<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-.
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<br />1 863 683 6402
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<br />P.03/05
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<br />accurate and tha~ all work will
<br />construction, zoning. and land
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<br />"7I "IOA-tURE: :
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<br />OWNER OR AGENT
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<br />SIGNATURE: CONTRACTOR
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<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
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<br />NaMe 'yped. printed or st~mped
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<br />and who Ddid
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<br />): lh N""')
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<br />S1qnature of person takinv ackl,owlec!c;'c~nt
<br />...,~1.~~ !W!NAHNEIIICICSCN
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<br />Na.ne t... P~Jl,"'lltped
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<br />Siqnature of pereon taking acknowledgement
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