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<br />COND l'!'lOliB Of PERMIT AFFIDAVl'l'
<br />. A~ NOTIce OF D5EU RESTRICTIONS
<br />fhe undlrelgned understande lhat~lhi~p8rlTt .ay be-8ubJecl lo .de~ re6trlctlons' whicb eay be lOre restrictl" tOaD City
<br />regulatfons. the undersigned oa8U1es responsibility Cor co.plIance with any applicable deed re.tllctiOBl.
<br />
<br />B. UNLICENSED CONTMC1'ons ANU CUN'.1'MC'1'OU HESPONBIBILITIEQ
<br />Jf tbe owner bas hlr~ a contractor or contractors to undertake work, they lay be requtred to be licensed in .ccordance vltb
<br />Itatl and local reiUlations. IC the contr~ctor 18 noL- licensed as reqcired by law, both lbe owner and contrlctDr ." be
<br />cited Cor a liadeeeanor violation un~er Itat9 law. If the owner or Intended contractor are unetrta1n ae to whit llCIDIlng
<br />requlreJtnts lay apply (or the intended work, they are advjBe~ to contact the City oC Zephyrhll1a Bul1dlog Oeplrtlent, (813)
<br />788-6611.
<br />
<br />FurtbellOre, if the ~ner has hired a contractor or contractors, lie Ia advised to baye the contractor(l) 8lgn portl00a of tbe
<br />'Contractor SectlDOS' of this application fOr vltich they will be responsible. If you, 81 the ovoer .lgn II tbe contractor,
<br />you Ire in4icating that you, rather than the contractor, are responsible [or the work. If the contractor wlabea fOU to .190
<br />as contcactor that aay be an IndicatIon that he is not properly licen8~d and 18 not entitled to per.lttlog prS,lltgll 10 the
<br />City of &epb,rhil1e,
<br />
<br />C. lAANSPORTATION IMPJ\CT FEE~__l\Nl) V'I'll-l'rY CONNeCTION F6EB
<br />
<br />D. CONSTRUCTION LIEN L1\W (Ctl^PTER '113, FLORIDA STATUTES, AS AHBHDED)
<br />I certify that I, tbe applIcant, bave been provlaed with a copy of 'Flor!da'. Con'lluctlon Lien La, - HoIeoMott'1 Protectloo
<br />Guia,' prepered by the Florl0a DapartJent of Agriculture and ConSUJer ~iCalr.. If th, applicant I. 1OItOn. otber than the
<br />'ownor', I certIfy that I have obtalne~ a copy of the aUove described ,!ocUlent and proal.. in good faltb to delJ'1t it to the
<br />'owner' prior lQ coe.enceaenl.
<br />
<br />II
<br />
<br />E. ~RACTOR'SjOWNERIS~AFFIDAVIT
<br />I cerlley tbat .11 tbe in(ortatfon In lbls applicatIon is accurate and that all work will be done in OOIPliancl wilb all
<br />applicable law8 regulatIng construction, loning, and land deve~optent.
<br />
<br />Application 1. bereby lade to obtain a parllt to do work 6n~ In8tailatlon a8 indicated. 1 clttlfr that DO IOrl or
<br />installation baa COIIInced prior to issuance of a per.it and that ell wvrk _ill be ptrforJed to ...t .t&DdItda of III 1...
<br />regulating construction, City codes, loning re9ulatloos, and land d6veloplent r~lalion. In tb. jurll4ictloo. J .180
<br />certJC, that I understand that the regulations or other 9o'ernaenlol ~genciei .., apply to the inteadl4 .or., and ~t it 18
<br />ry responsibility to Identify whet dctlons 1 lust la~B to be In cOlp(iance. Such agencies include but are POt ll1ited to:
<br />· DeRtrllent or Knvlrontentel Regulation - Cypress Bayheads, ~etlano Areal and 8nvironaantal1y Sensiti,e LandI,
<br />Water/Waltewater Treatlent
<br />t Southwest Plori~1 Water Hanagtteot District. We118, Cypress Bayheads, Wetland Areal, Altering WaterCOijZ188
<br />t AtIY Corps of ~tneer8 ~ Seawalls, Docks, Navigable Waterways
<br />t ~tlent ot Health' RehabIlitative S!I!ic~&nvlronlent~1 Healtb Unll . Welle, Waslewaler Trea~l, Septic lanks
<br />· 11.8 lD,lrouental PcQtectloo ^~!Qf1 . Asbestos abatetefll
<br />I 1110 certify that, it fl11 ~terial Is to ~ used in Flood Zone "A' or "A,etc,', it 1. ~er8l00d that . dra1DoQe plan
<br />I6drt81ino I 'COIptnletlA9 yolu.e' 'Ill be sublltteo whIch is prepdred vy 0 prote88ional engineer rtgl,t81td in tbe Stlte of
<br />Florid. prior to perlit ilsuince.
