kQ an o.th.
<br />
<br />Si9n"ture of person taldn9 Acknow1edqtl\ont
<br />
<br />NU18 typlld, printed or .,tamped
<br />
<br />W... t \\ 4., ,
<br />"W'" Sandra 1. Sozzi
<br />~ ~}Co~sion # DD615374
<br />""""",' ExpU'es: NOY. 16, 2010
<br />BO'J[)H) 'rn~W .'flA.'1'1~ Q(JNf.)ING en l>.;r
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