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<br />FROM : M U_BAR
<br />
<br />FAX NO. :3525674454
<br />CONU1'l'lONS 9J!' PEHM1'J.'AJ:'l:'llJAVl'.l'
<br />A. NOT~CE or DEED RESTRICTIONS .
<br />The. undersigned understands t~at this permit may be subject to ~deed rest~ictions" which
<br />may be ~re restrictive than City xegulatiohs. The undersigned assumes responsibility for
<br />compliance with any applicable deed rest.rictions.
<br />B, UNLICENSED CONTRACTORS J\ND CON1'RACTOR RESPONSIBILI'.l'IE5.
<br />If the owner has hired a contractor' or contractors.to undertake work, they.may be requirf!d
<br />to be licen~ed in accordance with state and local regulations. If t.heconbractor is not
<br />licensed as required by l,aw.~ .both the owner and contractoJ': may be cited for a misdemeanor
<br />violation under state law.' If the owner or intended COlltrac\:or are unce.ttain as to what
<br />licensing requirements may apply for the intended work, they are advised t'o contact the
<br />City of ~ephyrhills Building Departn~nt, 813-188-6611.
<br />Furthermore, if the owner has hired a contractoJ': 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 contracto~, you are indicating that
<br />you, rather .th.an the contractor, are responsible for the work. If the contractor wishes .
<br />you to sign as contr~ctor that may be an indication that he is not properly licensed and 1S
<br />not entitled to permitting privileges in the City of Zephyrhills..
<br />C. T~SPORTATION IMPACT FEES AND UTILITY CONNEC'fION FEES .
<br />D.CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a co~y of "Florida's cons~ruction
<br />lien Law _ liomeowner' sProtection Guide" prepared by the Flon.~a Department of A.gJ:.l.culture
<br />and Consumer Affairs. If the applicant is someone other that the. "ownerN, I cerify that I
<br />have obtained a copy of the above described aocument and pron~se in good faith to deliver
<br />it to the "ownerNpriorto commenc~ment.
<br />E. CONTMCTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application 1s accurat.e 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. I
<br />certify that no work or installation has commenced prior, to issuance of a perrndt and that
<br />all work will be' performed to meet standards of all laws regulating construotion, 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 ageflciesmay apply to
<br />the intended work, and that it is Iny responsibility to identify what actions I must t.ake to
<br />be in compliance. 5uch agencies include but are not l1mited to:. *Department of
<br />Environ~ental 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, SeptiO 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;N, it is
<br />understood that a drainage plan addressing a "compensating volume" will be sub~tted which
<br />is prepared by a professional engineer registered in the State of Florida prior to per11lit
<br />issuance,
<br />A permit is~ued shall be construed 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 er.rors in plan~~ construction, or violations of any code. Every pe.rmit
<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 perrndt is suspended or abandoned for a
<br />period of six months after the.time the work is commenced. One 90 day ext.ensioll of time
<br />may be allowed for the p~rmit with.fee charge of $15.00.. The extension shall be requested
<br />in writing to the Buildin-g Offi.cial. An approved inspection must be: logged dudng each six
<br />month. period, or the , proj.ect wi-ll..-be-consi~red aba-ndonedo--'~-'- - . ""7" ...,.... .......- '..
<br />WARNING TO OWNER: YOUR FAILURE .TO RECORD A NOTICE 0" COMMENCEMENT MAY RESUL'1' IN YOUR
<br />PAYING 1'WICE . FOR IMPROV1!:MEN.TS TO YOUR I?ROPER'ilY. II!' YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFOR!i RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2, 5~~ TO RECORD AltO POST A "NOTICE, Ok" COMMEN T".
<br />
<br />
<br />
<br />SIGN.a..TU . OWNER OR AGEN'!' D.\VID R. ABIA
<br />DAVID It. ABLA
<br />
<br />Jun. 09 2005 09:03AM
<br />
<br />P6
<br />
<br />
<br />signatur
<br />
<br />
<br />of identification)
<br />ke an oath. .
<br />
<br />.STA1'E o Ii' FLOIUDA
<br />COUNTY OF PASCXl .
<br />The .,f<<:)regoing instrument was acknowledged
<br />Before me this . g day of dUh , ~
<br />by DAVID. R:-J.rnrA
<br />
<br />~ ~name of p~rson acknowledged)
<br />~ho ~s personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoOdid d not take' ;h
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />Before me this ~ day of \ /U,'4 ' ':!'tQS
<br />by ~VID R. ARTA . . .
<br />. . (name of person ackllowledged)
<br />JQwho is personally known to me, or
<br />
<br />(J who has prOduced
<br />
<br />l'Ifdi' d (type
<br />and whoD qid jQ
<br />
<br />'dgement
<br />
<br />~ ..... H. . ,....
<br />signatur
<br />
<br />
<br />dgment
<br />
<br />Name typ
<br />
<br />Namety
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