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<br />CONDITIONS OF PERMIT AI'E'lDAVIT
<br />A. NOTICE OF D'tBD RESTflIGTIONB
<br />The und'U:lli\lned und41u\:ande that: this penn1l: may be lIubjectto "daad restriotionll" which
<br />mIlY b. more rastrlctive than City re<;lulal:ions. Tba undersignad a.sume. re.ponsibility for
<br />compliance with any epplinahie deed r..trictions.
<br />B, I1IfLICDlSl:D CONTRACTOJUf lIND CONTf\AcTOR RESPONSIIHLITIKS
<br />If the owner ha. hired a (~ntractor or contractors to undertake work, they may b. required
<br />to b. licen.ed In accordallca with state snd local regulation.. It the oontractor is not
<br />11c.n.ad as requlzed by 1"", both the owner and oontractor may ba cit.d for a mi.d"meanor
<br />violation under atate la". If the owner or intendad contractor ara uncertain liS to what
<br />lictn.ing requirements ma]' apply for the intended work, they are advi.ed to contllot the
<br />City of Zepbyrhilh &uUdIng Department, 813-788-6611.
<br />I'urtharmore, if tha owner bas hired II contraator or contractor., he is advi.ad to have th~
<br />contractor (II) sign portians ot the "Contractor 8eetlon." of thill ..pp1iaation for "hioh th.,y
<br />"ill be responllible. If ]'OU, all the Qwer l!Iiqn.s a. the contractor, you are indicating th..t
<br />you, nth.r than the aontl:actor, an re.ponll1bh for the work. If the <lontraotor whhes
<br />you to sign ... oontr.citor that may be an indioation that he 1. 1I0t properly licensed and h
<br />not entitled to penn1ttinlr privileges in the City of Zephyrhillll.
<br />C. TIWlSPORTJl.TION IKl'AcT I!'EES AND UTILITY CONNECTIOll PUS
<br />D. CON8TRUCTUIOlf LIEN LAtr (CHAPTER 713, rx.olUDA STATUTES, 1\8 AMDlDED)
<br />I oertify that I, the applicant, lutve been providad "itb a copy of "Florida',. Con.tructior.
<br />lien LIl" - 1I000000wnar'. Prutection GuideN praparad by th. florid. Depart_nt of Agriculturfl
<br />and Conswner Affdr.. It the applicant is "Qmeone other thllt th.. "owner", I cerify that J:
<br />have obtained a oopy of the abQve dellcribed dooument and prom.. in good faith to deliver
<br />it to the ~o"nerN prior to commenaement.
<br />ll. CONTIl.ACTOR' S/OWNER' S J.!'!'Ull\VIT
<br />I outify that all the inl:omation in thl. apl'lication 1. accurate and thllt all work will
<br />be elone in oompliance wittl all Ilpplicable law. ral1ul..tinl1 oonstruction, zOl\ing, and Illnel
<br /><l.eve10pment.
<br />Applioation 18 heuby mad" to abtain II pentdt to do work and In.t..llation as indicated. J:
<br />oertify th..t no work or installation h..a co_need prior to .tasuanca of a pennit and that
<br />ail work 14111 b. perfornwKl to me.t atllDdards of all laws regulat!nq oonstruotian, Clty
<br />cod.., zonin~ regulationa. and l.nd development regulationa in the jurisdiction. I a1.so
<br />certify that I un~ratand that the re\lulations ot other gOV6rnm6nta! agencies may ~pply to
<br />the 1ntend..d work, and thllt it ill my rupon'1bility to identify what action.. I must t.ke 1;0
<br />be in compli.nce. Such .lIenci... include but are not: limitad tOI "Departm..nt of
<br />tnvirol1Mntlll Regulation-<:yprell. Bayb.ad., Wetland Arau .nd Ilnvironm8ntal1y Sensitive
<br />Landa, lfat..r/jfa.t......ter TJ:aatment
<br />"Southwa.t llorida Water IIllnagement D1..tr10t-IIell.., Cypress Bayh".d., Wetland Area.,
<br />l\lterin<;l Watercour.e.
