<br />I I
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<br />FROM : M IJ-BAR
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<br />FAX NO, :3525674454
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<br />Sep. 19 2005 10:10AM PB
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<br />N 'I, . ... CONVll'IONS Ot' l'I::RMI'f AFFIllAVn
<br />A., 0 .ICE OJ!' DEEI> RESTRIC'Z'IONS .
<br />The undersigned una~xatands that this 8r~t ~ .
<br />JIIay be m~re restrictive than City renui ti . IUaY'J:,bh8 subject to deed restrict:a.ons" whi.ch
<br />compliance with any applicable deed ;es~ri~~~~ns e wldersigned aSSumes responsibility for
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a co tt . .
<br />to be licensed i d n rat: or or contractol:s to undertake work, they may be required
<br />Ii n d ~ accor anCB with state and local regulations.' If the contractor is not'
<br />.c~:~ as requ red by law, both the owner and contractor may be.cited for. a misdemeanor
<br />VJ.o a ~on unde7 state law. If the owner Or intellded contractor are uncertain as to what:
<br />l~~ensl.ny' requ1.7ernents. tnay appl~ for the intended work, they are advised to contact the
<br />CJ.ty of Zephyrll1.lls BUJ.ldlng Department, 813-788-6611. . . . ...
<br />Furthermor:e, if. the o'Wiie~ has hiLred a contractor or contractors, hI!! is advised to have the
<br />c~ntractor(s) s~gn portions of t~e "Contractor Sect10nsN ot this application for which they
<br />w~ll be respons1ble. If you, as' the Qwnersigns as the contractor, you areindicatinq that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may bo .an indication that he 1s not properly licensed and is
<br />not entitled to permittlngprivllegea 1n the City of Zephyrhills..
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNEC~ION FEES
<br />n. CONS1'RUC'l'UION LIEN LAW (CHAPTER 713, FLORIDA S1'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection GuldeN prepared by the Florida Department of Ag~i.culture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerN, 1 eerily that I
<br />~ave obtained a copy of the abo". described document ana promise in good faith to deliver
<br />1t to the ~owner"prior to commehcement.
<br />E. CONTRACTOR'S/OWNER'SAFFlDAVlT
<br />I certify that all the information 1rathis application is accurate and that all work .will
<br />be done in compliahce with all _pplic~ble laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby IRilde to obtain a permit to do work and installation as indicated. I
<br />certify that no ":'Iork orinstallatlon haa cominlllnced prior, to issuance of a permit and that
<br />all work will be pel:formed to 11leet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jutisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies Inay apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be 1n compliance. Such agencl~$ include but are not limited to: *Departlnent of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands. Water/Wastewater Treatment
<br />*Southwest Florida Water Management Diatrict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*AImy Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanke
<br />*u.s. Environmental protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in. Flood Zono"A" or "A,ete.", it is
<br />understood that a drainage plan ~ddressing a "co~ensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prioe to permit
<br />issuance.
<br />A petmit issued shallbeconstru"Q to be a license to proceed with the wo.rk and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />no~ shall issuance of a permit p~event .the Building Official from. thereafter ~equiring a
<br />correction of ereora in plans, c~nlltruction, or violatiQnsof'any code, . Every permit
<br />issued shall bepome invalid unle~s the work authorized by such permit is cOJmnenced within
<br />six months of lsauance, or ~f ~~~k authQ,xizedby the permit is suspended 0.1' abandoned for a
<br />period of six ~nths after the.t~ the work is commenced. One 90 day extension of time
<br />may be allowed'for the permit wi~h fee charge of $15.00. The extension shall be requested
<br />in writing to. the Building Officilal, An appro:vedlnspection must be logged dux:irig' each six
<br />month period, or the project wil~ be eonside.red abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 'TO YOURPROPERny. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR "LENDER' OR J\N ATTORNEY '.aEFORE. RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER.
<br />$2,500 IN VALUE DO NOT NEED TO IUlcoRD AIID POST A 'N~.F CO NCEMEN'l''':
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<br />/\J)~. . ~ ~
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<br />SIGN.'-~ ~R AGE!oIT D.~VID R. AELA SIGHATURE: Co.'iTn..~CTCR DAVID R. ABLA
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<br />STA'l'E OF FLORIDA
<br />COUNTY OF PASCO
<br />The foregoing instrument was acknowledged
<br />Before me thb~ day of Sept:- . JtllS
<br />by QAVID R. ABLA .'
<br />(name of person acknowledged!)
<br />~Who is personally known to me, or
<br />
<br />5TA"l'E Of' FLOIHDA
<br />COUNTY OF PASCO
<br />The toregoing instrument wa~~OWledged
<br />Before me this I CJ day of ., MOS
<br />by DAVID R:ABtA ..
<br />(name of person acknowledged)
<br />l1!Lho is personllilly known to me, or
<br />
<br />and
<br />
<br />
<br />of Ident~ficati~n)
<br />take ~i1path.
<br />!
<br />
<br />of identification)
<br />take an oath
<br />
<br />S!gnat .
<br />
<br />
<br />wI edgment
<br />
<br />Name
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