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<br />CONU:t"'10N8~!O"J,'"IH;t't,,~AFFIDA VI'f
<br />1\. NOTtCI: Of' DUDR8S'tRIC'tlIS~~"1~1;;;~~~t~V;'~" ",.,
<br />the lmderlJgnet1 tIdll.rlland.tuttt......nit"_,, ,\'..J.t\lto~....'tt.trJdlona- whieb lay be lOre restrictive than City
<br />nguJaUoni. tilt .......... ......~HU'tot talPl1Mtt:.ltb Mrappllcable deed restrictions.
<br />
<br />B. UNLICMSSD I COH'tRAC'tO@S ,AND' COHt1tACTOtt JlESPONSIBILITIES
<br />If the ownt!r h.. hltttt . toetl'aet.CJftJt..tr.elOrl'tCJ UddttU....tfOt.t _." be required to be licensed in accordance with
<br />statt And luclll t.jaU"'~ If the tcldlt.etot I. dDtHtMltdll. fequbec1 by Jiw, botb the cnmer .JOd contractor JaY be
<br />cI ted tot a .I~t _'b..UOd unc1tt,tat.latt. tf Ut. OIftIn tit tfltMck!d contraetor are uncertain as to what licel!sing
<br />requireMent. lit .ppl, t~t the lntanded ~r.; the, Ire ad,l'" to tonlact the ellr of Zephrrbills Building Deparllent, (813)
<br />188-6611. ' ' .
<br />
<br />If' I;.'
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<br />Furlher~t~, It the owo@r has hired a cuntractor or conlraclijrl, he II ad,lled to ha,e the contractor(s) sign portions of the
<br />.Conttittor BetU.." of ~I' IpplleaUm for ,lIteh ther ,111 WI telpMlible. If you, as the owner sIgn as the contractor,
<br />JOu arl! lmUcaUng tMt fC*, uthllr than tM tontrldor, are f"l'OtI.lble tor the lIOr.. If the contractor wishes you to sign
<br />a8 contractor that.., be In Inllc.lIOl~t. he II not proper1, IJtanlea and 1. not entitled to perlitting privileges in the
<br />eltr of ZephrrhllJI.
<br />
<br />c. TRANSPORTAtION IMPACT FEES ANn~UTILITY CONNECTION FEES
<br />
<br />(). CONSTRUCTION LIEN oLAW \ (CHAPTKR 113~ FLORIDA S'1'ATUTES.. AS AMENDED)
<br />I certify that It the app1JCllt,bafl been prorJaea .1th I tOpf of "lorJdat. Construction tlen La. - HoIeDwnerts Protection
<br />Guide" prilparec1 bt tilt rlbtll1aDeplttlfat.;oflgr1calturt IIldCallUler Affabl. If the applicant is sOleone other than the
<br />.000p.rll, I certlf, thatl ha,. Obt.lned ltopt bt the'.bote dlserlbed ddtulent and rrallst tn good faIth to deliver It to the
<br />"oltner- prior to ~etIIIIl. i '.'...,.
<br />
<br />
<br />IIppUcaUon II herebt lade. let fib. la....... '. ptrl.l.....~....t. ~.'" dolO,. r....: and.. '. '.~. Jill... ti. ....U. .. t.ion. .al J.ndlcated... I. ceo rUfy lha. t no work. or
<br />InstIllation hi' ~ pt.6t., ."tot.<.......'...t.'.~_.. "..n... .l~........ ,..rUll......l. \.ll.1....."'..,r.... "...I,J..1 be..,.. d.'. ned. ...to _.' et.. 'stanc1ards,o( alllaMs
<br />(l!gulatlng conlbueUtJn, eu, toc1ofr .S.,!..I~t1"'t"':JIi1d8ttl..t;nplaU""ln',t118 jurl.diction. I also
<br />cl!rUfr tllat t ...tlt.... tllat tllet...U.. ot;bl...ri....h. _el..'..'~appt' to lhe'.lntended wort, and Lbat it is
<br />., r!!8ponlJJbHUr to IdtftUf"hat 8tHane tldltJ~.. t'M"I~.,1Jante. Such Igencies include but are not li.Ued Lo:
<br />. Departleot of ID,Jronledtal legulaUoa · cfpr...'..,.....,..tl.dd Arfas and In,iroDlentall, Sensitive Lands,
<br />, ,"attt/lllat.ter IrMtJent
<br />. Southwest ,Jodda IIltet=:::t Dl.trlct. -. '.118.. H.. I, '. c. "tit., lI,lIeac1.i, WeUand Are.8, Altering Watercourses
<br />· A[1f COfPl of 1Ml~:"" . 'e.i_,~"fJ."I'htln.,.
