|
<br />,.
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. lJOTICE OF DEED RESTRICTIONS
<br />Ibe uiuii!rsigned UDderataDda that this penit Jar beaubject to ldeed restrictions I 'whiell Jar be lOre restrictive than City
<br />regulations. llIe UDderaiped aaaUle& respoaa1bU1trfor COIPliance with anr appliCable c1eecl restrictions. '
<br />
<br />B. l1NLICBNSED CON'l'RACTORS AND CON'l'RACTOR, RESPONSIBILITIES
<br />If tile oar baa bired a' CGIltractor or COIltractorsto unc1ertab work, tiler II! be regllired to be liceuaecJ la accordaDce with
<br />state iI1d local regWatiOQl. , If the CODtractor ia DOt liCPlled ill reQUired by law, both the 'QMDeI and COIltractor lily be
<br />cited for a .iaclueaDOr violiUoa UDcler state lilll. If the ''olDer or intended contractor are..Ul1eertain ill to what liceDling
<br />requiretlents IIr apply for the' intended IOrk, they are advised to contact, the City ofZepbrrhills Building Departlent, (813)
<br />788-6611., ' " .'. "
<br />
<br />PurtbeIllore, if the 0ID8I has bired a contractor or contractors, be is advised to bave tile contractor(s) iign pOrtions of the '
<br />IContra,ctor Sectional of this application for whiell .ther will be responaib~e;o If you" ill the mmer sign ill the ~trilCtor,
<br />you are iDdicatiDg that, JOU, rather than tIf contractor, are responsible for tile work. If the contractor wiabeayou to' sign
<br />as cootractor that IIY be an indication that be is not properly licensed and is not entitled to perlittiDg privilegea ill the
<br />City of Zepbyrbil18. ' ' ,
<br />
<br />c. 1RANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tile applicant, bavebeeo providec1 with a copy of IFlorida's Construction Lien LillI - beolIlDer'sProtection
<br />Guide' prepared by the Florida Departlent of Igriculture and Conau.er Affairs. If the applicant is 8QI8ODI other than the
<br />10000erl, I, certifr that I bave obtained a copy of the above described docuIeDt and proliae in good faith to deliver it to the
<br />'ownerl prior to COII8Jlc:aent. '
<br />
<br />E. f.:ON'l'RACTOR'S/OWNER'S AFFIDAVIT" , , ,
<br />I certify that all tlleiDfonaUon ill tbiaapplication i8 accurate and' that all work will be doDein' COIplianC8 with' all
<br />applicable 1_ regulating CODItrucUon, JQnin9iand land develOpleBt.
<br />
<br />" .. 4
<br />
<br />Application is .berebr lade to obtain a penit to, do IOrk and iDataUation aaiDdicated. I certify that DO work or ,
<br />installation baa ~Dcedprior to~uance of 1'Pem1t and that all work will be perforaed to Met standards of alllalfa
<br />regulating CODItructiOll, City coc1ea,JODiD9 ,'tegulatiops, and l~ developleBt regulatiOlll in the ju.riadiction. I also'
<br />certify that I understand that the regu1aticlis' of other' gDveruental agencies IiY apply to the inteDl1ed vork, and that it is
<br />IY responsibility to identify what actiOlll I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirOlllelltal Regulation - Cypress Barbeada, Ifetland Areas and Invi1'Olllelltally Sensitive ~,
<br />. , Mater/lfaataater IreatleAt '
<br />t SOUtblllest Florida Mater __t Diatrict - lle11s, Cypress Baybea4a, Ifetland Areas, Altering !latercouraea
<br />t An, Corps of Inqineers - Sea.alls, DocU, lavigable lfatel1laya
<br />t DepartJent of Health i Rehabilitative Senicea~ InviroDlental Health Unit - Ifelll, Ifilltevater Ireatlent, Septic lants
<br />t US InvirODlelltal Protection Agency - Aabeatoa abate.nt .
