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<br />Ma~ 03 04 OS:23a
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<br />R & R GARAGE DOORS
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<br />(352)754-1246
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<br />p.2
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<br />A. NOTIer. OF DEED RESTRICTIONS
<br />The undersigned understands that this pe~it may be '~ject to "deed restrictions. which
<br />may be more restrictive than City regulations. The undersigned asswne. responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are unCertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Ouilding Department, 813-780-0020.
<br />Furthermore, if the owner has hired a coptractor or cOIltractors, he is advised to have the
<br />contractor(s) sign pOrtions of the "Contractor O.ctions. of this a~lication for which they
<br />will be re8ponsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he io not pro~~rly licensed and is
<br />not entiLled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTA~ION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDEV)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Constructiun
<br />lien Law - Homeowner's Prutection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the i'lpplicant is someone other that the "owner", I cerify that I
<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 />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done In compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed tu meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and l~nd development reguldLlons in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, WetJand Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Manayement District-Wells, Cypress Dayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental 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 />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A pormit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cnncel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the BUilding Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall ber-ome invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
<br />periOd of six months after the tilue the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requeste~
<br />in writing to the BUilding Official. An approved inspection must be logged during each SlX
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROV NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR E DER OR AT ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2, O/I'N VA UE DO OT N D TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />ORIDA l J)fUl /7~'( ~ZJ
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<br />S GNATUR: CONTRACTOR
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<br />fJLU{Ci-,X-. cVJ
<br />
<br />STATE OF
<br />COUNTY OF
<br />The forego.ing ~Fent wa~wOWledged .1
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<br />~;forel;CJthlnw til rh I ~, 2Q(L~-
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<br />~name ~ person acknowledged)
<br />who is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing ~rJ}ffient wUflknowledge<}...( II
<br />:~fore me thi s 0:day of '//1-' 20c.L::l
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<br />c- ~ame of person acknowledged)
<br />~o is personally known to me, or
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<br />Owho has produced
<br />J~pe of identification)
<br />and ~ did (J..eI:1:Q. n n~o)1/1 S taakkee ~ ~~n oath.
<br />\~trC<- ~ ~rtJ
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<br />Signature of person taking acknowledgement
<br />
<br />~ IWt M AIIIIOn
<br />u..~I~ZS."
<br />Name typed, pr\! !d 'O'L- -sca'gf.~
<br />· Of "i' ElcpIlM July
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<br />o who has produced
<br />I (~of identification)
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<br />a::s;!~~~h ~
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<br />Signature of per~nn taking acknowledgment
<br />
<br />Name type@-=,.tVSMd
<br />.". ElIJIlntI July 08. 2lI06
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