|
<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />. A. . llOTICE OP DEED RESTRICTIONS .
<br />IIIe ~gaecJ lIIIlIers~ lIIat tills petalt Ii, be "'jl<t to 'deed roatrictioDa' nidi Ii, be .,.. ,eatrieti,. lIIao ell
<br />regulatlODS. rJle underSIgned i88U1e8 respcmsibilitr fOl COIpliance Idtll any applicable deed restrictiODS. 'J
<br />
<br />B. UNLICE~SED CONTRACTORS: AND CONTRACTOR RESPONSIBILITIES
<br />If tile owner baa bired ~ contractor or cootractOls to underta1e IfOIl, tbey lar be required to be UC8J18ed in accordance with
<br />s~ate and local regulabODS. If tile contractor is not JiC8J18ed aa rlQUired by law botll the ClImer' and Contr tot be
<br />Clt~ for a lisdelleanOr violati~ under state law. If tbe. OWDer or intended contr~tor are uncertain aa to :at l::Ui
<br />requu8lellta lay apply for tile InteDded IfOrl, tlley are adVJsed to contact tbe City o( JepbyrJaiUs Buil"'.... DepartleDt (:13)
<br />788-6611. , ' -.."
<br />
<br />Furtlll!llOre, if tile owner haa bired a contractor or contractors, be is advised to bare tbe contractor(s) sign portiODS of tII
<br />IContrac~. Sec~i0081 of tIIis appJicatloo for whiell tlley wiU be responsible. If you, as tile OIfDer sign as the contractor, e
<br />you are IDcbcatlllg tbat rour ~a~ ~ tbe con~actor, are responsible for the worl. If tbe contractor wi_ you to sign
<br />~ contractOl ~t lar be an indicatIon tbat be IS not properly licensed and is not entitled to peWtwg priVileges in tile
<br />CIty of Zepbyrbdls. ,
<br />I
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. .CONSTRUCTIO~ LIEN LAW <,CHA~TER 713, FLORIDA STATUTES, AS AHEHDED)
<br />I ~er!lfy that I, tile apph~t, bav. been provIded WltII a copy of 'PIOlida's CODStructioo Lien Law _ ~er'a Protec:tioo
<br />GUIde prepared by tile Flonda Departlent of Agriculture and Cooalller Affairs. If tbe applicant is 8OI8OIIe other tban tbe
<br />lOIfJlerl,.I certify that I bave obtained a copy of the abore described docu8ent and prOliae in good faitll to deliver it to the
<br />lownerl prior to COIIeDceaent.
<br />
<br />E. CONTRACTOR' S/OWHER · S AFFIDAVIT
<br />I certify tliat all the infollation in tIIis application ia accurate and tbat aU IfOrlwiU be done in COIpUance with aU
<br />applicable law8 regulating construction, lOlling, and land developlellt.
<br />
<br />Application is bereby lade to obtain a perlit to do IfOrk and instaUation aa indicated. I certify tbat DO IfOrl or
<br />instaUatioo baa cc.enced priOl to i88uance of a pelIit and tbat all work wUl be petfOlled to leet standards of aU laws
<br />regulating construction, City codes, loning regulations, and land develO(llel1t regulatiODS in tile juriadictioo. I al80
<br />certify tbat I understand that tile regulations of otber go'erDIeIltal agencies IaJ apply to tbe intended work, and that it is
<br />IY responsibility to identify what aetiODS I IUIt tab to be in COIpliance. Suell agencies include but are not luited to:
<br />t Depart.ent of InvirOJlleJltal Regulation - Cypreai lIIybeada, Metland Areas and IIlvirOlllellWly Sensitive Landa,
<br />lIater/llastewater Ireal:lent
<br />t Soutl1weat Florida "ater Hanageaent District - ileUs, Cypresa Bayllead8, IIeUand Areas, Altering lIatercour888
<br />t Ally Corps of Engineers - Seawalls. Docb, lIavigable lIaterways
<br />t Deparl:lent of Health' Rebabilitati,e Services, InvirllUl8Dtal Health Unit - ileUs, Ila8te1hlter rreal:lent, Septic lanb
<br />t US InvirOllleDtal Protection Agency - labeat08 abateaent
<br />I also certify that, if flllaaterial is to be used in Flood lone IAI or IArete. I, it is under'toad tbat a draiDage plan
<br />addressing a lCOIpeD8ating vol_I will be saitted whiell is prepared by a profeaaional engineer registered in the State of
<br />Florida prior to perlit i88uaDce.
