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<br />CONlJl'l'lONS 01:' l:'I:;HMl'!' Al:'I:'llJAV1'l' <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that ';this permit nlClY be subject to "deed restrictions" which <br />may be more restrictive ,than City regulations. The undersigned assumes responsibility for <br />complian~e 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 requir~d <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 Building Department, 613-766-6611. <br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have,the <br />contractor(s) sign portions oftpe "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 contractor that may be an indication that he is not properly ~icensed and is <br />not entitled to permitting privileges in the City of Zephyrhills.. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUC~IO~ LIEN LAW (CHAPT~R'713, FLORIDA STATUTES, AS AMENDED) <br />I certify that I, the applicant" have been provid~d with a copy of "Florida's Construction <br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture <br />and Consumer Affairs. If the applicant 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 regul~ting construction, zoning, and land <br />development. <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 performed to Ineet standards of all laws regulating construction, City <br />codes, zoning regulations, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies IRay 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 agencie~ include but are not limited to: *Department of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, <br />Altering Watercourses <br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways <br />*Department of Health & Rehabilitative Services, Environmental ~ealth Uni~-Wells, <br />Wastewater Treatment, Septic Tanks <br />*U.S. 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 ~ddressing 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 permit issued shall be constru~~ to be a license to proceed with the work and not as <br />authority to violate, cancel, 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 ~nycode. Every per~t <br />issued shall become 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 fora <br />period of six months after the lltime 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 requested <br />in writing to the Building Official: An approved inspection must-be logged during each six <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 IMPROVEMENTS' ~O YOUR PROPER1\Y. IF YOU INTEND TO OBTAIN FINANCING,.,CONSULT, <br />WITH YOUR LENDER OR AN ATTORNEY.BEFORE RECORDING YOUR NOTICE 0 OMMENCEMENT. JOBS UNDER <br />$2,500 IN~VALU 0 OT NEED TO RECORD AMP POST A "NOTI ~F MM CEMENT". <br /> <br />! <br /> <br /> <br /> <br />DAVID R. ABLA <br /> <br />'.','. <br /> <br />SIGN.Z\.TURE: OWNER OR AGENT DAVID R. ABLA <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was <br />Before me this _ day of <br />by DAVID R. ~RT 04 <br />(name of person acknowledged) <br />~who is personally known to me, or <br /> <br />.- <br />acknowledged <br />, ,1L <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The toregoinginstrument was acknowledged <br />Before me this ---.-day of '. l~~, <br />by DAVID R~ <br /> <br />(name of person acknowledged) <br />~ho is personally known to me, or <br /> <br />PASCD <br /> <br />PASCD <br /> <br />. <br /> <br />o who has produced <br />(type of ideritificati~n) <br />and Who~d ~did not. take ~n oath. <br /> <br />~~ <br /> <br />Signature of person taking acknowledgement <br />....~- <br /> <br />Dwho has produced <br />(type of identificatiqn) <br />and who D~~ li!lIid not take an oath <br /> <br />.~. " <br />/ . " <br />{ <br />Signature of person taking acknowledgment <br /> <br />Namel <br /> <br /> <br />Nam <br /> <br /> <br />OLIVIA A LOVETT <br />p.tEknlEe.~. __mp d <br />IOlIIll!D THROUGH <br />IIIINlUANCE CONIN-N <br />