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<br />CO!'iI);'i'lC:f~~; OF PERI"JIT AFE'IL'\Vl't
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<br />A. NCnIGE Of DEEr RESTRICTIONS
<br />The unde.t.sign"~d 1..1r,d~,rsti:)nde t.hat. trt5.,'" permit may be lsub-; ect 1:.0 "deed restrictions" whid,
<br />may be more r~3trictive than City rsqulatiohs. The under~~qned assumes responsibility tor
<br />complianc~e "ii 1:1: any appL\.cable .j",oe.d :t:est..rictions,
<br />B. UNLICENSED CC';'I'1'.FAC'1"),R,S ,-<.NL! \:;OtnRi'l'~'[.JR RE:SPONSTBILITIEiS
<br />Jt the owner hag hi~~d ~ contra2toL cr contractors to undertake work, they may be required
<br />1:.0 be li':::,;,ns~d in ,,,,cc<:)Y.::d<'tflce with 51.~.:,te ~'\nd local .r.~gul"'t:j>o.ns. If: th(:- contr<!.ctor is not
<br />licensed as requ~red by law, betn th@ Oinle~ and CQn~raCCcr m~y be cited for a misdemeanor
<br />viol,,,ti()Jl tUlde:.', st.'"-t~) .1.!il.~\1_ It i:.h~' G,m.eI::O.1: i.ntended contr?tc'::o!:. 2l.U~ un'~...rt:ain as to what
<br />licensinq .t~quire:nent.B ma.y cq::-ply for.: the: intended ~~().1:k" the:y ace adv:u9'ed to contact the
<br />Cj.. ty of Ztephy rhills .8ui 1 ding 1);-:pi:1!::tm",'1J i~, e13 .-7 86,- 661 J. .
<br />Ftu:thfr.t:mol.':', it U'v" oI-In.eJ: !ret,'" hired ,,'..::ODC.!.acto.t ox: cont-::<'lct(,>.r.~, he is advised to have t.he
<br />(:<)nttacto!: (8j si.gn port.ions yf. tl'1.f: ".ConLl.'acto:t' Sectionfjl" of this application for which they
<br />will be responsible:_ If Y<:.>'l, <l~ i:;hl.') (i~m",.t. (11qn:;l <:\.:::> the cont.ractor, you are indicatJng t.hat
<br />you, rath$l tl.H'tll the coot.t:c'tct.o.t:, i:ne re3pOTLsib1t:: 1":H t:0~ Hox.k. I:~ the contractor wishes
<br />you to sign dB contl:actc'.l t.I121.':. may bfo an \l)cii.,.~at:.i.on 1':.1-:<<1:'. h.... i.5 not properly licensed and is
<br />nc:t en ti t l.t3:d i~Q pe Lvd. t; L;L!l',1 p.t i 'I iJ.etje5 in the Ci. ty of '~:eptlY d'l.l.ll s '
<br />C. 'l'RANSPORTA'TJ.OfJ IMP.hCT H'EE;.s .!:IN): tiTIi..i.T\' CONNECTION fEE::;,
<br />D. CONSTPlJCTUIC'N LJF:.tl LAiv :, r::t.'AP'I'ER ,P, FLORIDlI. S],ATUTf~~'i A.SA1iJI<~ND.ED)
<br />J ce!:tify tha~.: 1" the appl.i.c':l.nt., have b""en provided lrr~th a Cqpy ot "Fl,,n:icta'::; Construction
<br />.li.en 1;8.~1 - Home.oTrme!:"" 51. Protl":ctir)li Glv.d<>." p:(~pi;\red by the FlorJ..ds. Department of Agriculture
<br />and, COH$Um"'.t AffaLLe;. l { the a.PF.L.cant. i:~ someone od)f:~r th"lt the "ovmf;!!:c"/ I (~~ri fy that I
<br />have obtcdned ,,:\ cO'py of the above desc1;.l.b.:::d C1CC:tlW""nt:: ;~nd pn)I~~J.:::.e in g.ood faith to deliver
<br />it to the "ownetU prlor to C0Mnen~ern~nt.
