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<br />T,. JjUl'l eEl Ol!' Dlill!lD HH:8'l'RIC'l'IONS
<br />'J'l1e \Illders.! gned I\nde1:stands that: t.Ills penn.! t ilia y hI, s'lb.le~J1. 1:0 "deed restrictions" I-Ih leh
<br />lllay be III01:e rElSI:l.Jet:Jve than elty regulations, I'h., I.Lld(:!I3Iqned ass\lll\es respolls.l.b.11Jty Eor:
<br />cOlllp.1 lanue 1l11:h any applicable deed restl'1.ol:iotl.3,
<br />B. IIHLICffiNSH:ll CON'l'Il1\C'l'OHS AND COI'I'l'H7\C'l'UR REBPUIT5[ 131 [,1'1"[ H:S
<br />IE Lhe Oliller has hir.ed a contr.actor or C:Olltract:OI/l to Illldarl:ake I.wrle, Liley nlay be reCJll:1 red
<br />to be licellsed.l.1I auuordance \"/11:11 sl:al:e and local J:eg\l.Lcltlons. If the cont:racl:ol: Is nol:
<br />Licensed as recjll.l.t'ecl by lall, both the Ol-mex' and cOlltraul:oJ: /nay be o:ll:ed for a lilt 8dellneanor
<br />viulal:io/l llnder state lall. If the Ol-1ner or lnl:t,ndE,d contractor ell.:e Illlr.erta.ln as to \Ihat
<br />I JuellsJ IlY re(]\d.relllents lIlay apply for the lntend,~d 1/0[\;,. tile\, are advJsed to cOIII:ac:t t:he
<br />1:1 Ly 0 f Zephyr/Ii lls BulldJng Department, fl13-'1 A 1l..661L
<br />1!'l\tLhenllol:e, 11: LIle OHller has ILtJ;ed a contracto]; 01: contractors, he 1s advlsed to have t.he
<br />(J()ntractor(s) sJgn port.ions of the "Conl:ract.or f1ect:ions" of thJs appl1catlon for \lldch they
<br />\1111 be respons:lble, If you, as the O\-IOer 81gn8 iL9 the oontractor, 'Iou are :I.nd.\ nat1ng that
<br />you, l:athe:r than l:he contractor, are responsible for the \-lOtk. If Lha contractor I-IJshes
<br />\,011 to s.1 gn as contractor that may be an ind.l.cat.l.oll that he .l.s not: pJ;operlyU callBed and 1 s
<br />\lot entltled l:o perlllit:Ung p1:iv11eges 111 the elty of Zephyddl1s.
<br />c. 'l.'RM/BPUH'l'l\'J' [ON U1PAC'l'FEEiB _MID U'l'ILITY CONlIEC'l'lON Jj'E:mS
<br />)), COl/8'l.'RtIC'('UH)\'/ LIEN LAW (CIIAP'I'ER '113, JrI,ORIDA ,'3'l'A'l'Il'l'ES, AS AHI!',tIllED)
<br />I cal:U ty that I, the applicant, have been provided HI. lh a copy of "WJod.da's Canstr'Hotlon
<br />11 ell I.a\1 ,. II ollie (l\.me1." s Protect1on Gulde" prepared by t:he E'.lorlda Department: of Agr.lculture
<br />OInd Consumer AJ:faJI:s, If the applJ cant is SOIO~one other that the "oHner", I cfu:\fy that I
<br />Itall€: obta.i ned a oopy of the above deaorJbed dooument: and promlse in good :fa.Lth to del:lver
<br />JI: \:0 the "ol'/Iler" prlor to r.Ol1nnencelllent,
<br />Ii:. CON'I'HJ\C'I'OH' S/OWUR:R' S AFE'IDAVl'I'
<br />I oerU,fy Lllal: al J \:he infounaU on in t:his app110at.lon Js accurate and that-. !'Ill vlOrl. 1111.1
<br />}le done .In GompJ.la\lce \dlh aU, <lppllcable lav/s regulaU,ng construc:t:lnn, zonlng, awl land
<br />development: ,
