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<br />AUG-28-2003 10:31 AM <br /> <br />MILBAR CONSTRUCTION INC. 352 567 4454 <br />(;OH!J..l'.1'.LOH~ OJ:' l'l:;HM.l'J.' AI:'I!'.lUJ\Vl'l' <br />A. NOTICE or DIED RESTRICTIONS' <br />The und.~.lgn.d ~nder.t.nd..th.t this pe~mit __y be <br />may b. ~~. r..tr1ctiv. than City ~egul.t:ioh.. The <br />aompliance with any applicable deed Eeatrictiong. <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR R&SPONSIDILIT1ES <br />If the owner ha. hired a contractor' or contractorl'l to undertake work, they Jl\ay be required <br />1:.0 ~e liceused ill accordAncE!' with sl:..te ~tu:l local l;eyul~L.i.ons. I.f the conl:.t...c:tor is not <br />licensed as required by law, bath the owner and contractor may be cited for a misdemeanor <br />violation under state law. If the owner or intended contcactor are uncertain as to what <br />licehslng r.qui.r.ments h\l1y applY' :fa!; Lila lntended work, they are advised to contact the <br />City of Zephyrhills Building Departmel1t, 013-700-661l. <br />i'urtheEIl\Ore, if the owner has hired a contractor or cont.t'actors, he J.s adv1sed to have thA <br />con~J:aator(aJ eign po.rtiou:s 01:. the "~ontractor Sections" of this application 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~. axe responsible for the ~ork. If the cnntractOI: wishe.c <br />you to 8J.1J1I a" contractor that may be an indication that he i.!l llot properly licensed and is <br />not entitled to permitting pdvileCjes in the City of Zephyrhills., <br />C. TIU\NSPOR'rATION IMPACT FEES AND U'l'lLITY CONNECTION F'J!:ES <br />0. CON5TRUCTUION LI!:N 1J\W (CJlAl'TER 713, f'LORlDA STA'l'U'fES, l\S AMtHDElJ) <br />I certify that I, the appli~nt, have been provided with a copy of "Florida's Construction <br />lien: Law - Ifomeowner',. Prolection Gulde" pl:.pa.red by the FloJ:id.. DtlIpartlnenC ot AC}riculture <br />and Consumer Affairs. If the applicant is 'Oll\eone other th~l; the "owner", I cexify that I <br />have obtained a copy of the above described document and p.r:omise in good faith to deliver <br />il: to the "ownf'!r" prior to COlJ1U\enCCII\Cllnt:. <br />E. COHTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the information in thJ.s application is ~ccurale anc! that al~ work w1.11 <br />be donf'! in compliance with all .applicd.ule laws regulat:lng construction, zoning, IUld land <br />t.!e"elopment. <br />App11l::ation 1,. hereby made to o1.>tain a permit to do Work and installation as illdlcated. :r <br />r.~.rt:.ify that; no work or in.st:alldL.iulI has cOJnmenced pr.t.or. to issuance of a pel:JIIit and that <br />8.1.1 wOJ;'k will ue performed to lTIeet sl;.andards 01:. all laws regulating consl;.ructJ.on, C.lty <br />codes, zoning 1'.'89ulaI;10113, and land development .t:ogulatiOl1s in Lhe :1 urisdlcU.ol1. I also <br />(:crt! fy tlu:lt: I uul1a.r:stand \:hat the regulations of other governmellt:al agenc1.es may apply to <br />the intended work, and that it 1s lilY respOJlsibility to identify whaL actions I must lake to <br />be in compliance. Such agencies include but are not limited to~ *Depart-,IU@Ul: of <br />Ellvll:onmental Hegula\;!on-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve <br />I.ands, "a~er/Wastewatt!l.r: 'rreatment ' <br />*Southwest Florida ".ter Mall.gement Distr:.tct:-Wel.l.S, Cypress Dayhp."ds, W.tlanu hrcoe, <br />J\.l t:er.1ng wa te.t:courses . . <br />. ~. , <br />*Army Corps of