<br />J;;, CON'1'F<..i'\C'1'OH' B!CWiHER' r5 l-\.rq;.L 01\.\/JT
<br />I certify tha.t all. the J_nfot:!n",t~J.c1'l i.l.'. Uu.:" ~pp).J.catl!)n1.$ dCCUrate and t.hat all Nork '-'1ill
<br />be done Ln ~ompliance with all applicable laws regulat~ng cooMtruction, zoning, and land
<br />1'.1 :-:l..r~~ 1 ':)prnc.r'l t. ~
<br />Appl:!.I::at.tor;',.s r,'i';,teby trli'lde to obts.i'.l .'1 peJ:mit t.Q do \-'!ork .3.nd installat.i.on as indicated. I
<br />coe-.t:tify t.hi~.t no \.,ork ox .Lnstal.L.'x.i..cn h,:t,~ '::oJ11menr::e:d. p.D.c.,r to is~uElnce of a permit and t.hat
<br />al.l ,~ork J..J L1.. be pe.tfQnl)~d to !!Iht:r gt~iTl(i;:i\K'd-;; of all 1a\.>7t5regulaU.:n.9 eonstruction, City
<br />~X)de$" z(;rd.ng :re9111atian.s. ;:>,nd i.C'.n~: ,:L,,:'.relc'Fment requL3tions in t.he ]urt.sdi,ctton. I also
<br />ce.r:t.ify th..:t.t 1. unde.t:sLuv.:l. ~:.h",.t tl.:e'J1qul21t.tons of OLb~! gov(;'!.rruo(",nt.al a~Jencies may appl~r' to
<br />':;he .i.))t.!~ndo!~d ;.un J.'; , i;tnd thftt it is wy l.'e,sp')I1;;;ib:U.lty to identify what actions I must t,ake 'Co
<br />b(; It, ('OJllp.l..i.aIlC17-, S1.\'.~h agencie.$ 3.w::.1.ude but. aI:e not. Jimited to: "Depa:r:tment of
<br />Environmen tal Pegula tion-Cypress' B~yr'e-'3'..ls, vleLland AXe.>i.'\$ and Envj.Lonment.ally 3enP.o1.ti ve
<br />Lands, Water/Wa3te~~ter TreaLmenc
<br />*Sout.hwest f"lo.t:id.a h1atel; t,j;:l.lv;qf~ml":'nL Dist;.oct;-\'lell:>:, Cypr~ss8ayll~!~d$, i'ietla.nd Areas,
<br />Altering W~ts~cOUr9~9
<br />*Anoy Corp~ of Enqineer9-Seawalls, DockB. Navigable Waterways
<br />"Depaxtment of Rea:! th " R.ehl'biU.ta.t::L';"e: Senric:es.,EnvJ_r()nm~nt.."ll Health Uni.t-VfelJ.s,
<br />\'1a.'31:.eNdter Treatment, Sept..lc TaJlkEJ
<br />"'U.S. Environmer,tal Pu:>t:f::ct}.on P,genc'/-Asl.:,,",st.os abatement
<br />I also Cett1 ty th9t~f .i.t fill )na~et'l.a_. 1', t.o be q$ect in F'l:)od lJ(lne "1\" (~r ",1:>,., etc." f it is
<br />understood that & dULi.f\dqe pJ.an ';H:tdn:3sinq3"compens;3.t..lng volume" will be submit.ted which
<br />lS pr.epated D',i a p.rC>t~es:'.n..,)n.:"J. '?:nq,:ul""':r.: I;'=qtst{~red ~n the State of Flor:Lda prior to permit
<br />J .5~;u,?'n('e ~
<br />1\ pe1.'Tn.it .i.s~t.1(:d sha..U. be construe.d to be .;3. licen;se to p.r:oceed '......ith the: work and not as
<br />Cl\).tho:ctty to.;lo1ate, cancel, ,:'tJ.t:{~.t, ot' set a:;;.i.de any p,H}V1S.io~)~ of t.he techn\<:aJ codes,
<br />nOl:: shall issuance of ,'l. pe.!:mj. t pre'fr.:;,nt che Building Offiei-3.1 f:cont thereafter requiring a
<br />CQJ;tectton ot ettC).~:Sl'l pJ.a.DS, (:':0~)S,:.~:uct.i.on, 01' violi'l.ticns of any code, Every permit
<br />issued shall become in',/.31::.'-1. unl",,~s the hork i!ll,2tho:'.:lzed by :SliGh p€!rmit 1s ':onunenced w.i.thin
<br />six months (if j,,:~uance, CJ;. if 'Nol:k a,u.thori;'.fld by t:h,", permit is suspended or abandoned for a
<br />pe.-.::icd of sil>: mOl'.sI.F:la:Lte:-.-' tb"" timE! 1:h"" 1<10!:K: .is oommenced" eme 90 da~r extension of time
<br />:;nay be allcVI'ed for; the per.;Rlt ",~ith fee cha.rge ot ~~15"UO, ThEl ~;.:.te.nst()n >>haJJ. be requested
<br />in wrltinq to the BUlld~ng Official, An approved inspection must be logged during each six
<br />month period, ~)1: t:he pr:c.: e'C':; \"il.l bo:e r.:cme.idl'!!:<'!'d aband.0l'l'ed.
<br />~lA.RN:rNG '1'0 OVJ1.iER: ,(CUR E'ATLURJ!: I'C> RECO?.D A. N()'l'lCE Of CU.~'il"H~~NCF':I'1ENT MAY RESUL'l' IN "fOUR
<br />PAYING TWICE FOP H1f'POVEMEN'I':~ ''::0 ''{OU,~: PROPERTY, .U!' YOU TN'l'E.t,([I TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR I"E~NlJEH OR .PLN }\TTOFNEY 5E.f<JI.,E R,ECOP.DIW::: Y(Jf}:':1, NO'.nCE OF CO.lIllMEHCfJ!MENT, JOBS UNDER
<br />~;2, :lOO TN i!j!LLlJE DO NOT NE:I'lD TO l,t>:COf<:JAND POST I'L >'NOTICE OE' COMr>1EHCEMENT",
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<br />COHTRACTOR
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<br />STAT Ii' ()F' F'T rlRl i-I" , L. J Co 1/\
<br />::()UN'~Y - ~~)F --:~=.=~~J1LL~__._..tz)U~r.L____.___.._
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<br />Th~ t01::eq,).!.n?l..'.:).'l~'.rj...n\Inent \:'~:.'C a_ClrD. oW.l'~dg~L. (
<br />Betore me tIns Jim d3.Y O! ~~., ~
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<br />The foregoinq in,s'ftument \r"ara~~r::.kClowledge(l
<br />g(~for:;" me t:hi.:'~__day Of-t:~:JlQ~, ~.J~J
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