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<br />CONDl'J'IONS OF PEHMI'l' l\FY IDAVl'l'
<br />J\. NOTICE OF OKED IlKSTIUC1'lONB
<br />tbe undeCljgn~ under8tand, thatlhl, per.1t lay be subject to 'deed reBbid!u"stl IIhll,h lay be JIOre restrictive thin City
<br />reoulllUonl. Ibe underelvnd aBlu.teB lflRPOIISlbiJUl' Cor co.pHaRc!! .Uh any llppHuble ~eod lB8lricUOIII.
<br />
<br />lL UNLICENSED COliTRAC'l'OUS MfLJ CON'l'H.AC'l'On HESltON9IDILI'l'lES
<br />H thll owner bae hired a contractor or cuntractors to ulI~e[laill voii~i,,"~;8 nquJ~8dLOjj81IcensecJ In Iccordance lith
<br />elate IInd lOClIl rtyulIlUon,. If lhe contractor is not llcen811d a8 requhlltl by law, bolh Ul, Il1lner loc1 coolnclor ., be
<br />cited (or a li8dt!leanor vloJatlon under IIlate law. If lhe OMner or Inlended contractor are uncert.ln 81 to lbat llc8nling
<br />r@quJr~Mte ."1 apply (or Lhp. Jntended wo(lI, they ore advised to contacl the Cily or J.lll'hrrbllll BuUOln" DtpartMnt, (813)
<br />188-66J1,
<br />
<br />FurlberlOre, If the ONner bas hired a cunlraclor or contraclors, hn i8 advIsed Lo have lllO cUlltcaclor(.) 81go portloDl of tbt
<br />'ContractQC Sectlonsl of lhl. appllcltIun for .bleh they will be responsible. II you, ag lb, owoer 11go el the contractor,
<br />you are indicating that lOU, rathBr than tbe contrlctor, Irt! responsible for the work. if lbr contractor wllb" IOU to ,1qo
<br />8S contraclor that la, be an IndicatIon that he Is not properly licensed and J8 not entitled lu Plt.lttlog prJ,Ileg.. In the
<br />Cily of Zepbytbllll.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTJq!LX.~
<br />
<br />0. CONBTRUC'I'ION LII!:N Lt\W (CUI\PTEH '/13, FLOlUDI\ S'l'A'.rO'l'EB, AS AM8lfDED)
<br />I certify lbllt 1, lbe applj~i,e beBn ploylde~ lith a copy of 'Florida'. Construction Li~n Law _ HoIeoNner'. Protectl04
<br />Guldft' prepared by the Florida Oepartlent of AgrIculture Ind CORsUler Af(alrl. If lbe ~ppllC3qt I, lOItOne olb.r than lb.
<br />'ownertl, 1 certify tbat I have obtaIned a copy o( lhe above destrlbed ducu.enl lInd prOline In 0004 flltb to 4elhet it lu lbe
<br />'ownet' pciol to co..enclIent.
<br />
<br />II
<br />i
<br />
<br />~. COHTRACTOR'S/OWNER'S AFfIDAVIT
<br />I cerlif, thlt all lhe inforlatlon In this application II accurate and that all work viii be dune In COIplllDCI with ill
<br />applicable lawl regulating conltructlon, lonIng, ana land developlent.
<br />
<br />Applicallon 18 horeby lade lo oblain I perlit lo do worl and Instailallon a. indicated. I cerliCr that no work or
<br />In8tlllatlon haa COII8nCed prior to issuance of a pet.it an4 that all wort .ill be perlolled to ...t Itao4Irda of all I...
<br />regulating construction, City cod,., loning regulatione, and land de,elov-ent regulations In the jurladict1on. I .180
<br />certlC, that I under.tlnd that the regUlations of otber governlent.1 IIgenclue 1f1 apply tu tbe Intended IOrk, and that It I,
<br />.Y relpon81bilJty to identify what Ictlons I luel lalQ to be In co.pllancu. Such Igenct91 Include but ar, Dot 11llted to:
<br />· DePlrllent of Bn,lrOAIIRtal Regulation - Cypress BI,helld., Vetland Areas and BnvirOnlUnlally 8eRlltlvI Lan48,
<br />, later/Waslewaler Treatient
<br />· Southweet Florida Valer ftanegllent District. Nelle, Cypress 8a,heads, V.tland Arell, ^llerillg WaLarcour.'1
<br />· Ar., CorOI of Iovlneers - Sta.alll, Docl" Mavlgable WaterMay.
