<br />-1 !oumans
<br />
<br />'/88-5262
<br />
<br />06/01/2000 08:20:07 AM
<br />
<br />CONDITIOHS OF PERMIT An'1:DA.VIT
<br />A. NOTICE OF DEED RESTRICTIOHS
<br />The undersigned understands that thia pe.nni.t may be subject to ~deed restrictions'" wh;t.c;h
<br />may be more restrictive than City requ~ations. The undersigned assumes reapon8ibi~ity for
<br />comp~iance with any applicable deed restrictions.
<br />B. UHLICI!:II:9ED COHTRACTQRs AND CONTRACTOR RESPONSIBILITIES
<br />I? the owner has hired a contractor or contractors to undertake work, they..y be required
<br />to be licenaed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor 1lIlIY be cited for a msdemeanor
<br />violation under state law. It the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhi11s Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractorla) Sign portions of the ~Contractor Sections'" of this appLication for which they
<br />Hill be responsib~e. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor. are responsible for the work. If the contrector wish..
<br />you to sign as contractor that _y be an ind.1catlon that he 1s not properly licensed and is
<br />not entiUed to permitting privi~eqes in the C:::ity o~ Zepbyrhi~ls.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FBE5
<br />D. c:oJISTRUCTUION Lr.F.Jil LAW (CJlAPTER 713, FLOIUM STATUTES, AS J\M.I!:IIDED1
<br />I certify that I. the app~i.CIInt, have been p.rovlded with a copy of .Florida's Const:ruction
<br />lien Law - Homeowner's Protection Guide'" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant 1s aomeone other that the .owner-, I eerify that I
<br />have obtained a copy of the above described doc:ument and prDllise in goocl faIth to deliver
<br />it to the .owner- prior to eomaencement.
<br />E. COIfTAACTOR' S/OIfNER' 5 AFI'IMVIT
<br />I ceruty that al~ the information in this application 1s accurat:e and that all. ...rk will
<br />be done in compliance with all applicable laws regulating construction, zoning, ang land
<br />develDplll8llt.
<br />Application i. botr.by _de eo obtain a perm1.t to do work and in.callation as indicated. I
<br />certify that no work or installation ha. comn.nced prior to issuance of a perMit and that
<br />al~ work will be perfoxmed to meet standarda of all law. regulating construction. City
<br />codea, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gover~ntal agencies ..y apply to
<br />the intended work, and that it is ~y responsibility to identify what actions I muat take to
<br />be in compliance. Such agencies include but are not IJ.m1ted to~ .Department of
<br />Environmental RegUlation-Cypress BayneadB. Wetland Areas and Environ.entally Sensitive
<br />Landa, Water/wastewater TreaLneut
<br />.Southwest Florida Water Manaqenent District-Well.s, Cypress Bayheads, Wet~and Areas,
<br />Altering Wateccou~ses
<br />"Army Corps of Engineers-Sea_lls, Docks, Navigeble Water:ways
<br />.Department of Health ~ RehabilitatIve Services, Environmental Health Unit-"l~s,
<br />Waatewater Treat:ment, septi.c Tanu
<br />+U.s. Enviro~ta~ Protection Agency-Asbestos abat_nt
<br />I also certify that. if ti~l material Js to be used in FLOOd Zone .A- or -A,ebe.-, it is
<br />understood that a drainage plan addreSSing a .compensating volume- will be subBdtted wbiah
<br />i. prepared by a professional englneer registered in the State ot Florida prior to perMit
<br />i.suance.
<br />A pe.nni.t i..ued .hal~ ba construed to be a license to proceed with the NOrk and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical cod..,
<br />nor shall issuance of a permit prevent the Build1nq Official froa thereafter requiring a
<br />correetion of errors in plans, construction, or violaticma of any code. Every pe~t
<br />issued shall beCCllM inval1.d unless the work authorized by such pe.a.it 1. ~ced within
<br />si.. months of issusnce, or l.f _rk authorized by the peaait 1s suspended or abancl.oned fOr a
<br />peri.od of six IlIOnths after the ti_ the work i8 cca.enced. One 9D day exteneion of tu-
<br />may be allowed for the pe.nni.t with fee charge of $1.5.00. The extension shall be requested
<br />in writing to the Building OffIcial. An approved inspection must be 1099ed c1uring each ..;Lx
<br />IIIQnth period, or the project will be considered abandoned.
<br />1UlIINING TO OlIfNER~ YOUR FAIWRE TO RECORD A NO'l'YCE OF COMNI!:IICElvoMT MAY RESULT IJf YOUR
<br />PAYING 'I"lfICE roR IMPROVDIENTs TO YOUR PROPERTY. IF YOU IJlTEND TO 08'1'AIH FIIIl'INCIIrG, COIISULT
<br />WITH YOUR LENDER OR All ATTORNEY Bl!:l'ORE RECORDINC YOUR Horl OF COIIMBNC&M8NT. JOBS URD8R
<br />$2,50D IN VALUE DO NOT HEED TO RECORD AND POST A .MorICE
<br />
<br />~J/n lfJ . (~~ Xl --:tz;n.~
<br />S GJlATURE: OWIfZR OR AGENT
<br />
<br />STATE OF """JlIDA
<br />COUNTY OF I(L 5.Aoe DUb /)
<br />The foc:egQ1ng instZ:Ulllent _a acknowledged
<br />Before IDII th1s~ day gf ~tj~~ .2eOO
<br />by I'l.4R~ Ai nIt.N->r. u,c
<br />~ In_ of persOl1 acknow~edgedl
<br />~WhO i.personally known to _, or
<br />
<br />o who baa proclllced
<br />~ [type
<br />,A.did n
<br />
<br />
<br />lif.~'if,Y'r~ Tomaro James
<br />N i"~ MY COMMISSION # CC77oo59 EXPIRES
<br />~..:"U AugUS124,2002
<br />..:tP.r..ii-~" BONDED TH~U TROY FAIN INSUI1ANCE, fNC
<br />
<br />
<br />STATE OF no
<br />COUIlTY OF
<br />The foregoing inatr~t:. _s acknowledged
<br />Before ... thi8 ~y of . 2080
<br />by T rT.~ V'l'O .T~IIf~
<br />(n_ of peUOD acknowledgedl
<br />D.", is peraonaJ.ly known to _, or
<br />
<br />C who ba. prodUced
<br />.. Jtype of identificooUon)
<br />IlDd who Cd1d ,au.d not talle an oath
<br />
<br />~~c.~ \~
<br />
<br />Signature of pe1:1OOn taldn9 a J.~t;
<br />
<br />~\\o.. L. ~...",:>
<br />
<br />Name typed, printed Or staaped
<br />
<br />.
<br />
<br />STELlA L DAVIS
<br />co.\ftAlSllON , CC917752
<br />EXPE JlIIl10 20CW
<br />ICNIlID 1MlClUlIH
<br />1\1 ~CXliMMNY
<br />
<br />P.2
<br />
|