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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. IIOTICE OF DEED RESTRICTIONS
<br />!be Wuii!rligned UDderltaDcls tlaat thil perait Jilr be aubject to 'deed restrictiona' '"hieb Jilr be lO[e restrictive than Citr
<br />regulations. !he UIl4eraignec1 a&8U1e&reapoasibilitr for c:oapliaDce "ith any applicable c1eed restrictiona.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the 4*DeI baa bUecl a contractor or CODtractorl to UDdertate IIOrk, ther Iily.be required to be licensed lD accorc1aDce "ith
<br />ltate illd local regu.latiOlUl. If the COIltractor II DOt licensed II required by law, both th:e ower aDd COIltractor lily-be
<br />cited for a .iscleleaoor flolitioo UDder state la". If the ower or intended contractor areinlcertaiD as to .mat licensing
<br />requirl!lleDu Jilr apply for the inteDdecJ WPIk, they are advised to contact the City of Zepblrhilla Building Departlent, (813)
<br />188-6611. . .
<br />
<br />FurtheIllOre, if the OIIIU!I baa bired a contractor or contractors, be II adviled to bave the contractor(a) 'aign portions of the '
<br />'CODtri~tor Sectiona' of thia applicatioo for 1Ibieb they will be respooaibl!!. If you, as the ower sign as the contractor,
<br />you are indicating that. JOU,ratber than the contractor, are responsible for the IOrk. If the COIltractor "iabes JOIl to sign
<br />as contractor that lilY be an imUcation that be is DOt properly licensed aDd il DOt entiUed to perlitting privileges in the
<br />City of Zephyrhilla.' . .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITYCOHNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS. AMENDED)
<br />I certHy that 1, the applicant, bave been provifled "ith a copy of 'Florida'a CODstruction Lien Law .. lIoIeoIaIer'a Protection
<br />Guide' prepared by the Florida Depirtlent of Agriculture and ConaUll81' Affairl. If the applicant il 8OI8OIl8 other than the
<br />'ower', ~ certify that I have obtained a copy of the above described docuIent and prolile in good faith to deliver it, to the
<br />'owner' prior to c.-ocrlent. .
<br />
<br />E. ~ONTRACTOR I S/OWNER I S AFFIDAVIT
<br />1 certify that all the iQfomatioo ill this application is accurate and that all work IIill be done in. i:oIpliance "ith' all
<br />applicable 1... regulating conatruction, lOlling, and land developl8Dt.
<br />. ,.,,' ".
<br />
<br />Application il bereby lade to obtain a perlit to. do IIOrk and iDatallation as indicated. I certify that DO IIOrk or
<br />installation baa CW9ced prior to iaau4Dce of alperlit and that all work "ill be perforJed to _t atiadarda of alll.a
<br />requlating conatructiOll, City codes, IOIlingregu1ationa, and land clevelopieDt regulatiODl in the juriadictioo. 1 also
<br />ceetit! that 1 understand that the regulatiOOs of other gGVeIllleDtal agencia iiI apply to the intended work, and that it is
<br />.Y responsibility to identify .mat actiona I lUSt tale to be in COI{)liance. Sueb agencies include but are DOt lilited to:
<br />t Departlent of IDvirODleDtal Regulation - Cypress Blrbeada, Metland Areas andlnvirODleDtallr Sensitive Landa,
<br />. ' Vater/Mastewater !'reatllent
<br />t Soutbeat Florida Mater ManageElt District - Melli, Cypress Baybeada, MeUand Areas, Altering Matercourses
<br />t my COrp8 of Engineers - _alll, Docks, Ia~igable VatenaYI .
<br />t Departlent of Health , Bebabilitative Senicea. IDvuOIlIeDtal Health Unit - Melli, Vastewater Irea_t, Septic lanka
<br />t US KnvirODleDtal Protection Agency - Aaheatoa abate.ent .
<br />I allO certify that, if filllilterial is to be used in Flood lone 'A' or 'I,ete.', it il understood that a drainage plan
<br />addressing a 'COIpID8ating value' "ill be lublitted "hieb is prepared by a professiODal engineer regiltered in the State of
<br />Florida prior to pmit iaauance. .
<br />
<br />I ~it isaued sball be CODStrued to be a license to proceed "ith the MOrk and DOt as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor &ball iaauance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correctiOD of errora in plana, CODItIuctiOD, or violations of anr code. Ivery perait iaaued.aball becOIe invalid
<br />unless tbe IIOrk autborile4 by such perlit il CQNnced "ithin aillOlltbs of i88\11DC1, or if_k authoriled by the peI.it is
<br />suspended or abiOOoDecJ for a period of WlODtha after the tile the 1IOl'k is COMenced. 0Be 90 day uteDaion of We, lilY be '
<br />allowed for the perait "ith fee charge of $15.00. !'be uteDaioo &ball be requested in "ritiDg to the Buildinq Official. An
<br />approvl!d inspectiOD lUSt be logged during eaeb WlOIlth period, or the project "ill be conaidered abBn(Ioned.
<br />VARXIJfG TO (JIJfD: YOUB FAlLURI TO BICORD A IQ!'ICE 0' aJllllllClNBlllllAY RBSUL! II YOOI PIYIHG !VICE roa IMPBOVDII!S TO YOOI
<br />PROPIR'rY. IF YOU mIlD ro ,OB!'W FWlCIJIG, COISUL! VIi'll YOUR LBIIDIIl OR 1II1noBDYBBFORI RICOBDDfG YOUR IOI'ICE 0' .
<br />COIHBJIOlHBII!.J08S UIOIR' $2,500 11 VlLUB DO 101' DID ro ucoao &lID POS! I 'IOI'ICI OF aJlHlllCIIIBJt'I.
<br />
<br />_~I
<br />
<br />SIGlUl!UJfI: 0MIIIl OR lGBlft'
<br />
<br />~.
<br />SIGIA : COlI --
<br />
<br />S!A!I 0' PLORlDA
<br />COOIlIY OF _PA-se i\
<br />The foregoing ~rument was acknowledged
<br />before me this Io-L 2., 19 q S by
<br />/f'J_13~T : -S/MNS
<br />wh~ is oerRnnally known to me~ or who has
<br />'prOduced
<br />d wbo did/did DOt as identifica~ did/did DOt
<br />. ~ take an OlJth. ...Jp ~
<br />~ J / z...u~-
<br />(Signature)
<br />() nTH I JSF: J. ) J: --.R R ou.J ,j
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SU!i OF FLOaIDA
<br />coum OP PAs c.:TJ
<br />The f'oregoing instI'WIent was acknowledged
<br />befol'a methislP{~ 2, 19-Z,5by
<br />---.A J.-13 c:R J oS I i4M':S
<br />who i.s personally known to .e or who has
<br />produced
<br />as i~entification
<br />take an oath.
<br />
<br />
<br />",..,,~ 'II~'
<br />.t.n~
<br />~.:
<br />
<br />""E OF ,..o~
<br />
<br />I<A THl..EEN J BROWN
<br />My Com...INIon 00449029
<br />~Apr. 02. '999
<br />Bonded by NFNU '
<br />800-224-8368
<br />
<br />"'....~ '11,,-
<br />~~l~
<br />~W:
<br />
<br />""E OF ,..0""
<br />
<br />KATHLEEN J BROWN
<br />My CommInlon CC449llfi
<br />Expires Apr. 02. 1999
<br />Bonded by NFNU
<br />800.224-6368
<br />
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