|
<br />COND I T IONS OF PERt'1 I T nl=F I Di~\',J II
<br />
<br />t.HTr~E~\'::""""9X.~)r~LLLe["::STR I CT IONS
<br />
<br />"t underLlgn~d underLtind5 Ihit thi5 perlit lay be sublect to "deed re5trlcllDns' ~hi(h ~ay be ~or~ rr5Lrictlvc than CIty
<br />,tgulitions. The undersigned ~ssu~~s responsiblllti"for cOlpllance with any applIcable deed restrlction5,
<br />
<br />U f:1J.cj r: I :f:.~:-; \
<br />
<br />(,(IJLL13fjCTDRS AND CONTRACTm~ RESFJnf:!~l Ull.LlTI r:~;
<br />
<br />to undertake work, they Jay b~ r0quired to be llcenstd In aCC0rdance ~ith
<br />not liccnsl?d as required by l"w, bc,th the C'liner and cu.tractvr n"y be
<br />If the Dwncr Dr intended cDntractDr are uncertain as tv what 11C0nsing
<br />are advised tD contact the CIly Df Zephyrhllls Building Depart$~nt, (813)
<br />
<br />:] \Le v~r,u r,"" Illrtd llj,LIilctH or contractors
<br />t;,,~ and l"eal regulatll'II'.. II the contractor is
<br />L.t~d for u II:SC[:~I:iJl'I" ,101;1\1(01\ under state law,
<br />".'1.JlreIUih ~I:' ''I';.! 1 11 ,!,l' Intended we,rk, they
<br />'/;\j-6611,
<br />
<br />till thermol e, If the e"i.i' I.,S hned <I contractvr or cc,ntrad[,rsf he is advised to hd,'e the [[,ntract[,r (") sign pvrtivns vf the
<br />'CGntractor Slcti(on5' \~.. application for Hhich they will b~ r~;ponsibl~, If you, as the owner sIgn as the c(ontractvT,
<br />);.'.1 are Ir,Dlcating tho')'."" raUleJ than the cvntractor, ,ne respc,nsible hr the H['f~, If tI,e cc,ntr,,:t[,r wishes ye,u tv sign
<br />:,,, Ll,ntrac\[.r thilt ~ it ',1 \"dlLdtj(,n that he is not pre,perly licensed ond IS ril!t entitled tc, pH~ittirlg privileges in the
<br />I l,' cd ~ ; J t, \\1
<br />
<br />J-,,:(~u~:~r:.C,f< I, \ iC}!L1J'1f::f\ClJ:.ffS AND UTIL TTY COl':If"!r:;GJ:1..Q.NWEJi\i.,
<br />
<br />
<br />(C,
<br />
<br />
<br />I I flilL}f,tLIJ'1W
<br />
<br />(CHAPTEF< 'l13~ FLOf~Il)Pl STrHUn:::S, AS AMEl'mED)
<br />
<br />; tertiI I ,hot J, t!,(' ''iplll:allt, have bren provided with a copy of "Fit,rida's C[,nstructic,n lien law 0 !jc,mevwner's Protection
<br />')tllde' pr,r.;,red by II". Ill'lldo D[:partlcnt of fqriculture and ConSUIH MfaiTs, If thr ilpplicant is sC'lec;ne other than the
<br />'l,~ner', 1 (Htifi It,,11 I ho'le c,btalned a copy Clf the above described dC'CUlIlf:JlI .,r,d pre,n,ise In qvod faith to deliver It tv the
<br />',."ner' in !C.r 10 cc.uefICl'~ei,t.
<br />
<br />(' I il.l.JJ\DC_1 (11' ' " / CI:~~'lt::F< I ~~ AFF I DAV I T
<br />
<br />:ertif, l.h"I "II tL, li,II'IRI"IH"lln this applicaticln is accurate "rod that ,'\1 lit,d. will br: de,rll: irl cC'llpliance with all
<br />",1.1icotdl' \':rlS 11"1"! It i {l'II"t] ucti(.r., zoning, and land developlleflt.