<br />1\pplJoaLJon :1 s herehy made to obtaJn a permJt to do work alld .installation as .l.ndloated. I
<br />cetU fV that no I-Iork or lnstallation has oomrnended pr.1.or to :lSS\lallc:e of a pennlt: awl that:
<br />aJ 1 vwrk I'lll J be performed to llIeet standards of all 1<\\1S regulat..ing Unnsl:nlCltJon, C11:y
<br />codes, zonJng regulal:ions, and .land development !:eg1l1at.lons .Ill the JuLl.sd.latJon. I also
<br />celLI fy LIla\; I understand that the I.:egulat.iolls of other goveU1I1\6nl:al agenc.ies may apply \:0
<br />Llle Jnl:ellded \-Iork, and that .l.l ls my :responsibi.li.ty to ldenl:.L fy \./hat ac:tJons I II\lIst take 1:0
<br />be in cOInpJl.ance. Such auencies inc.lude bllt are not limited to: *Depa:rt:ment: of
<br />H:l\v 1 ronmen \:a 1 Hegula t:ion-Cypres s Bayheads, We tland A1:eal> and n:llvi.rolUllellta Ll y Sells 11-,.1. ve
<br />1.a/1(.is, Wal:el.:lWasl:eHal:er 'l'.reahnBnt
<br />."BOlllhl'lesI: 1i'lorJ.da ~~ate.r Nanagemenl Distel cl:-Wells, CYPli'ess Bayheads, Wetland 1\reas,
<br />1\J \:61.:111g Wal:ercoIl1:S6S
<br />"lHIlIY Corps of E:nY.!lIee1:s-BeaHalls, flocks, NavlgabJe Waterl-1ays
<br />,1')Jepa1.Lmenl: of Ilealth 6< RehabllJtat.lve Senr.ices, H:nvJ.roIl11l611I:a1 Health lInjt'-~~el.ls,
<br />WasteHater '1'1:eal:mel11:, SeptJc 'Panks
<br />-All, B. E~llvJ uJI'lInentaJ Protect1on Agency-Asbestos ab.aternenl:
<br />T also certify that, 1f f.Lllmatsr.Lal 105 to be uSf.d In I!'lood Zone "A" or "A,eLe.fJ, .It.is
<br />ulIdersl;ood that a dralllage plan addresslng a "compensating v01\1II\e" Nt1l be submitted Ilh.l.ch
<br />.1 s pn:pa r:ed by a professional engl.nF.lel. registered 1n the ,'3tate of B'lor-ida pdo[ 1:0 pet:m1t:
<br />tSBllallUe,
<br />]I. pel/Ill I.: .! sEllled shall be construed to be a li.cens'e 1'0 Pl:oceed Hith the work and not as
<br />alll:ho.d Ly t.o vJoJat:e, oancel, alter, 0.1: set asJ.de any provisions of the teol1l11cal codes,
<br />nor shall i S81lance of a permU: prevent: the Bu,Ud.lng OffJcJal from thereafter requJr:lng a
<br />cou:euLioll of errors in plans, construdtJ.on, or viol.ations of any aode. IIlvery perrnlt
<br />isslled shall. become invalid unless the \-Iork authorized by slIoh permi t. 1s rJonullenced I'd L:ld II
<br />f:l.1.ll lIlo11ths of JSS\ll:lllCe, or J.f \-iOrk allthorlzed hy l:he permJt :Is stlsp61lded or abandoned for a
<br />perJod of Ed}( months after the l:J.me the \'lor), is commenced. One 90 day e1(l:ells1011 of t.lllle
<br />may be a'llolled for the tJermlt 1-11th fee chal:ge of $.15,00. 'l'he extension shal.1 be r.eqllest:ed
<br />JII \/rit:ing 1.0 the Rnildi.ng OffiOitll.An approved InspeCl:ton mllst be logged dllr:lng each s.l)(
<br />lI10nth period, or, the project \.1111 be cOllsidered abandoned.
