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<br />qJNIH'l'lONS O~' PC:HM1'l' AH'llJAVl'l'
<br />A. NOTICE OF DEED RESTRICTIONS ,"
<br />The undersigned understands that this p~rmit DUlY be subject to "deed restrictions" which
<br />may be m~re restrictive than City regulations. The undersigned assumes 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 requir~~
<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 JlIisdel~eano,r
<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, 813-788-6611.
<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 ~e an indication that he is not properly ~icensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.,
<br />C. TRANSPORTA~ION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCT~ION LIEN LAW (CHAPTER '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 pronuse 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 />Application is hereby made to obtain a permit to do work and installation as indicated. II
<br />certify that no work or installation has commenced prior, to issuance of a permit and that
<br />all work will be performed to meet 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 regu;Lations 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, 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 Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fiJ.l 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 submitte~,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 construe~ 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 Buildi~g Of7icial fForn thereafter requiring a
<br />correction of errors in plans, constru~tion, or v~olat~ons of~nyLcode. 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 .!tbandoned for .a:'
<br />period of six months after the "time the work is commenced. One 90 5lay extension of time
<br />may be allowed for the permit with fee charge of $15.00. The exteJsi~n 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' TO YOUR PROPER'DY. IF YOU INTEND TO OBTAIN FINANCING, ,.CONSULT.:
<br />WITH YOUR LENDER OR AN ATTORNEY,BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 I~E ~OT NEED TO RECORD AN. .P POST A "NOTICE OF CO EMENT".
<br />
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<br />SIGNl\TURE: OWNER OR AGENT DAVID R. ABLA
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<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this_ day of 1!L-
<br />by DAVID R. ABLA
<br />(name of person acknowledged)
<br />~who is personally known to me, or
<br />
<br />"
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The ~oregoing instrument was acknowledged
<br />Before me this day of , 1,9 ~
<br />by DAVID R~
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />PASCO
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<br />
<br />Signa
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<br />of ideritificati?n)
<br />take ~n oath.
<br />
<br />o who has produced
<br />(type of identification)
<br />~id not take an oath
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<br />and whoD did
<br />
<br />wledgement
<br />
<br />Signa
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<br />
<br />owledgment
<br />
<br />Name t
<br />
<br />Name
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