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<br />. FROM : MILBAR
<br />
<br />FAX NO. :3525674454
<br />
<br />Oct, 29 2004 07:55AM P2
<br />
<br />A.., NO'UL:E Oli' UEEO Hml:i'l'lUC'J.'10~S
<br />The undersigned understands that this permit may be subj~ct to ~deed restricCions" which
<br />may be m~~e restrictive than City regulations, The undersigned assumes ~esponsibility for
<br />compliance with any applicable deed I'estdctions.
<br />8, UNLICENSED CONTRhCTORS AND CONTRACTOR RESPONSIBILITIES ,
<br />If the ow~er has hired a contractor or contractol's touridertake'work, they,n'iay be J:equired'
<br />to be licerlse'd in accordance wl.th state and locaL regula,tions, If Llu! contractor is not
<br />licensed as required by law, both the owneI' and contractormay:be.cited for a misdemeanor
<br />violation under state law, If the owner or intended COlltt'actor are uncertain as to what
<br />licensing requiremenl;s may apply for. the intended work, they are advised to cont.act the
<br />City- of Zephyrhills Building Department, 81,3-788-6611-
<br />FurtheJ:more, if the ownel'.has hired a contractor or contractors, he is ,advised to have the
<br />contractor(s) sign portions of. the "Contractor 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, are responsible for the work, If the contractor wishes
<br />you to sign as:cont~actorthat may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zeph'yrhills,
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDEO)
<br />I ce~tify thatl, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Flori.da Department of A9ricultu~e
<br />and Consumer Affairs, If the applicant is sOlneone other 'that 'Ule "owne~", I cedfy that I
<br />have obtained a copy of the above describe,~document a~~proll~i~e in good faith to deliver
<br />it to the "owner" prior to commencement,
<br />E. CONTAAC'fOR' a/OWNER' a AFFIDAV:IT
<br />I ce~tify that all the informationlr, this application 18 accurate and that all work wili
<br />be done in compliance with all applicable laws regulatin9 construction, ~onlng, and land
<br />developme.nt,
<br />Application 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'perfonned to rneet standards of all laws regulating construction, City
<br />codes, zoning ~egulations, and land development regulation's 1n the jurisdiction. I also
<br />certify that I understand that the regulations of othe~ governmental agencies may apply to
<br />the intended work, anti that it is my J:esponsibil.Lty to iden,~ify ,what ac_~iollS I must take \:.0
<br />be in compliance, Such agencies 1nclude but are not limiteCl 't;b :::-~Depa ttment of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvIronment~lly Sensitive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Water Management District-Wells, cypress Bayheads, Wetland Areas,
<br />Altering Wate~courses
<br />....Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />.Depa~tment of lIealth , Rehabilitative Se.rvi,ces, Environment~i Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks '
<br />loU,S, ,.En'{iJ:o~men~~~ ,?ro~~ction Agency-Asbestos abatement .-" ,;"
<br />I also G~ttifytllat,.if"fill' m~terial is to be used lnFlood' 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 theState'of'FJ.orida prio~ to permit
<br />issuance, ' , "
<br />A permit issued shall be construed to bea license to proceedwith"the work and not ~s
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the BuildiIl9 Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations, of any code, Every pe.rnlit
<br />issued shall become invalid unless the work authoI'i~ed by such perDdt is commenced within
<br />six months of issuance, or if ~ork authorized by the pe~t is suspended o~ abandoned.for a
<br />period of six months after the ,time the work is cmnmenced" One 90 day extension of time
<br />may be allowed for thep~rm1t with fee charge of $15,00, The extension shall be requested
<br />in writing to the Building Official, An approved inspection must be logged during each 101"
<br />month period, or the p~oject will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILUR!!: 'fO RECORD A NOTte.S Of' COMMENCEMENT MAY RESUL1' IN YOUI~
<br />PAYING, TWICJo:; FOR IMPROVEMENTS ,'fO YOUR PROPER'l\Y. IF ~OU IN'J'END '1'0 OB1'AIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR J\N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS "UNDER
<br />$2.500 IN VALUE U NEEIl TO .RECOnu ANU POST A 'N01'I0~"7#p.,
<br />
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<br />ABIA SIGN.l\TURE: CON'.rhJI.c'ron DAVID R. ABLA
<br />
<br />
<br />STA'fE OF FLORIDA
<br />COUNTY, OF PASaJ
<br />The foxegoing instrument was acknowledged
<br />Before me thi.5'~ day of ()vi- 2Q.J;( it::.'
<br />by DAVID R. ABLA.
<br />(name of person acknowledged)
<br />~who is personally known to me, o~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoingipstrument was acknowledged
<br />Defore me this '-fu;Jay of (1.;- , l.!r~
<br />by DAVID R., -
<br />(name of person acknowledged)
<br />~ho is personally known to m@, or
<br />
<br />PASaJ
<br />
<br />o who has produced
<br />( type
<br />and whoO did . d not
<br />
<br />of identificati~n)
<br />take an oath,
<br />
<br />Owho has produced
<br />,(type o,f identification)
<br />.ad who D~i.d,~a.t ,take a~. oath
<br />
<br />~" ~.
<br />"'--i .....-
<br />
<br />
<br />Signature of person taking acknowledgment
<br />
<br />
<br />N.Me t~~.;'J
<br />
<br />. - ..~~
<br />
<br />
<br />Name
<br />
<br />erson t.aking ackno.~~~dgement
<br />" fd .,.,:.~., ~:~ ';*:":'~-:~' :.
<br />OUVIA A LOVETT ,"
<br />
<br />in Iit-ed
<br />, IClIClED Ttf/Do1fIII4 ~
<br />.........~
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