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<br />I I <br /> <br />FROM : M IJ-BAR <br /> <br />FAX NO, :3525674454 <br /> <br />Sep. 19 2005 10:10AM PB <br /> <br />" <br /> <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''': <br /> <br />/\J)~. . ~ ~ <br /> <br />SIGN.'-~ ~R AGE!oIT D.~VID R. AELA SIGHATURE: Co.'iTn..~CTCR DAVID R. ABLA <br /> <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 <br />