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<br />FROM'. : M I LEAR
<br />
<br />FAX NO. :3525674454
<br />
<br />Feb. 25 2005 12:14PM P7
<br />
<br />. . . . CONI)l'l'IOUS. O~' 1.>l:;}U"U"l' JWt'U)A\ll'l'
<br />A. NOTICE OF DEED RESTRICTIONS ... . ..... ..
<br />The undersigned understands .that: this.. permi t. maybe.
<br />may be ~rerestrictive than City regulations. . The
<br />compliance witll 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 regull!tions. If the contractor is not
<br />licensed as required by law, bo.th. the owner and contractor may be c1ted for a lllisdemeanor.
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply fo~ 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 1:.0 have the
<br />contractor(s) sign portions~of' t.he "Contractor Sections" of this applicat1onfor which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating th&t
<br />you, ~ather than the contractor, are responsible tor the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he 1s not properly licensed and is
<br />not entitled to'perrnittlng'privileges in the Ci.ty of Zephyrhill&..
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUC'fUrON LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applioant~ have been provided with a copy of ~Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />~nd Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above!desc~ibed docw,~nt 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 ali the information.ii1 this application is accurate and t.hat all work will.
<br />be done in comp~iance with all applicable laws regulating construction, zoning, and land
<br />development. ..
<br />Appllt:ation is hereby made to. obtain a permit to do work and 1nstallation as indi.cated. I
<br />certify that no ":lork or installation ~as cOlnmenced prior, to issuance of a permit and that
<br />all work will be perfo~ned to meet standards of all laws regulating construction, City
<br />.codes, zoning regulations, and land dev~~oplnent regulations 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 agenci~s include but are not lilnited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewate~ Treatment
<br />*Southw@st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas.
<br />Altering Watercourses ' ·
<br />*Army Corps of Enginee~s-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitativ~ Services, Environmental Health Unit-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 ~An or ~A,etc.n; it'is
<br />\lnderstobd that a drainage plan ~ddressin9 a "co~ensating volumen will be submitted which
<br />is prepared by a professiotlal engineer registered in the state of Florida prior to pe~t
<br />issuance. . .. .
<br />A permit .issued shall be construEi~ to bea license to proceed with the work and not as
<br />authority to violate,'oancel;alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a ~ermit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, . construction, ~rvi.olations' of any code. . Every permit.
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or: if w~rk authorized by the permit is suspended or abandoned for..a
<br />period of Bix months after .the J:lme tbe. 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 peri<?d, or the project will be considered abandoned.
<br />WARNING TO OWNE": YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS' '1'0 YOUR PROPER'l\Y. IF YOU INTEND TO OBTAIN FINANCING, . CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER'
<br />$2,5001N VALUE PO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENT".
<br />
<br />l(J<t4:8~ ... ~/ #;
<br />
<br />SIGN.n_TURE: o~ OR AG~N . DPNID R. ABU SIGtl.l\.TURE: .CON'l'~.C'l'OR DAVID R. ABLA
<br />
<br />(,:",l'~:-""'"
<br />
<br />subject to ~deed ~estrictions" which
<br />Himdersigned assumes :responsibility for..
<br />
<br />. ~H
<br />
<br />STATE OF FLORIDA
<br />COUNTY.OF PASCO'
<br />The foregoing inst.rurnent was
<br />Before me this _ day of
<br />by DAVID R.AALA
<br />. (name of pe~sc:in
<br />JRl who is personally
<br />
<br />ac~owledged
<br />. , lL-
<br />
<br />STATE O..F. FLORIDA
<br />PASCO
<br />COUNTY OF
<br />The ;foregoing instrument was acknowledged
<br />Before me 1:hi$ day of , 19-.:...
<br />by DAVID R:-A.BLA
<br />(name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />acknowledged)
<br />known to me, or
<br />
<br />'7.
<br />
<br />and whoD did
<br />
<br />
<br />of identificati~nl.
<br />~akeii!-n'oath. .
<br />
<br />o who has produced
<br />. (.type o~ identification)
<br />~id not take an oath
<br />
<br />. Signat
<br />
<br />wledgement
<br />
<br />Signature
<br />
<br />
<br />
<br />Ncune type
<br />
<br />Name t
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