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<br />CONDITIONS OF PERKIT AF:tIDAVJ:T
<br />A. NOTICB OF DEED RESTRICTIONS
<br />The undersigne understands that this peCll:!.t may be .subject to "'<1eed restrict1.OJu." which
<br />-y b.. more restrictive than City requlations. The undersigne a.s.-s responeibility for
<br />compliance wtth any app~ieab~e deed restrictions.
<br />8. UHLICDlSED CONTRACTORS AND CONTMCTOR RE.!lP0N5laILITII!:S
<br />If the owner has hired a contractor or contractors to un<1ertake work, tbey lliay be required
<br />to be licensed in accordance with stat. and local regulations. Ir the contractor is not
<br />licenaed .s requdred by law, both the owner and contractor may be cited for a misd....nor
<br />violation under state law. If the owner or 1ntended contcactor are uncertain aa to what
<br />licensing requirements may apply fox the 1ntend.ed work, they are advised to contact the
<br />City of Zephyrh1lls Building Department, 813-788-6611.
<br />I'u.1:thenaore, if the owner ha. hired a contractor or contractors, he is advised to have :tbe
<br />contractor(s) sign portion. of the "Contractor SectionaM of this application for which they
<br />will be responsible, If you, as the owner sign. as the contractor, you are indicating that
<br />you, rather than the contractor, are respon.ible for the work. If the contractor w1.ahes
<br />you to 8ign a. contractor that ~y be an indication that he i8 not properly licensed an4 1&
<br />not eutltled to perRdtting privileqee in the City of Zephyrh1l1s.
<br />c. TRAHSl.'ORTATIOH IM1>ACT !'US AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LMf ICHAPTD 713, FLORIDA. STATtl'TES, AS JlMENDED)
<br />I certify that I, the .applicant, have been provided with a copy of ~rlorida's Construction
<br />lien Law - H~owner'8 Protection Guide"' prepared by tiuo Florida Department of Agriculture
<br />lUld COn811ll1er At1:a1.r8. If the applicant is ....ou. other that the "'owner", r cerify that I
<br />have obtained . copy of the above described document alld. prolll1..e in good. faith to deliver
<br />it to the ~owner'" prior to ccmanencement. '
<br />E, CONTRACTOR' S/otfHER' S AFFIDAVIT
<br />I cert:lry that a11 the infoDllat.ion in thi8 applicat10n 1.8 accurate and that all work will
<br />be done in compliance with all applicable laW8 regulating construction, zoning; and land.
<br />development.
<br />Application is hereby made to obtain a perRdt to do work and tn.ta11atioD as 1nd1cated. r
<br />certify that no work or installation has commenced prior to issuance of a pe%Ddt and that
<br />.11 wOJ:k will be pertol:llled to _at atandarcia of all laws regulating construction, CJ.ty
<br />codes, zOning regulations, and land develop..nt regulations 1n the jurisdiction. I alao
<br />certify that 'I understand that the regulations of other gove~tal agencies may apply to
<br />the intended Work, and that it is my re.ponaibility to identity what actione I must take to
<br />be in c~liance. Such agencie. include but are not liDdted tal *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and EnVironmen~ally Sensitive
<br />Lands, Water/lfaatewa.ter Tre;u:ment
<br />*southwe.t Florida Water Management Di.trict-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourse.
<br />*Army Corps ot: Engineers-Seawalls, Docks, Navigable Waterway.
<br />*Department of Health ~ Rehabilitative Serviees, Bnvironmantal He.lth Unit-Wells,
<br />Wastewater Trea~nt, Septic Tanks
<br />*U.5. Enviro~tal Protection AgencY-Aabestos abatement
<br />1 also certity that, if fill mater~al is to be us@d in Flood Zone "'~" or "'A,etc.-, it is
<br />understood that a drainage plan addressing a "Comp~ating vol~"' will be sUbadtted which
<br />is prepared by a protessiona1 engineer registered in the State of Florida prior to permit
<br />i.!l.!luanee.
<br />A permit issued sha11 be construed to be a license to Proceed with the work and not as
<br />authority to Violate, cancel, alter, or set asida any proVisions of the technical codes,
<br />nor shall issuance of a p~t prevent the Building Official tr~ thereafter requiring a
<br />correction of errors in plana, construction, or violations of any code. Every permi.t
<br />issued shall become invalid unleas the work authorized by such permit is c~ced within
<br />six months of issuance, or if work authorized by the permit is su.spended or abandonect tor a
<br />period of six lIlOnths after th.. time the work is c"..,.,nced. One 90 day extension of time
<br />may be allowed for the peradt with fee charge ot $15.00. The exten.ion shall be requested
<br />in writing to the BUilding Official. An approved inspection must be logged during each .!I1a
<br />month period, or the project w111 be considerect abandoned.
<br />1fARRING TO 0WNBIl.: YOUR FAILURE TO RECOJUl A NOTICl!: or CalMDfCIHBNT MAY RESULT
<br />PAYING TWICE FOR IHPROVDmHTS TO YOUR PROl'ERTY. IF YOU IN'1'ZNJ) TO OBTAIN
<br />w:tT1f YOUR LENDER OR AN ATTOI\NE'l BEFORE RECOJUlING YOUR NOTICE OF
<br />~"'" HE'" '" """ROB' · -.anc c
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<br />STATE OF FLORIDA STATE OF J'LORIDA
<br />COUNTY OF COUNTY OF
<br />The foregoing inatr\llDel1t wa8~,c_la!knOOWWl" edged The rorelto1ng instrument w.. ackn~edged
<br />Bef'ore - th1s....z3::.. da:!.. of_ _~.~, bBeyfore _ A~h},~ :z::2.d:Ia!...:~Of 1't~~"-M , K"~I
<br />by A4"'- 6.DD~~ C!:~L~
<br />/(name of person aClmOWledqed) _ ~name of pexson a owleclqed)
<br />iirwho is per.ohally known to me, or ~o is personally known to me, or
<br />
<br />
<br />T.
<br />
<br />IN YOUR
<br />CING, CONSULT
<br />J08S UNDER
<br />
<br />Owho h..... produded
<br />( tl'Pe
<br />'d n t
<br />
<br />o who has p:roducect
<br />(type of identir1cat.1onl
<br />id not take an oath
<br />
<br />
<br />
<br />Signature of person eking acknowledgement
<br />#1).... ~ Andree Engstrom
<br />
<br />JI'_ tYP~ ~lIJIUilIlJ>ec912029
<br />.. Expire. February 20, 200.
<br />
<br />'d vlvO'ON
<br />
<br />Signature of person ta ng acknowledgment
<br />~AndreeEngstrom
<br />Name tY\tllf,t&ew"8f8llllt~1029
<br />.......~ Expjre. February 20.2004
<br />
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