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<br />. CONDiTlONS OFPE~I~AFFIDAVIT <br />A. nOTICE OF DEED RESTRICTIONS ' .' ' ' <br />IbeWuii~raigneel UIIClentaDda tliat thi..penitJa! bi subject to'deecl reatrictioaa,'wich u! be lOIe. reatrictivetbanCity <br />regulatioaa. !beUlldar.iguc1 iI8UIeI J:eapoaaibilitr for COIP~~.itb anI, applicable deecl reatrictiODl. ' ' <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI.TIES ' <br />If the i*D8t baa birll4 a COIltractor or caotractora to WldertikellOIk, they uytle required to 1M! liCeAle4 la acc:odance tilth <br />atate and local reguliti~.~:,If the CODtractor i. DOt liceuecl ill reQuired 111 law, both ~.,~ iDdcaotractor u~be <br />cited f4ll a ai8deleinnr .viOliuOllUDCler 8tate l..~ If the cameror lnteDded COIltractor are'WiCertaiD ill to .mat lic8llliJlg <br />requirellenta Ja! apply for theinteDde4 .rk,the! are advised to contact the titr of Zepbyrbilll Building De~~, (813) <br />188-6611. . . ,;', ,..' """.. ' <br /> <br />, PurtberJlOre, if tbe oar baa bite4 a cootractor or contractorl, be 18 advile4 to bave the CODtractor(l) lign portiODl of the ' <br />IContractor SectiOllal of thil applicatiOll for lIIlich.the! lIill be reapooeible. If JOU, ill the ower lign as the ~uactor, <br />you are iDdicatiDg that, JOU, ratber than tile caotractor, are reapooaible for the IIOl'k. If the COIltractor wiahea JOU to' sign <br />as coottactor that ailr ,tie an iD4icationthat be il DOt properly liCeAledaod is JlOt entitled to peraittiDgprivilegea ill the. <br />City of 7.ephyrbilla. :'.' , , ' ",:. <br /> <br />C. 1'RANSPORTATION IMPACT' FEES AND UTILITY.' CONNECTION FEES <br /> <br />D. !::ONSTRUCTION LIEN LAW (CHAPTER 713, FLOIUDA STATUTES,' AS'AMBNPED1, <br />I certify that 1, tbe applicant, havebeeD provil1ed lIith a COP! of 'Florida'. CoDatructiOll Lien Law - lIoIeOlaler'.Protection ' <br />Guide' :prepared brthe Plorida DepartleDt of Agriculture aod CoDaUlU Affairl. If the appUcant il 8QIIOI\I other thaDthe., <br />lower' f 1 certify that 1 have obtiiDed a COP! of the above described docIiMDt and proaiae in gOod faith to deliver it to the <br />'otllner' prior to c:_otel8nt. ',., ,., ...' " . " '., "., , ' '" . ' <br /> <br />I ~,l.'.' . <br /> <br />E. ~::ON'l'RAC'1'OR'S/OWNER'S'AFFIDAVI'l', .' .' .,.' "'.' .". <br />I cerUfy that aU tba' iDforaatiOll ::latbia applicaUOIl'ia accurate aDd tbitall IIOl'k will be_ 'illCOlPliaoce llith 'all <br />applicable lad regulating CODItruc~,ioniDgi ~andlaod ~'elopleDt. ' ' ' . , .' <br /> <br />. " :".::"",,~;:.,.:,!}:."~' ..,,~...." "" .",,:~,_.,~,. ."1"" ",. ". <br /> <br />ApplicatiOll 11 ,hereby _to obtiiA aperait to dolO~k' aDd lnatallaUOIl as'iD4lcated, I ,certify that 110 work or,. " <br />iDatallaUOD baa (~ piiof~O'~~:ofa:peBit' andtbat allworkwil1beperfQlJellto-~ staDdarda of all. ,li1's . . <br />regulating CODItrucUOIl,' City_f' spol.Dg.'~egu1at10111,iDd land de'elOpleDt ,r.aU_' in the iuri&dicUOIl. 1 allO' . ",,' , <br />cartifJ that I UDderltaDd that the regUlatiQoa' of other goilDlleDtal ageociei Iia! applJ to the iDteD&1ed ak, and that it is <br />.'