Engineers-Seaw.ll" Docks, Navigable Wate.:ways <br />tl\DepaJ:."tment of lIealth , Rehabilit,~tlve SerVices, Envb:ohluental Healt.h Unit. wc~J..s, <br />Wastewater Treatment, Septic Tan~~ <br />*U.s. EnVironmental P~otectionAgencY-Asbestos abatement <br />I also certify that, if fJl1 m;ltElria1 is to be u/Scd i.n Flood &one "1\'" ur ..J\,etc...., it 18 <br />understood that a drainage plan add1'.'e8sing a ~compensating volume" will be submitted which <br />is prepared by a professional ~nglneer registered in the State of Florida prior to permit <br />i..uanc.. .,.., <br />A permit issued shall be const~ued to be a license to proceed w1th the wock and not as <br />authority to Violate, cancel, alter, Or set aside any provisi~ns of the Lechnical codes, <br />noJ.: tJlutll issuance ot a pe.rm1t prevent the Building OffiCial from thereafter requiring a <br />correction of eEEors in plans, construction, or violations of any code. Eve~y permit <br />issued shall become invalid unless the work authorized by such penAl I: I" (!OJlllllenc.d within <br />Slx months of issuance, or .t.f work authorized by the pel.:lIlit is slIspended or abandoned for a <br />period of six IllOnt:hs after the time the work is COllllnenced. One 90 day ex tension of time <br />may be allowed fOJ: the p~rlnit wi ~h fee charue of S 15 _ 00, 'l'he extQ'lsioll aha~~ be rcqucolIIteLl <br />.i.n wri ting to the BUilding Official. An approved inspection Inust be logged duz;iug each six <br />I'.. <br />lnonth period, or the pJ:ojecl: will be considered aballdoned. <br />WAlttfING TO OWNER: YOUFt IrATT.IJRP: 'ro RECORO A NOTH~jl; OF COMMJl:N CEM EWJ.' MAY It/!::;ULT IN rUUK <br />~AY1NG TWICE FOR IMPROVEMENTS '}'O YOUR l'ROl'ER11Y. IF YOU IN'!'END '1'0 OBTAIN FINANCING, CONSULT <br />WITU YOUR Ll':NDER OR .AN A'f'fORNEY. DEFORE RI!:CORDING YOUR N01'ICI!: OF COMMENCEMENT. JOBS UNDER <br />$2.500 l' DO NOT NEED 'rOI;tECORD AND [,O~'!' A "NO't'ICE Of'" 'NCIl;t1EN'l''' . <br /> <br />P.03 <br /> <br />8ubject to ~d..d re8tr1ction.H whigh <br />undersigned a..ume. respon.ibility ,for <br /> <br /> <br />DAVID.;I1. ABLA <br /> <br /> <br />DAVID R. ABLA. <br /> <br />STATE Of' f'LORInA. <br />COUNTY OF PASeD <br />The foregoing inetrwnent was a!=~nowledged <br />8e.foce me this ~ day of ~L. , ~ <br />by DA.VID R. AnrA '" <br />(name of pecson acknOWledged) <br />~Who is personally known to me, or <br /> <br />S'l'ATE OJ!' FLORIDA <br />COUNTY OF PASCO <br />The foregoing instrwnent was ,cJnowledg@d <br />Before me this ~ day of...........L\lc:. , i'!~ <br />by DAVID R~ <br />(name of J1Al:'SOt1 acknowlCldged) <br />bt-ho is personally known to me, or <br /> <br />o who haa produc.d <br />(type of identification) <br /><lJld. whoD did ~ not take an, oath. . <br /> <br />{f,/Id)(~:~ - <br /> <br />SiYlla tur~ . of I '?~.1ift~.~_,J:Il~,+llg ackuowledgeJlleut <br /> <br />,.'. c .1: :',l-"/ t"lt~Ii(;. f'fiW'''~ P''''~I.I;,''\ <br />I ,'. (,11'"'1:'1,"1'1". r 't"'~ ,... 'l'I~;:r.\~~','l)" <br />Nallle typed,. printed1 :I:lr';stainl1od <br /> <br />o who haa produced <br />(type of identification) <br />and whu C1~ ~~td not;. Lake ~oath <br /> <br />- ,~~ <br /> <br />Signallu;e of ~)eraon I;aking acknnwledglnent <br /> <br />-. !:11 !"r'li\ A. l.rNFi1" " ',1. <br />. ~ " I". "."I.,,~. J ]<<'!"!'. ~, <br /> <br />Name tYL1~cl'i ;'R ':~A :t:9~,,,, ~~')j, ~t.~~;f6aI101\ <br /> <br />. " ' " . 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