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<br />MAR-27-2007 21:35 WILLIAMS FENCE CO <br />..v.......... v.&. .,......u n.&:.l"',n",,"",,,LVI,., <br />The undersigned undeuunds thilt thb p~~t ~Y!b~subject to "deed restrictions" which <br />may be more restrictive than City requlatlons. Tbe undersigned ass~es r.sponslblU.ty for <br />compliance witb any applicable deed r~strictions, <br />B. UNLICEHS~D CONTRACTORS AND CONTRACTOR R~S'ONSIBILITIES <br />If the owner ha. hired A contr.ctg~ or contractors ~o undertake work, they may be req~ir.d <br />to be licensed in accordance with state and local regulatlons. If the contractor 1s not <br />licensed as required by lAW, both I;h. ol~er and contractor ~y be cited fo~ a ~sdeme.nor <br />Violation under state law. If the owner or intended con~ractor are uncertain a. to what <br />licensing requirements may apply for the intended work, they ace advised to contact the <br />City of Zephychills 8uilding De~artment, 8l3-788~6611. <br />FurtherMOre, if the owner has hired a contractor or c~ntractors, he is advised to have the <br />contractorls) .ign portions of the "Contractor Sections- of this application for which they <br />will be responsible. If you, as the owner signs as the contr.cubr. you a,e indicating that <br />you, rather 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 i. not properly licensed and is <br />not entitled to pe~ttinq privileges in the City of zephyrhills. <br />C. TRANSPORTATION IMPACT F!:!:S AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS MENDED) <br />I certify. that I, the applicant, .have bee~provided with a copy of "Florida's ~onstruction <br />lien Law - Homeowner's Protection Guide- prepared by the florida Department of Aqriculture <br />and Consumer Affairs. If the applicant is someone other that the .owner", I cerify tha~ I <br />have obtained a copy of the above described document and promise in good fa1th to deliver <br />it to the "ownerW prior to commencement. <br />E. CONTRACTOR' SiOWNER' S AFFiDAVIT.', <br />I certify that all the information in this application is <br />be done in compliance with all applicable laws regulating <br />development. <br />Application is hereby made to obtain a permit to do work and in.tallation as indicated. I <br />certify that no work or installation has commenced prior to i.suance of a per.it 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 alsv <br />certify that I understand that the regulations of other qovernmental agencies may apply to <br />the intended work, and that it is my responaibl1ity to identify what actions I mU$t take to <br />be in compliance. Such agencies include but are not limited to: .Oepartment of <br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally sensitive <br />Lands, Water/Wastewater Treatment <br />*Southwest Florida Water Hanagement District-Wella. Cypr.s. Bayh.ads, Wetland Areas, <br />Altering Watercourses ' <br />*ArNyCorps of Engineers-Seawalls, Docks, Navlqable Waterways <br />.Depart..nt ot H.alth 6 Rehabilitative Services, Environmental Health Unit-We~ls, <br />Wastewater Treatment, Septic Tanks <br />.U.S. EnvironmRntal 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 ~s <br />understood that a -drainage plan addressing a "compensating volume- will be subMitted which <br />is prepared by a profess10nal engineer registered in the Stat. of ~lorida prior to p.rndt <br />issuance. <br />A permit issued shall be construed to be a licerose to proceed with the ~rk and not a. <br />authority to violate, cancel, alter, or set a.ide any provisiona of the technical codea, <br />nor shall iSSUance of a permit prevent the Building Official from therealter requiring a <br />correction of errors in plans, construction, or violations of any code. Every permit <br />issued shall become invalid unless the work autborized by such permit is commenced within <br />six months of issuance, or if work authorized by the perndt is suspended or abandoned for a <br />period of six months after the time the work is commenced. One 90 day extension of time <br />m.y be ~llowed for the permit With fee charge of $15,00. The extension shall be requested <br />in writing to the Building Official. An approved inspection muse be 109ged dur1ng each six <br />month period, or the project will be considered abandoned. . <br />WARNING TO OWNER: YOUR fAILURELTO RECORD A NOTICE OF COHHENCEHEHT HAY RESULT IN YOUR <br />PAYING TWICE FOR IHPROVEMENT=-' ~'~ YOUR PRClPEI\TY. IF YOU INTEND '1'0 08TAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR IVf ATTORNEY 8!:FORE RECORDING YOUR NOTICE OF COHHENCEMENT. JOBS UNDER <br />$2.500 IN VALUE: DO NOT NEED TO R!:CORD AND POST ^ "NOTICE OF COMMENCEMENT-. <br /> <br />1 863 683 6402 <br /> <br />P.03/05 <br /> <br />J <br /> <br />accurate and tha~ all work will <br />construction, zoning. and land <br /> <br />-.... <br />J <br /> <br />.J <br /> <br />"7I "IOA-tURE: : <br /> <br />OWNER OR AGENT <br /> <br />SIGNATURE: CONTRACTOR <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />_~he_!.ore,oin9 in-!.trUlllent wa.!!. _~ck"c;!,,!l_'!5!g~.!i _ <br />",..toee me t1l15_ day of , lL <br />by <br />(name of person acknow~edgedl <br />Owho is personlllly ~nown to me, or <br /> <br />Owho has produced <br />(type of identificationl <br />and whoOdid Odid not. take an oath. <br /> <br />STATE OF FLORIDA 0 <br />COUNTY OF \ 0 \ "'- <br />_The .fore9C!1nCJ._iIUI~u_nt wa. i1cknowl.eclqed <br />8efore II" th~s ~day of...m~~~. adJ;1.:fJ <br />by ~,",'1: ~... ^ <br />~ (name of person acknowledged) <br />~ho i5 personally known to me, or <br /> <br />.OWho has produced <br />(type of ider.tifioation) <br />~ld not take an oath <br />~~ <br /> <br />NaMe 'yped. printed or st~mped <br /> <br />and who Ddid <br /> <br />): lh N""') <br /> <br />S1qnature of person takinv ackl,owlec!c;'c~nt <br />...,~1.~~ !W!NAHNEIIICICSCN <br />.~ _ IoIYCIIIII!l!IIW'IlO311121 <br />Na.ne t... P~Jl,"'lltped <br />..... "V ..... '"""...... -,..... <br /> <br />Siqnature of pereon taking acknowledgement <br />