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<br />AUG-28-2003 10:36 AM
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<br />MILBAR. CONSTRUCTION INC.
<br />
<br />352 567 4454
<br />
<br />P.04
<br />
<br />CONDI'l'IONS Oil' PERMl'f AFFIlJAVl"I'
<br />A. NOTICE or DEED RESTRICTIONS
<br />The Qndersigned under.tands that thi. per.mit may be aubject to ~deed ~e.triction.H which
<br />may be ~r. ~..~~ictive than City regulation.. Th. unders1gned a.sum.s re.ponsibility tor
<br />compliance with any applicable deed r..trictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBrT.T'l'IES
<br />If the owner has hired a eont~actor o~ contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the conlraetor is not
<br />lioensed lUll required by l....w, bott) 1;he owner and cont~actor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensinq reQUirements may appl y ~n~ i:he int~mded work, they ClI.rc advitn:l'u Lu contact the
<br />City of Zephyrhilh BuildJ.ruJ Departrnent, 813-788-6611.
<br />rurthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractuL(S) sign port1ons of the ~Contractor Sections" of this application for which they
<br />will be ~esponsible. If you, as the owner signs as the contractor, you ar.e indicating that
<br />you, rather than the cont:rar:t:nr., a.re r..ponsible for the work. If the contracto~ wishes
<br />you to siyn as contractor that may be an indication that he is not properly licensed and 18
<br />not entitled Lo permitting priVileges in the City of Zephy.rhills.,
<br />c. TAAkSPORTA~lON IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that: T, t:hl'! ~pplic:;ant, have bco::n pxov.1ded with d l.:UPY o~ "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Flod.da Departlnent of AgricultQre
<br />and Consumer Affair.. If the applicant is .orneone other thaI'. "'hlt" "owner", I ceri.fy that 1.
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />~. CONTRACTOR'S/OWNER's AFFlbAVIT
<br />I cert:ify that a1.1 the information in this application is accu.raLe and lhat all work will
<br />be done in cornplial1ce with all applicable laws requlaUnlJ construct.1on, 2:oning, and land
<br />development.
<br />Applll::ation 1s her.by made to obtain a permit to do wo.a::k and installation as indicated. I
<br />r..rt.1fy that no ,:",ork or installation hdtl ~ulm\enced prior, to l.SSQance of a permit and that
<br />all work will be performed to meet standards of all laws regulating constructIon, City
<br />codea, ~oning ~egulations, and land development regu 1 A.... ions .1n the j ur.icdl.ct:i.on. I alau
<br />certify that I understand that t;he .regUlations of other governmental agencies may apply to
<br />the intended work, and that it ia my responsibility to identify what actlons I must lake to
<br />b. .in complianco::. Such agCI1Ciellf .lul.:l"de but: are not: .U.mited to: "Departm@nl of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatnlent
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Wat.~cour8e8 .
<br />.Army Corpa o~ mngincer~-SeAwdll~, bocks, NaVigable Waterways
<br />.Department of lIealth & Rehabllit~tive Services, Environmental Health UnIt-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environment:al Protection Agency-ASbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A, etc.", it is
<br />"nderstood that a drainage plan addressing a ~compensating volume" will be submitted which
<br />is prepa~ed by a professional engineer registered in the State of. Florida prior to permit
<br />i..uance.
<br />A pe~mit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, ,1te~, or set aside any provisiohS of the technical r-nriAS,
<br />nor Shall issuance of a permit prevent the Building Official from thereafter requirin9 a
<br />correction of er~ors in plans, construction, or violations 'of any code. Every permit
<br />i..".d .hall b.~om. ~nvalid unlcoo the work autho~.1z~u by 5uch permit is commenced within
<br />six months of issuance, or if ~ork authorized by the permit i~ suspended or abandoned for a
<br />period of six months after the ,time the work 1s COIllmt!lllced. One 90 day exbm~ion of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writIng to the Building Official. Au approved inspection must be logged during each six
<br />Month pe~.i.od, or t:he project wi,ll bti: \;uJus.Lde.red abandoned.
<br />WARNING TO OWNERl YOUR ~^ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE !'OR IMPROVEMENTS TO YOUR l'ROPER'I\Y. IF YOU INTEND TO OBTA'I'N F'TN~NCING, CONSU1:l'
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOBS UNDER
<br />~2,SOO IN VALUE DO NOT NEED TO RECORD AND POST A ~NO 0 C NT".
<br />
<br />,d~...
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<br />SIGNATURE: OWNER OR AGENT J::)AVID. Jl. ABLA DAvID R. AJ3LA
<br />
<br />
<br />STATE OF l!'LORrDA
<br />COUNTY OF PASCO
<br />The foregolny instrument was acknOWledged
<br />Before me this --.Z1&.. day of ,~ , ~~
<br />by DAVID R. ART on
<br />(name or pe.rson acknowledged)
<br />~Who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and WhoOd~e an oath. .
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />STATE OF I!'LOIUDA
<br />COUNTY OF PABa>
<br />'J'hp. for.go.lng instrument waR .ilcknow1edged
<br />Before me this .'l.e. day of..ft,l'" , ~
<br />by Dl\VID R:-AmA
<br />(riame of person acknowledged)
<br />bLho is personally known to me, or
<br />
<br />o who has produced.
<br />(typ@ of idlt"ntifi~ation)
<br />and who O~ ,~id not take an oath
<br />
<br />. ~~'.a
<br />
<br />Signature of person I:aking acknowledgment
<br />
<br />Name
<br />
<br />typ,F.P", IMIiU.d.CWfTlttamped
<br />~A'", Notary PlJblic. St~tQ Of ~lni'irlA
<br />~ ~ ~ My Cornr~issi(Jn ExpireS July 28, 2004
<br />(:(/!,\lIl'I$SiO!) No. CC954594
<br />
<br />Name typed, ~tH~oQ~~tamped
<br />..;~
<br />......} .~ Notary Public, State Of F/orfda
<br />~ Ii My Commlssion EI'Cpin;1J ,July 28. 2004
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