/ reaponaibility to identify .t aetiOna I at tab' to be' ill COIPliaDce. Sucb agenciea iDcluda but are DOt lialted to: ' <br />* Departaent of BDvirOlllleDtal Regulation - Cypreaa Blybeada, MetlaDd Areas aod lD,iroIIIIeDtallr Senaitive LaDda, <br />,'... .' , ~ter/Maau.atef IreatleDt " <br />* ~lIIeat Florida ~ter JlanaQllIeDt Diltrict - MellI, 'Cypreaa Baybea4a, MetlIDel Areas, lltefing Matercouraea <br />t Aray COrpl of InCJineera - $eaAl18, Docks,' 'a,~gable "ateM,/1 <br />* Departaent of Health r. Rebabilitative Senicea, BDvirOWleDtal Health Unit - Mella, Vaatewat,er 'lreatleDt, Septic tanka <br />t ~virORleDtal Protection Agency - A8beatoa abateaent. ' <br />I alao certify that, if Ulluterial i8 to be used ill FloodZOAe 'II or 'I,ete,', it il understood that a c1ralDage plan <br />acldreai,ing a lCOIpIDIitiDg vGllllel .ill be 8ublitted lIbicb il pieparecl by a profeaaiooal engineer registered ill the State of <br />Floridil prior to penit iaauance. ...,..,. ' <br /> <br />A ~i.t isauecl &ball be CODItrued to be it l1ceuae to proceed lith tbe IOrk aB4 DOt as authoritr to violate, caocel alter, or <br />set aside an, proviaiooa of the tecbaica1 codes, nor aball iaauance of a perait prIYut the Building Official frOl tbeteafter <br />requiring il correctiOD of error. ill pliDI, cooatructiOll, or violatioDa of an! code. Ivery perait iaaued ,ball becoIe invalid <br />unleas the IIOl'k authorbt4:br such penit 11 co.elll". IIitbln au IIOIlths of ~, or iftllOCk autboriled by the peiait il <br />suspeoilcd or ibIDdoDed for i period of ala IIOIltba aftef. the U. the ak 11 ~"cec1. . ODe 90 . day eateDaiOll of We, lilY be <br />aUOMeCl for the pertit tlith fee charge of $15.00. !be eateDaiOll aball be requested in lIritiDIJ to the Building Official. AD <br />approvoo iDapectiOll _t be logged 4ur1Dg eacb lis _tit period, or the project .ill.1M! CODIidered abandontd. <br />1WUI1lIG 10 <<*ID: YOUI FAlLUUIO UCOBD I MOIICI ora>>IHBIIClDlU! lilY USULI II YOUR PIYllIG !'WICI FOR lMPBOVlMll'fS 10 YOWl <br />PROPBB'ItY. 11 YOU mUD 10 QB1AlJ1 F1JWIClJIG, COMSULIJIIIH ya LIMDU OR U ll!OlUllY BIFOU BiCOBDlllG YOUB )lOtICI or, <br />COHHIJI ,CIlKBI!. JOBS.IDIDD, '$2,500 II. '. VALUl. DO. JOt 11110 IORBCORD AND. .POS, 'I IMOt, ICI OF. COHHIJILCKHBrl' <br /> <br />'~. '~"~""',~"':""":'r-..",~", ....'~' '~". " <br />. .- <br />. ' <br />. ' <br />SIGlU\'.fUBI: OR AGIO, " ' SlQl1!URI: COD' <br /> <br />, .'" <br /> <br />SUIB OF FLOBIDl ,'~ ':' , <br />COUK'lY 01 fJ A -5 c.o <br />The foregoing iDatI'Ullent was acknowledged <br />befox"B me .~is f1)1 Y :2. 'f, ,19~ ,by , ' <br /> <br />---11 LJ3ER-T '5/ us"" " <br />who i,s personally lulowto .e er 1idle, has <br />~e_eed: . , <br />all :i.~lu:t1fieaM.OI'land w~ ~did ~ot <br />take ~~7J""~AJ-J . <br />(Signat:ure) , ., " tI.__. <br />I< /}Jl-I'--~EJJ ..J, ..RRtJWJ..) <br />(Hame Typed, p~iDted or Staaped) , <br />NOTAIl!Y PUBLIC' . ' ." <br />- <br /> <br />"SUII OF FLOBIJ)A L) <br />coum OF rf:1SC-O <br />The foregoing i.D&tI'Ullent was acknowledged <br />before me this uJlY c:::J.L/, 19 96 by <br /> <br />ftL-l3EieT ..s / HS , <br />who is personally know to me or who haa <br />'predtleed- ' <br />as ideatifieatioa and who~/did not <br /> <br /> <br />::tur~::::;;Jl~~MJA <br />(Hame Typed, Pr,inted or'Stallped) , <br />NOTARY PUBLIC <br /> <br />'. " . ....v pu,' , <br />~~.... n ('It KATHlEEN J BROWN <br />*.' * My eomrnlssion CC449029 <br />. ill.... Apr. 02. 1999 <br />.,. '{l'''' <br />"'Ill' f"~ <br /> <br />..,,'f PUll' " '.' , ' <br />~""e~ (~ KATHLEENJBROWN .. <br />*U* MyeommIsSk>n.CP449029" <br />Expires Apr.' 02. 1999 <br />01}. ~.., <br />-1ft OF f...f/)~ <br />