<br />WARI1Hi<3 'I'() Ol'lNHlH: YOUR H'AII.\JHffi '1'0 H/i.lCORD A NO'l'ICH'. OF COMHIr.NCmMEU'!' NAY H HiSIlI ii' .IN YOIJI\
<br />/:,1\Y1I-/(3 TWICE H'OR IMPROVEMEN'I'S '1'0 YOUR I?ROPJilR'l'Y. I/!' YOU IH'1'H',ND 'I'O OR'l'JUH F.'.lNAlICH!l3, COIHJI I Ir'II
<br />WITH YOIIH 1,1!:t/IJlllR OH AN A'l"1'ORNF.lY BEFORE', RECOHDHIG YOl/Fl NO'I'ICE OF COl'1ME:NCfm'1EII'l'. ,T08fl IINPIf.H
<br />$2,500 111 VALliE: IJO NOrl' NHlED '1'0 RECOHD AND POS'1' 1\ "NO'I'JCE~ OF Cm1HF..a/CE~IHl~I'l'".
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<br />l~UljJ)J 'J'.l 0118 U F .l?E~r(,-n~'_TO l\':''3'!: ;\T-\Vr ';'
<br />
<br />SICil/A'L'UBE:: OWNER (lH N3EtI'l'
<br />
<br />,--..._-~ '-....._---,.~-- .----.-.---..-------.-...--- ..~..~-_.__._"
<br />
<br />__._u__.__.__,.~____.________._....__ ,__, "_>___0_
<br />
<br />S I (3NA'1'1I RE:: CUN'l'RAC'l'On
<br />
<br />S'l'A'I'H\ o Ii' H'!,(lRIIJ1\
<br />COIJI1'l'Y OB' '_____..____.__'______,___.___.____,_._
<br />']'he foregoing instrllment vias ackno~l1 edged
<br />Bafcll'e me th.! s _..____,_ day of ___._________., l.!:t____
<br />
<br />by . _..... ,......_... _____...... _____.__'_.____...._____..___.._____._..___..______._.__...
<br />(nama of person aelmowledged)
<br />[) I-Iho is personaLly k1lO\10 to lIIe, or
<br />
<br />[IHho has produced
<br />(typ e -;:;-r-~i~~t J. fi~~-~ t i 0 ~~ l
<br />alld wllOLl cUd [Jdld /lot take all oath.
<br />
<br />f3'I'1\'l'H: OF FLORIIJA
<br />
<br />COlI N 'I'Y O~' --------'--------,---.-,-,--___,____....'u_,__~,
<br />
<br />'l'he foregalng 1nsl:rllll\enl: I-1E1S aclwo\"lledgetd
<br />Before me this ____Jiay of----.--------,--, 19
<br />
<br />by _,____.., ._______________.__...._.,_______.__..__,.....
<br />(name of person aokno\-lledged)
<br />[Lho is personally known to me, or
<br />
<br />[] vlho has prodl\o~d__.._.. _'______....____... ___.._.
<br />(type of JdelllLElcEll.ion)
<br />alld ~/lIo []dJd DUd not; take an oat:h
<br />
<br />- - -_.,-.- ....- --'--'----p.,- -_._-------~,_._.- .----~._..,-_.._----
<br />
<br />,- - _._~._---------P---_._--~---. ________ __ _______
<br />
<br />Si glla\:llre of perSOll taking ackl1o\"/ledgement
<br />
<br />Signatllre of person taking aclwPlI1.edglllent I
<br />
<br />. .-....-------..-..-- .<. -. ..-.--~.. ,--.---------._____ "_n. ___ ..p__.__~n._____
<br />j:iallle typed, printed 01' slamped
<br />
<br />-i;r~~(I~- tyr;;T:-I~:T/~ t.;..(j..~-.~.'~_.;;;;i; ~;1-"'- -_..
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