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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF nUD RESTf\IG'1'IONS <br />The undecsigned un~r.tan'~ that thie pe~t may be subject to ~d..d restrictions" which <br />may he more re.trictive than City regulations. The undersigned as.ume. re.ponsibility f~r <br />compliance with any applinabJ.e deed r..trictions. <br />8. UNLIC&NSID CONTRACTORS AND CONT~OR RE9PONSI8ILITIR8 <br />If the owner hae hired a (Joot:r:actor or contractora to undertake work, they may b. reqUired <br />to be liceo.ed in accordaltce with IItate and local reguhtion.. It the contractor ill not <br />licen..d as required by lllW, both tha owner and ccntnctor may be citad for a misdemeanor <br />violation under state law, If the owner or intended contractor are uncertain .. to what <br />liOiin.ing requirements mal' apply for the intended work, they are advieed to contact the <br />City of lepbyrhilh 8uilding Department, 813-788-6611. <br />purtnarmore, if the owner has hired a contraotor or contrsctora, he i. advised to have th. <br />contractor (II) sign portions ot the ~COntractor Sections" of this applioation for whioh th.,y <br />Hill be respon.J.ble. If ~roll, as tbe owner signa a. the contraotor, you are indicating thllt <br />YOIl, rather than the oontl:actor, are responllibla for the work. If! the oontl:aotol: whhes <br />you to $1911 .. oontracitor that may l:Ie an indication that he i. lIot propel'ly 110ensed and b <br />not entitled to permittinlr privllegu in the City of ZephyrhiU.. <br />C. TRl\K1I110RTATION IMPACT nES ANn UTILITY COIlNBCTIOll PEES <br />D. COH8:rRUCTUION LI!H IJ\i1 (CHl\.l'T!R '113, B'LORJDA STATUTL', 1\8 1IMI'.HDEll) <br />I oartify that I, the applicant, hllve b.en pl:ovlded with a oopy of ~l'lorida' IS Con.tructiorl <br />lien Law - Homaownar'. Proteotion Guide" pl:eparad l:Iy the 8'lor1da Depart_nt of Agriculture <br />and Consumer Affair.. If the applicant ia .omeene other that the uowner", I cerify that l: <br />have obtained a copy of the above c1eeodbecl 400ument and promise in good faith to deliver <br />it to the "owner" prior 'tel cOllllllenc_nt. <br />B. CONTRACTOR' S/OWNER' B }>!'rI1lIWIT <br />I o.rtify tbat all the lnl:Orll\lltion in thi. application i. acourate and that all work will <br />be don.. in OQ1IlP11anee With all applicable lewa re<julating construction, zonillll, and l.nd <br />development. <br />Applioation is henby mad.. to obtain a permit to cSo work and tn.tallation all 1ndilcated. l: <br />oertify that no work or illstallatian haa oommenced prior to i.suanoe of a p.nnit anel that <br />all work wl11 be perfoaMKl to meet at.ndards of all law. regulating ccnstruotion, City <br />code., ~oning regulations, and land development regulationa in the juri.diction. I 81ao <br />certify that 'X undentand that the regUlation. ot other lIowrnmentlll. agencies may apply to <br />the intended work, and thllt it ill my r..ponalbility to identify wh.t action.. I must take 1;0 <br />be in compliance. Such allenci... 1nelude but are not limited tOI *Department of <br />EnVironmental Re9Ulation-<;yp.rull 8ayheada, Wetland Are.. and 'Ilnvironmentally Sen.itive <br />Landa, Water/W..teNater Tr.eatment <br />*Southwest florids W.ter t~nagement District-Rells, Cyp~esll Bayhe8ds, .etland Areal, <br />Altering Vatereour.ell <br />*ADI\y Corp. of ISnqineerll-ll.a....ll., Dooks, Navigable Wat.rway. <br />*DepartlMlnt of a."lth i Rlohabil.itative Servic.., Bnvironmental aealth Unit-Walls, <br />Ifastewater 'l'relltllU!lnt, Sepf:ic 'ranks <br />*U.S. !nvironmantal 'rote,xion Agency-A.bestoll abatement <br />I aho certify that, if (J.ll -terial ia to be used in Plood Zone "1\" or ~A, eto.", it i. <br />undarstood that a drain..g.. plan addressinq a "'COIlIpenaating volume" will be submitted which <br />18 prepared by a professionlll engine.r reghtered in the Seats of Florida prior to permit <br />ilSsuance. <br />A permit i..ued ahall be (Jon. trued to be a lioense to proceed with' the work and not alS <br />authority to violate, c.Il"el, alter, or set ..ide eny provision. of the teohnical codes, <br />nor .hall 1&)IU..noe ot .. po~t prevent the Building Official from therea(tlor requiring II <br />oorrection of errors in pianll, conlltruction, or violations of any cGde. Every ptrmit <br />iB.U~ )Iball become invalJ.eI unl..s the work authorizad by such pe~t i. commenctd within <br />aill months of iuuano., OJ: it woek authorized l:Iy the permit i. I5UIpI5nded or sband,onecl tor a <br />period of six m.onthll IIftaJ: the time the work i. commenc.d. One 90 day elltenltion of time <br />~y be allowed for the p.l3Ut with fee charge of $15.00. The axtan.ion ahall be requested <br />in If.dUng to the Builclinlf Official. An approved inspeotion llI\.Iat be logged durill,g e.ch a.ill <br />month periGd, or the projnct w111 be considered. abandonsd. <br />R~ING TO OllNltR. YOUR FJUWRE TO RECORD A NOTICE 01' CONMENCmmrr MAY RllSULT Ill' YOUR <br />f1\UNG TWICE IUR IMl'ROVIMI!:HTS TO YOUR I?ROPIilM'Y. II' YOU INTEND TO OBTAtK PINANCI~'G, CONSUl,T <br />WITH YOUP. LBND&R OR AN A'I"~O.RNIY BEroRE RBCORDING YOUR HO'rIC! or CllMMEHCEMBlfT. JC,!S UNDER <br />$2,500 IN VALUE 00 NOT NElm TO RECORD AND POST A ~NOTICE OF COIoI4ENCDlBNTH. <br /> <br />t.'/-fuu _~ <br /> <br />SIGNA-TURK, CONTRACTOR <br /> <br />~,~ <br /> <br />SlGNATUR!':, OirnER OR MEN'r <br />STATZ OF !'LORIDA <br /> <br />R.....~'-n <br /> <br />p~ <br /> <br />.""Y"lI" <br />~' ':'~ <br />.,.~~ <br />"'1-0ff\.\\'" <br />l-1!Ol1-3-NOTA <br /> <br /> <br />Signa <br /> <br /><LIAS <br />fOMMISSION # CC 885490 <br />EXPIRES: Nov 5, 2003 <br /> <br />Name typed, printed or a <br /> <br />~()TAnv ~I~ Notary Service &. Bonding C-o. <br /> <br />'d <br /> <br />9L90'ON <br /> <br />SllIH~AHd3Z JO Al:J <br /> <br />VIVII'6 IOOZ91'(Inr <br />