<br />· ~irllenl of "..lib. RBhabll1tatl,e Ser'itea, Rn,ilORlental Health Unit - Welle, VaeloNalor Yrellleot, Septic lanll
<br />· US In,llOOllnl.l Protection Avency - 18beltol Ibatllent I
<br />1 1110 certlfr tbat, If fJII later!,1 II to be uled In Flood Zone .~tI or tlA,ele.tI, It 1ft unGerstood that I dr.lDtgl plen
<br />lIddrelling · 'COIptneatlng 'OJUII1 will be 8ub.JttRd which Js prepared bJ I proleeeJonlll englnfter reglBter" ID tbI Btall of
<br />Florida ptior to per.it, lllu.nc,.
<br />
<br />. A perllt iBBUed .blll be conatrue\J to be a licenle to proceed vith lbe lIork and nol a. autborUf to dOlatl, CIOCll .1lu, or
<br />Bet Is148 IInl prowl.ion, of the tecbnlcal code8, nor shall II~upnce of a perllt prevent tbe Building Offlcl.l llOl tbllllftlt
<br />requiring a correction of errO[8 In plans, construction, or vIolatlolls of anr code. Iver, plrllt ISlued ahal! beODll 10,111d
<br />unle81 the .or1 authorlltd bl 8uch per.it la COll8hced vi thin 81. toIIths of IS8uance, or if worl lutborlll4 br the per.lt I,
<br />Suspended or abandoned for a period of 8i1 IOnlh. after the till the IIOrlls cllIIenced. On, 90 day ut8DIloa IIf u., ., be
<br />allowed fot th, perllt 11th fee charQe of '15.00. Ih, eatenslon aball be (!queeted In .rillng to the Building Official. In
<br />appro,ed inspection luet be logge4 aurlng each 8i. IOntb p.riod, or the project 11111 be vonaldere4 abandoned.
<br />WARlUG TO (MIll: YOOR FAILURI TO RICORD A NOTICI OF C0IfH811CIHIHf MY RESULT III YOUR PAYING fWlCI FOR IHPROYIJtOT8 TO rooa
<br />PROPER". IF TOU IITIID 10 OBIAII FIIIAIICING, CONBULr WII" YOUR LIIIDKR OR AI ATTORRKY BRFOhJ RiCORDING YOUR MOJICI OF
<br />COMKIMC&KBMf. JOBS UIIDIR $2,500 1M VALUK DO NOr MilO to R8CORD AND POST A ~NorlCI OF CUKHIMCiMIHY'.
<br />
<br />~f'~~
<br />SCIU: IORAGIM' .
<br />
<br />srAIE OF rLORI~
<br />coonr OF ~~
<br />The foregoing In8~t W88 acknmrledged
<br />before me tbis ~ ' 19 ~ by
<br />
<br />
<br />Mho 18
<br />Pl'oduced
<br />~:k~:.:t~:~~a.ti~d .hO~~d not
<br />( r;n??-':;;-~-'l'P~~~[at
<br />(.~n8turer .
<br />
<br />/ /
<br />
<br />./(HUft Typed', -- vr'lnted'orsianip8llJ
<br />NOTARY PUBLIC
<br />
<br />8tlllB OF FLORIDA fl ~
<br />COUNTY Of ~~~
<br />Tile foregoing in8tv~ was acJgl9yedged
<br />before me thi8~, _, 19~ by 0,
<br />u-~ C~ U/;4~
<br />who 1 nally Jmciij!p to lie or who baa
<br />pt'oouced
<br />GB identificati.oll nn~.'h~;!..;9 Id~t id not
<br />take 1 uath. ?~p'~
<br />(S ature)
<br />
<br />
<br />
<br />JAMES F. NICOL!n'o '
<br />Notary PUblic, Stale ot Florida
<br />My comm expires May 18, 1999
<br />No. CC465162
<br />
<br />(Name Typed, printnd-o.r-Sta.ped)
<br />NOTARY PUBL1.c-.__~___ ~'_
<br />
<br />JAMES F. NICOLETTa
<br />Notary PUblic, Stale ot FlOrida
<br />My comm. expires May 18, 1999
<br />No, CC465162
<br />
<br />,g)'(~
<br />fa'
<br />
<br />,g-A~'
<br />fay,
<br />
<br />- "=0< '''"'_....__ "'_~
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