<br />
<br />A pe,t'lit 188ued sbaU be construed to be a license to proceed with tile work and not aa authority to violate, cancel alter, or
<br />6et aaideany provisions of the tecJlDjcal codes, nor sbaU i88uance of a penit prevent the Building Official fro. thereafter
<br />requiring a correction of errOlS in plana, COIl8truetion, 01 violations of any code. Iverr penit i88ued aball becote inralid
<br />unless the worl autborbed by suell perlit is ('~DCed ..ithin aillOllths of isauance, or if worl autboriled by the penit is
<br />suspended 01 abandoned for a period of sillOllths after tile tile the IIOll Is COMenced. (g 90 day utenaion of tile, laY be
<br />aUowed for tile perlit ..ith fee cbarge of '15.00. lbe utenslon aball be requested in ..citing to the Building Official. An
<br />approved inspection IUIt be logged during eaell sblOllth period, 01 the project wiU be COIIidered abandoned.
<br />IIlRIIIJIG TO~: YOUR FAILUU ro RICOID A DICK or aIIIIIIICIIfIn IIY USULI III YOUI PAYIJIG I'll FOI IIP1DIIlIIr8 ro YOUI
<br />PROPERlY. IF YOU 111'110 ro OB'lllll FIUlCIIIG, . (DBULI IIIrD lOUI LIIDIR 01 All AnoRIIY IIIG lID JIOIICI OF
<br />aHIIICIIIII!. JOBS UIDIi .2,500 II VILUI 00 lOr DID 10 BICOIID lID POSf lIOflCl OF I.
<br />
<br />
<br />/~
<br />SI : AGm , ~<it
<br />
<br />srAr. OF FLOII~
<br />COlImOF '-r~
<br />The for~going instrument was acknowledged
<br />before lie tbis h - / r , 197...t- by
<br />
<br />
<br />SIAD OF FLOBI~
<br />coum OF .-L~
<br />Tbe foregoing instru.ent was aCknowledged
<br />before IDe this h - / p- , 19~ by
<br />
<br />
<br />wbo ~pers~own to _ or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an OiJtb.~ a ~~~
<br />
<br />(Signature) ~.o ~ 11 ~ "let-
<br />
<br />(Nue Typed, Printed (or Stuped) 1
<br />NOTARY PUBLIC
<br />
<br />wbo i per~onal own to .e or wbo bas
<br />produc
<br />as identification and wbo did/did not
<br />tate an oatho'-!1 c1 J1r~
<br />
<br />(Signature) /V ~ Aa./
<br />_ d It c: Y ;If- __#'-.7 )'
<br />(NUle Typed, Printed or StUlped)
<br />NOTARY PUBLIC
<br />
<br />..~~Ill'~'~ NIncy A. Moody
<br />{~ ".'f~ MY COMMISSION , CC534806 EXPIRES
<br />~~'. ~ FebnIIIy 21. 2000
<br />"'-J,f.'Q;"~ BONOEDlMRUTRO'fFAlNINSURANCE.INC
<br />",."fli
<br />
<br />...,UH'", Nancy A. Moody
<br />....)~y Pltl~"!
<br />~11. .-it
<br />tw' ~~ MY COMMISSION * CC534806 EXPIRES
<br />c 'J.~. : j February 21. 2000
<br />':~Rf.:r..~'" BONDED THRU '!ROY FAIN IIfSURANCE.INC,
<br />
<br />. ~.
<br />
<br />"'. ~.;','''_'''''4''
<br />
|