<br />. De ltrtJeat ok ....tl,..!;i 'IJlDU"~lml* :,'ladtllMMWlealth IInU - Velll; lIaltewater !reatlent,Septic !ants
<br />· us IDYlr_t., i~!,,~toIli"'~..t. . ,;
<br />I al.o ct!rtlfr t . It .11. toh olelt' a. ,tOOllldfti tA' or -A,etc.", U i. understood that a drainage plan
<br />addressing II .taIptJI..UIIf'.... ..UI be IUbtlUtdlhida ".prepared bl a professional engineer registered in the State of
<br />Florida prior tit pertlt.lthMtt. .
<br />
<br />. A per. It Issued lha.. bf t'OfIItrftl1tobe . lJct!fII.fto .~toctec1 .Uh the wort and not as authority to ,Iolate, cancel alter, or
<br />Bet aside anI pml.l. !';'~"kJ,ltdC!ll~,',~~.JI",HJIltlInct! of a petalt prevent th~ BuUding Off~clal frOl tbereafter
<br />r@quldng . tottMttatl,f;.nih,lt.,I*lC!lillllMtldiltfJtl1fJlaUone of ..., tcMle.lyttt~"'ralt i.suecJilball ~becoIe;JnYaHd
<br />Unl!!!1 the IIor1 autflorb"1It~..d.J"ttJtJ.~.~-,~~t;tf^~I~~t! IOIItlle of ,!aauance, or. if work authorilec1 br the perlit is
<br />IlUBP!!OOed or abanl1onet1tor .perJlJl1ol.1.1dd~;ltt.~tMU..':tJJ.worl II tt.lenced. One 90 day eJtenBion of tile, .ay be
<br />allowed for tile "raU .n.. ,.'et. . dta. tp or.'t1".pG. ;'/.'.:;..... '. '.. ',~.. '. ~1l ~ ll!qul!8ted In wriUng to the Building Official. Jln
<br />al'profl!t11nflpec:t10i IUltbt 1.ddt.ft9"'!w~<". "I,ot''t~ proJeclllHl be considered abandoned.
<br />""R"llft: 'to mrnR! YOOI tIU.lJftm:RdItA IIOlICli,~' .' Mt IIISUtf II YOUR PAYINe t1I1CI fOR IHPROVEHIiHTS TO YOUR
<br />p.ROPlm. I'" litbIt'to;lItIdrn....f1"'!'.. .. .. ". iLbolA OR P Anon.IlY BIYOR. RICORDlHG YOUR IIlmCl OF
<br />mIIIICI8h'. JOBS _,:'~f.l.ftAfJJt.. ..IJOJOrIaf...: . . '.. ,..,oar · 'IIOJJCI OF 7 y
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<br />/l/~ ~ ~ '~."~': ~-
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<br />SiG""tURR: OfIIIR OR AGIlII 81GIIA : CONtRACTOR
<br />.. t ..:. ,
<br />
<br />
<br />(Name Typed, Pci
<br />NOTARY PUBLIC
<br />
<br />\ELS
<br />)state of RoOda ~ ,. (N8Jt8 T
<br />My Comin. 6p,Aug 31. 2002 · " 'HOTABY,
<br />, Coinm. No, 771791 ' , .' '. .'
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