<br />"Army Corp. of Enqineera-fl......ll., Dock,., Nav1qable Waterway.
<br />"Dopartment of Rea1th i R<,hab11it.tiv. Serv1ce., Environment.l Health Unit-Walla,
<br />Wastawllter Treatment, Sapl;ic Tanks
<br />.U. S. !nvironmentei 'J:ote(:tion Agenoy-Aaba.to. abatement
<br />I alBa certify that, if fl.ll -tad.1 i. to be uaed in Flood Zone "Air or "JI.,.tc.", it 111
<br />undaratood that .. drainag" pllln addreasing a "cOlllpenaatinq volwna" wl11 be aubmittad. which
<br />is prepared by a professiunlll engin..r registerad in the State of rlorida prior to pennit
<br />issullnce.
<br />A pennit i..uad aha11 b.. uonatJ;uad to be a licen..a to proceed with' the wOlCk and not as
<br />authority to violate, mlnual, alter, OJ: sat IIaida .ny pJ:ovi.ion. of the technioal codas,
<br />nor ahall i"ullnoa of II ponnit pnv..nt the Building Official from therealb.r requiring a
<br />correction ot errors in pJ.allll, construotion, or violations of any cod.. Every pamt
<br />i.s8ued IIhall beoome invali.d unl.u the work authorized by suoh pumit 18 c:.......nc.d within
<br />Ill! monthll of iuuano., OJ: it work authorized by the !>entdt i.. aUllpandad or .bllnd:oned for II
<br />period of sill m.<>nths aftsl: the time the work is conanancad. One 90 day extendon of time
<br />may be allowed for the peJ3Ut with tee charga ot $15.00. The extanslon abal1 be requa.t.d
<br />1n "riUnll to th. 8uildinll Official. An app.toved inspeation must be logged durill.g aach ..ix
<br />month p.riad, or the pro:l"c!t will be aonlllidel:ed. abandoned.
<br />WARNIN'" TO OIf}!!RI YOUR FJUX-UR!: TO RJ!:CORD A HOTICE 01' COHM!:HCmtBNT MAY RBSULT IN '(OUR
<br />rAYING TWICI!: i'OR IMl'IIOVEMl!:NTS TO YOUR PROI!Il1\TY. I&' YOU INTEND TO O&TAIIf "INMICI~'G. CONSUl.T
<br />"ITH YOUR LENDI!.R OR AN A'I";~O.MIY BEfOR\!: RECORDING YOUR HOTIC! 01' COMMEIlCDlBIf'l'. J(,!S UNDER
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<br />""~i~"_AA'_~~~
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<br />SIGN1I.TURt, R OR MEN'r SIGNATURE I COliTRACTOR
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<br />STATll OF B'LORIOlI. (") ",-, S~ATI!: or FLORIDA
<br />COUNTY OF \~ 0 COUNTY OF
<br />The toregoing inat~ant HIloII 'OknO"le~dl1ed .\The foreqoin(l in~ument wa.
<br />B..fore m.e th <la O:r,:s)\l.'-\" 1Iafot6 me his ay 0
<br />by c. ~\...O by
<br />nama of perllon ackn')lfledgad) of penon ackno"led...,d)
<br />who i. personally knoMl to me, or personally known to me, or
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<br />
<br />l~_nt
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<br />'" MY COMMISSION #CC 885490
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<br />(JF nted d.i:XB~HJv 5, 2003
<br />l,S00-3,NOT ARY Fla. Notary Service & Bonding Co.
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<br />Jp.kno~r~tL BELlAS
<br />
<br />~ MY COMMISSION II CC 885490
<br />
<br />ed lOArIKh:;: Nov 5, 2003
<br />ARY Fla. Notary Service & Bonding Co.
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<br />9L90'ON
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<br />SIIIH~^Hd3Z jO All)
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<br />VIVI16 IOOl '9j'lllJr
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