<br />I also certify that, if flll llterial is to be used in Flood ZODe III or '1, ate. I, it ia understood that a clraiDage plan
<br />addrw.ing a 'COJpeDSatiDg vol..' will be aublitted well is prepared br a professional engineer registered in the' State of
<br />Florida prior to penit is8\1il1lCe. '
<br />
<br />A ~lt issued aball be CODItrued to be a license to proceed with the IOrk and not ill authority to ,iolate, cancel alter, or
<br />set aside any provisiOlll of the techD.lca1 codes, nor sball issuance of a perait prevent the Building Official fral thereafter
<br />requidng a correctiOll of errors in pI_, CODItruction, or violatiOlll of any code. Bvery penit i88uecl tball beCCIIIinvalid
<br />unless the work authoriJ.br suell penit is co.epced .U:bin sillODtbs of issuance, or ilak autboriled by the perait is
<br />suspenCled or abaDdoned for I period of WlOIltbs after the u.e the wort ia COMeneed. (& 90da, atenaion of We, IIY be
<br />a11011eC! for the penit with fee charge of $15.00. !he atenaiOll sball be requested in vritiDq to the Building Official. An
<br />approvlld inspection at he logged during eaell ab IODth period, or the project will.be CODIidered abaDdoDed.
<br />WARlfIJIC; TO OWR: YOUR FAlLUU TO I IOfICI OF COIIIIIICIIlBII KAY RBSULr II YOUR PIYIIiG fiICI POI IHPJlOVIICDIS TO YOUR
<br />PROPIln'Y. IF FWIIC COISULI ,IUD YOUll LDDU' OR All IftORIIIY BIFOBB UCOBDIJIG YOUll JIOfICl OF
<br />CC>>lHD( 0 II VALUI lor 1110 ro BICORD AND POSt I IlorlCl OF CCIfHIIJCIHBIIM.
<br />
<br />.~~
<br />
<br />SIGliAtURI:
<br />
<br />
<br />--
<br />
<br />SIlII OF FLOilDA . f
<br />coum OF .p A-Se 0
<br />'l'he f'oregoing instrument was acknowledged
<br />before Ite this ;J11tfl-1~.z 19~ by
<br />
<br />who~t'rs~a1l~ ~~~ ~ .. Mila JaBS
<br />
<br />prgsbil(!.ed
<br />i._ lJ._Lifl__11_and who ~did not
<br />
<br />~m~-J g. ~~)
<br />(SigJJH~~~ '-- P"F-AJ J: .E1??JvV /'J
<br />(Hame 'l'yped, Printed or Stamped)
<br />~y PUBLIC "
<br />
<br />Sllrl 0; FLORIDA
<br />coum OF P 11-:::> e- 0
<br />'l'he foregoing instrument was aclwowled.ged
<br />before me this .AldVb-UkL .2, 19 tJ"l by
<br />
<br />A'-BER:r SlJvfU-S ' '
<br />who is personally known to ~ 'ir via. ku
<br />'j --" ~
<br />ilE. j 'lJl llill and wbo..-/did not
<br />
<br />ta~..j ~ t3..~
<br />(Signature)_ I .
<br />KAn-l~ J. BRoWN
<br />(Haile 'l'yped, Printed or Stallped)
<br />NOTARY PUBLIC '
<br />
<br />~t.,,1 PI/a.
<br />+~ ti~~'
<br />*IiiiJJ*
<br />~~.~
<br />,,~ ~
<br />~Dff\.O'"
<br />
<br />KATHLEEN J,BROWN
<br />My Commlnlon CC449029 '
<br />Expires ArN. 02, 1999
<br />Bonded by NFNU
<br />800-224-6368
<br />
<br />,t.,,1 PI/e
<br />.~ n ~~
<br />~.:
<br />
<br />.,~~ OF f\.O~
<br />
<br />KATHLEEN J BROWN
<br />MyCo~~nCC449029
<br />Expires ArN. 02. 1999
<br />Bonded by NFNU
<br />800-224.6368
<br />
|