<br />
<br />'f!plicd\1CJii is !:[II.t, /",111' lc. e,btilin a perlit to do lIork and install~tic,n as indicated. I certIfy that nv work vr
<br />li.stall"tll,n has [{,Uiill,e] i'Jiul tv issuance of a perlit and that all work Hill be perfc,rl!led to Ileet standards of all 1 all!>
<br />[['gulatlng ([,nstrul tl I', ::1\1 u,dl:s, H,ning regulatiC>lIs, anrl land develDpment rcqulotll,ns In the jurisdictic,n. ! also
<br />Idtify tt,,)\ 1 iIIiCJ:r,L'LII lI'dl the requlatiClns of other govcrnaental iigencii.:s IloY apply tc, thr intended \lurk, and that it is
<br />rli respli.sl[,llltr t.' ,\" t,ii \111,.1 activns laust take to be in compliancC'. :;\lcli ,1.jl'llclc,s lflclude \.\1\ ;'Ie 1lC,1 lj.}rted tll:
<br />
<br />I ~r_t~l'rlt_.~'.L\I'1 (1Iol'il\.,~I.J~i.:~~!!. - Cypress Bayheads, ~etland MenS anti lillir(,rlnil:lltidly S~n',lll"~ Ldllds,
<br />Hater/Wastellater Treatllent
<br />t Sc.utb...~.?Lfl~ild'I'.idtli t\E0~.gl'!J!::.!:I_LDlstriu - lIells,' Cypress Bayhends, Hdlolld i,re"" Allerilig \I.J\I'IC011rSf:S
<br />. ~l:r,!:.~Lli'\li ", t..' - ~.l'dil;d Is, Ducks, Navigable Ilaterways
<br />I ~d!JIl.~10!.Llk,,lll, :. i'iI,;,tIU~1 "W[> Serv~En.yi r~.!!~.rntilLJ\~~H)0Jr~!.~ - Ii[.ll S, IJilS Il'rtatu T rei> t,;C:l~ I Sep tic Tanks
<br />I US EWiir[,r,er-r,t,1 /11\ : tlc''.c_~uenc'L - r,sbl'stos abatemEnt
<br />
<br />al~u Cl.rttfy tl,,,\, Ii : iii h![-!lar-iS to be used in Flclod Zone "1\" lor 't\Ltc,', 1\ is lJlidHslc,c,d ti"t a dlall'oge plan
<br />uddres'clL{j il 'Cl'~I'tI".,jt:;'IJ 'Ic.\ute' Inll be sublitted Hhich is prepilred b)' d IJll,![ssie,[,al er,glf,['C[ JL.iJIsl~'-l.J iil the State vf
<br />Ill'III1" pie,r tl' ;,\.:..dl 1'.SUdIIC[:,
<br />
<br />"pl'rll;1 Issued '.!i.,11 \, [ed,strlled tl' be a liCl~nse to proceed with the 11(,rk dlld I,[.t as allll,e,nty tc' \.ic.\,tl:, cdncel altE-r, IIr
<br />set as;.~e dr,y i'"...1 1(' I.{ 11,[' technical [(.des, nor shall issuance (,f a pt:rmll preHnt the Ilui ldir,q Uffici,,] irc'lI thereafter
<br />requirlnq a cr,rrLc!dol' {,f \'11101 5 in plans, ctlnstructiun, l,r vit,l"tic,ns c.f an\, ((,de, [:,'C'I)' per~it ISSUI,j ~t.all becc,le invalid
<br />unless tr,e work .,!Jll,l'il nil by such permit is cC'lIIenced within six IllDnths of Issuance, C,I if lle,1 k "Utll'... l.cd bi the pHlit is
<br />suspc'll(!cd [,r "l!d"li{.r,I.'! :1" d peric.o l,f six lonths after the tiJp. the rtorf: is Ll,~.llienc[d, l1ne 9(; doi ~.:te;,SIC'" (If tile, lilY be
<br />.dlc,wed fC'f tht, i,L'lillt "1\1, f[[' Ih;,rl]!' of ~15.00. The extensic'f) ~hall be requestpd In IHillng te, ti,l' Building Ufficial, An
<br />"ppTr...(:o H,sr,rctl:.I, 'u' \1: 11")!jI!d 11\;ril.[J each six .unth periClo, c,r the pr(,)\:[1 lilll be ((,r,slder",1 dbolldl'ili:d.
<br />
<br />"1'''
<br />
<br />wr\mjI~'JG HJ CiWNr':H: 'lOUR FAILURE TO RECORD PI t.ID! ICE UI~ Cm'1f"IF:IICEI'1l::rlT f"1{iY
<br />HE~3lJl_.r IN '(IIUI! rJ(\'!!NG TWICE FOr< IMPROVEMENTS TCl YOUf< PROF'ERTY. iF: YOU
<br />INTLI.I!) Tel UUi,,Jll FINANCING, CONSULT WITH YDUH LENDER OR Af'J {\TTOF~NEY
<br />BEFUHE:: r<FC(JiH,lr-JCJ(UUr{ NOTICE OF COf'1MENCElv1ENT. :Jum; UNDEr~ $2,500 ll~ VI"LUC
<br />DO flUT f'~U i' I, I HEl,(JRD AND POST (-\ "NOT I CE OF c.:m1r-1l::NCEI'1ENT".
<br />
<br />Dr\ T i
<br />
<br />__/l~ ~ r;;~,o-,----- -----
<br />- .~<<l)H HbLN I
<br />
<br />If ~~%~-- -._-~- -- --.-- -.-. -
<br />NOTi'P'{ i"~J I" ~t I .I
<br />(JI-H ,l f! em 1\ i, ,[ ! I \ "-oJ: . . __ - (J)!J'::t..'f;L G_ - -., -
<br />
<br />S I GNrHUHE, ~__!.{Yd..-- -- --- --
<br />--l~ tr;t; L, 1 U \I
<br />_/~/3%-f!r-- - -------.--
<br />~~R /Y~ -0'
<br />_.___ ___' _ _ _L1?!1.?\..d.:.-----
<br />
<br />DAlL
<br />
<br />~'~IC,il' [1!iIL
<br />
<br />NDH\PY (\~; TO
<br />CONTR('\C T CI I
<br />
<br />f"l'{ . ,J ['"I i'~ 1 ~) '~) 11) II I /.I)! I (NOtaq-.Public. .Pasco.Co.. EL - - --- ...
<br />My Commission Expires May 13. 1995
<br />
<br />r'l,( cem;! ~:~; 1 (),J [X [' NGtiiy.Publie-Pasco-C1r.ft----
<br />My Commission Expires May 13. 1995
<br />
<br />
<br />
|