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<br />
<br />J~. HU'l'ICEl Ofi' DHlIDn RES'l'RIC'l'IONS
<br />The lIndersigned Illlde1:atallds tbat t.lds penlllll: lLB'I b,: ,sl.lll.le:.:L 1:0 "deed restrlcl:lol1s" \,111011
<br />may be 1lI01:e reslr:JcLJve than cJ.ty reglllatiolls. 1']1<, \WdIH:lJyned aSSllmes respoHsl.bJJ.1I:y f<=>r
<br />uO'illpllanue \iJt.h allY appllcable deed It:lstrlCl:Jo,15.
<br />B. 111'11.1 CElN SED CON'!'Rf\C'l'ORS AND CONTI1AC'l'OH RmS [>I)I'J 5 J 131 \, ['l'I H:,S
<br />I f the Ol'./ne1: has hiI:ed a contl:actor 01: cont,rac:t:oUl to Il1ld',ntake HOLk, they ll\ay be reqlli l:ed
<br />;i 1.0 be JJcensed .1.n auoordance \Ilth st:at:e and loci:lt 1:egILLatlons. If the oont:rautor Is 110L
<br />U,uensed as reqnlled by law, both l:he O\,lle1: and contri:tcLor may be nlted for a ndsdemeanor
<br />viol at:ioH under' stat:e laH. T f the O\-./oer or .i.nj:l:nd~ld 00n1:1;aot01' are Ilncertall1 as to \'Ihal:
<br />Uuens.lllg rec}\liremelll:s may apply fu,t the 1l1tendl~d \wr),i' they ar:e advlsed to CJollt:aut tile
<br />r:ILy of Zephyddlls BuJldJng Department, 013-'11l1l--661l,
<br />Ji'urlhel:lllore, If the oHller has ld.red a contractcn: or cOlltre>ctors, he Is advlaed to have the
<br />Cj(lllt.t'actor(s) sJgn port.iolls of the "Contracto.t: St:cl:iollsll of tlds app,UcatJon for Hhioh they
<br />\/111 be reaponsi ble. [f you, as the OHner s1glls as Lhe contractor, YOIl are lndJ oating Lha t:
<br />'loll, rather than the contractor, are tesponsib:~e for the Ilork. I f the contraClt:oJ: HJshes
<br />\,011 1:0 si gll as cOlltt'aoto1 that lIIay be all indlc,\I::!OII Lhal: he .is not properly 1.1 censed and j s
<br />Hot ellUtled to perlll1.l:Ung privileges In the CJty of ~,ephyddlls.
<br />c. 'l'R1\HBPOH'l'l\.'l'TON J HI?AC'I' FEElS AND U'l'ILITY CONHli:C'I'lON I!'EHJS
<br />n. COlIS'l'RlIC'I'tJIOH LIEN r.AW (CHf\P'l'ER '71.3, FLORIDA S'l'A'l'U'I'ES, AS At1ENDElD)
<br />'I cel:(:j fy that: 1, the applicant, halle been provl(~ed \lith a copy of "Il'lor.l.da' El COllstnlCtlon
<br />.I Jen J,in, - llollleol'/ller'S Protection Guide" prepared by the E'lorida Department of Agc1 cUll:llre
<br />and CUIISllll\er Affairs. If the app,U cant is som~lDlle othe1' that the "o\mel:", T [Jet:1 fy that I
<br />have obtaJned a copy of the above desoribed aocument and promise in good :Fed Lh to de1.iver'
<br />it to the "owle.t:" prior to commerlCelllelll:.
<br />E:. CON'['H1\C'l'On' B/oWNElH' S AFIl'IDAVl'I'
<br />I cetti fy that: all the information in this appU.catioll i$ accurate and that all. Hark \1.11.1
<br />be dOlle III uomp1.iance H1.th aU. applicable laws regulating construction, zonlng, and .Land
<br />developlOent:.
