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<br />CONOt'l'tONS' OFI,PBhMl'r, ,AFFIDAVl'r
<br />^. NOTtC" OF' DBED RESTRIC'tIO.NS . 't\".~N'll'\~ .~, ","
<br />the undersigned understand. trlat tbls perllt .ar be .ubJec~!to \'detl!dre8trlcUons" whicb lay be lOre restrictive than Cily
<br />regulation.. 'hi under.lgnl!d a..Ute. r'I~.ibility tor COIPll~te 11th any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONtRACTORS AND cONtRACTOR hESPONSIBILITIES
<br />If the owner hd. hlr@d . tontr8ctot or contractor. to undertale work, they la, be reguired to be licensed in accordance with
<br />state and local. tfgUlaUoo*. If tilt, toIitr8etor 11 not Hctnl8d .. required by lalf, both the owner and contractor lay be
<br />cited tor a .t.dtleanor .lolatlon under Atate ta~. tt the OMntt Ut tntC!nded contractor are uncertain a8 to what licensing
<br />reguireMentl tat .pply tot the intended worl, they Ire ad,i.8d to contact the City of Zeph,rhills Building Deparllent, (813)
<br />788-6611. '
<br />
<br />FurtheriDte, It the owner has hired a contractor or contractorl, he iB advised to have the contraclor(s) sign portions of the
<br />.Contractor section.' of lbl. application for vhich they will be teBponsible. If 'au, as the owner sign a8 the contractor,
<br />,ou are Indicdltng that you, tdther than the contractor, art r~Bponilble tor the Mork. If the contractor wishes you to sign
<br />as contractor that 18' be an Indication that be il not propert, licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhill~.
<br />
<br />C. TRANsPOnTAtIoH IMPACT FEES ANV UT1LITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LI~N ~AW . (CUAPTEn 113. FLORIDA STATUTES, AS AMENDED)
<br />I certify that It the applicant, ba.e been prOYlded with a copy of -'lorida'8 Construction Lien Law - HOIeowner's Protection
<br />Guide" prt!pared by th. rludda DepartJent of Agriculture and C0n8Uter Affairs. If the applicant is so.eone other than the
<br />.owner", I tertlt, that t hatt obtained. cop, of thi! abo,e described c10cuJent Bnd prolise in good faith to deliver it to the
<br />"owner" prior to c~nt~nt.
<br />
<br />
<br />IIpplication i8 hereby lid!! to I~tain a pllrlU to do work and instillation as indicated. I certify that no work or
<br />Installation ha' toIM!nttd ~rlbr to i8suance ot a perlit and that lIt worl will be perforled to .eel standards of all law8
<br />regulating con.tructlon, City todes, 'onlng regulatlon8t and land de.eloplenl regulation8 in the jurisdiction. I also
<br />certify that t underttand that the regUlation. ot other got~rftJeDtat agenclel 131 eppl, to the'lntended worl, and that it is
<br />.y responBibilttr to identity what Bctlon. 1 lust tale to be,ln ~liance. Such agencies include bot are not Iilited lo:
<br />. Depirtlent of IBfironleBtal Regulation - C,prell Bayhea'.;Vettand Areas and Bn,ironJentall, Sensitive Lands,
<br />Vat@r/Va8tewater treallent
<br />. Southwest Plorlda Vatet Managetent Dlitrlct - Veils, Cypte.. larbeaa., Wetland Areas, IIltering Watercourses
<br />. Arl' corps of Jnglneerl - Sta.alls, Dotls, latlgable Vaterwa,s
<br />. DepartJent of Health' Jebabltllatl,e Ser.lee8, In,ltbhlent.1 Health Unit - Veils, Vastelfater treallent, Septic Tanks
<br />. US InvlrOJlleDtal Protection Agency - Asbestos abatl!lent , ., I
<br />I al80 certif, that, If fill 'aterlat is to be used in 'load Ioht -A' or .A,etc.., it i8 understood that a drainage plan
<br />addressing d 'COIp8nsatiD9 .olDle' .111 be subtitted whieb .i. prepared by a professional engineer registered in the State of
<br />Florida prior to perllt, 1..UaRed.
<br />
<br />. A per.it issued shalt be conatrued to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aBide any prOtistan' of the technical,codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter
<br />regulrlng a correction of errorl in plana, construction, ot tiolations of any code. Ever, perlit Issued shall becOle invalid
<br />unlesl the vorl ButboriJed by .uch perllt Is tOll8nted within 811 lanths of issuance, or if work authoriled by the perlit is
<br />8uspended or abandoned tor a period of 811 lanths after tbe tIle the work Is cOllenced. One 90 day eltension of li.e, laY be
<br />allowed for the petlit with fee charge of tI5.00. , The eJten8ton,~ball ~e requested in writing to the Building Official. An
<br />approved inspection IUlt b@ togged during each sl. .unth perlbd,'~t the project will be considered abandoned.
<br />VftRNIKG to ONKER: lOUR FAILURE 10 RECORD A KOftCl OF COMMIKCBKBMt KAY RESULT IN YOUR PAYING TWICI FOR IHPROVEHHHTS TO YOUR
<br />PROPIRtt. IF tOO InJlfU to OBtAI" PlltAICIIIGt COIfSULt 111111 'fllJR tIJOIlR OR AM ATTORRIY BIFORI RICORDING YOUR IIOTICR OF
<br />1DIIIIIt!IIIIII. lOlIII UI1JIlI tMot 'I y~ IIID 10 lIIalll,. iIOl POSt A '1IOflCl OF CllIIIllCIIIIiI".
<br />
<br />l:I:r~' , ;/#L-L,
<br />
<br />9IG11AtURI: ONKIIt OR A Itln 8IGNAtURIl: CONtRACTOR ~
<br />," ,
<br />
<br />
<br />8fATI OF FLORIDA
<br />
<br />d -flu l
<br />
<br />who
<br />I .'.
<br />"ro u
<br />, '\'..~ idenU.,~~~~
<br />1.'t8ke an o~~ /
<br />
<br />(Signa~re)
<br />, I ::,. J( tflullt/ 1);1/ ,vie c.... ~
<br />---"7. (Name Typed! Printed or stamped)
<br />. NotARY PUBL . ~".-""'" .. '. ,.,
<br />., :& Randy Allen Daniels
<br />~ Ng~~rv,:uEbliC, . State of Florida
<br />. , XD res Jlln 18 Wo1
<br />e~ Thnr No. CC61419S .
<br />. o:"cial Notary Service
<br />.." ro-Q121
<br />
<br />y en anie)s
<br />MyNcotarv Public, State of Florida
<br />omm, ExDlres JIIIfl 16 2001
<br />No. CC614195 .
<br />Bonded Thru: Official Notary Service
<br />1 aoo 723-0121
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