<br />
<br />, I ptrIit 18sued ahal1 be con8tru~ to be a license to proceed wIth the work and not a. luthority to 'lollte, caDcel alter, or
<br />ail '1lde any prov18iOOl of tbe teChnical code8, nor shall i88UanCij j~ a per.it prevent the Building Officill frOl tberllflar
<br />requiring a correction of errors In plans, construction, iJ! violations of any code, Bvecy peaJt l..ued aba11 bee-. iD9Il1d
<br />unless the MOck autborlJed by 8uch perllt is cOllenced within six IOnths of issuance, or if work lutborlled by the ptrIlt 18
<br />suepended or a..bandooed for 4 period of elx IOnths after the U,e lhe wvrk 19 cQQeneed. One 90 dlY 81twloo of u., ., be
<br />allowed Cor t.hiI ptrlit lIith lee cherqe of U5.00. The elltensl011 sha!! be requested In wdting to the 8u11G1D9 Oencial. An
<br />IpprOled inspection JUet be logged ~urin9 each 81~ lOotb period, or lbe project .111 be conaldered abandoned.
<br />VARJIWG TO OWJKR: YOUR 'A(LURE TO RgCORO A HOTIC! OF CQKHBKCEKBHT ~~y RBSULT 1N YOUR PAYING TWICl FOR IMPROVBMIXT8 fO YOUi
<br />PROPlRTY, IF YOU UTm> TO OBTAIN FINANCING, CONSULT '11TH VWR LENDER OR A.M ATTOM!r BBPORJ RlCORDINQ YOOI IIO'tlCJ 01
<br />COKMiICiKiHl. J DER 12,\00 1M 'ALUR va RUT HiED IU RECORD A" POSI A 'HOIICE OF CDHMIHCIHIHl~
<br />
<br />~ - /J(-
<br />
<br />
<br />STAR or FLQR~
<br />coon, OF ' t-:~
<br />The foregOing lnBtrument was aCknowledged
<br />before Ite this j - I~ , 19L!2 by
<br />
<br />lS 11/:'0-003 ...r2lf-!?'};L -0
<br />wbo 18 perl),nal)Y knO~o me or who has
<br />produced ~~ ~ .
<br />as identification and who did/did not
<br />take an oat'l:-.l1 a }jf ~
<br />(SIgnature) ~ If J
<br />- ~.;J. It L'/ A 00 "-/
<br />(N-.e Typed, Pc nteu Or~d) ~
<br />HOTARY PUBLIC
<br />... -
<br />
<br />"..
<br />
<br />
<br />STATK OF PLORl~
<br />COU~TY OF. . '- ~
<br />The foregoing instrument was Ic~owledg.d
<br />before me this 6 - 18- , 19 ~ '? by
<br />
<br />G- t.,/~~- 936 --35'- ,;170 - 0
<br />who--T,j peg"al_lY known t~ .. or wbo Ii..
<br />prot;:.:ced A~ Z~ 0
<br />ae identification and who dld/d1d not
<br />taka an oatb ~ ~
<br />-- tZOfr;
<br />(819natu;;;tt;~ .L
<br />---- c9- h C-. v II. ~tJZJ +
<br />(HclJl;9 Typed, PrintedlOr Stupe)
<br />!2T."!!t't PUBLIC
<br />
<br />.......~~'~/"I" N
<br />$~~&' ..~~ ancy!',.
<br />;..: :..~ MY COMMISSION '
<br />~'J;..........~i Febr;I'i:.
<br />l~',9fllf:r,.~ BONDED THRlI.!"I~".',
<br />
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