<br />1\ppJ.lcall.oll Is hereby made to obtain a permit to do ~lOrk and 1nsta11.at10n as i nclioated. I
<br />cert:ify that 1I0 \/OrI. or installation has oommenoed prlpr to issuallce of l'I penl\U: and t:hat:
<br />a.ll \101:1, H:I..ll be performed to IlIeet standards of all laws regulating oonstnlCltlon, CII:y
<br />codes, zoning regulations, alld land development: l:egulations in l:he jULl.sd:!c\:jon. 1 also
<br />cetl:1 fy that ''[ ulHlerstand that the regulatlolls oj: other govetlUl\ental agencles llIay appl y \:0
<br />\,JIB intended ~lOrl., alld that It .is my l;/ilspons.ibl1.i.ty to identJfy Hhat act.tons I mllfil: (-,aka 1:0
<br />be 1n compllanue. SUGh agencies .include but are not limited to: "'Department: of
<br />F.: II vi ronlllen tal Regula t:i oll'-Cypn:l3,s B~yheads, We tland Areas alld Envi rOllmen taLL y S ens i t.1 ve
<br />],alld,s, Water.'/WasleHal:er 'I'reat1ll6Ilt
<br />ASouLll\'1e~l: Ji'Jorida Water Managemelll: lllliltr.lct:-Wfiillls, cYPli"ess Baylteads, Wel:lalld Areas,
<br />AI tel:illg Wa\:eroollrses
<br />Al~l:my Corps of Eng.lneera-BeaHaLl.s, nooks, Naviglable Waterl'laya
<br />A))epaJ:l:menL of Health & RehabilitatJve Sel:vices', Env.i.J:ollmental Health l1nJt'-Wells,
<br />Wasl:eHal:er Treatment, Septic 'ranks
<br />AIJ. S. Elllllrorunental I?rotEilCtioll Agency-Asbestos abatement
<br />1 also ueLU Ey Lhat, if f:!ll llIater.l.al Js to be used .in Inood Zone "A" or "A, eLn. 1/, it is
<br />IUldel:sl:ood Lhat a dtaJnage plan addn.lssillg a "compensating volume" \0'1111, be submJt:t:ed \/h10h
<br />is pl:ep,neel by a plofesl:liona.l englneel: l'egiatered in the Stat.e of /J'lor.ida prJor 1:0 permit
<br />issuance.
<br />A peun:!\: i sSlled shall be construed to be a license to proceed Hi th the worlc and not as
<br />allthorJI:y to vJolate, canuel, alter, or set aside any provisions of the technical codes,
<br />nor shall issllance DE a permtl: prevent the BuJlding Off.i.cial from thereafter requJl;i,llg I:l
<br />con:euLJon of errors in plaus, consL.l:Ual.i.o/1, or violations of any oode. Iilvary perm:!,t
<br />.i.sEllled ahall become invalid unleslS th$ work au\:horized by suoh permJt is Clolllmenoed H111d II
<br />sill mouths of issuanoe, or Lf \wrk Ruthor.i.zed by the perm1.l: is suspended or abandoned for a
<br />period of she months after the time the work is conill\enced. One 90 day eJltens.l.oll of t: tillS
<br />lIIay be allo\'1ed for the pel."m1.t with fee charge of $15.00. '1'he eJetension shal.l be requested
<br />ill \lriL.illg to the Building Offic}ial. An approved inspecl:ion IIlllst be logged (hll:.111g each sJl(
<br />month ped.od, or the project: will be considered abandoned.
<br />Wl\RNHIG 'J'O OWNER; YOUR FAIl,URE '1'0 RECORD A NO'l'ICE OF.' COMMENCIDNffiN'l' HAY HHlRIJJ/l' 11/ YOIJR
<br />PAYH/G 'l'WICE: BUR It1PROVEMENTS '1'0 YOUR PROPER'!'Y. IF YOU Il/~I'END 'J'e) OB'l'AHI !i'IHAUlnW., COIISIIIJI'
<br />WITH YO\JH l,E:t/IJER DR AN A'J"l'ORNF.lY BEFORE RECORDING YOUR NO'rICm OF COMME:NCEtvlEH'['. ,fOBS IINlJf!lH
<br />$2,5ll0 IN VAJ.lIE no NO'I' NElEn '1'0 RECORD AND 1?0S'I' A "NO'I'TCE: (W COMHlilllCEtvlE:t1'I"'.
<br />
<br />- .-----...-.....,. ~._._--- "_.- -.. .. ~-_..~"~-'~,_._-------~-_..
<br />
<br />SI GHJ\'l'UHHJ I OWNElR UR AGEN'I'
<br />
<br />f:j'j'l\'J'1!l Uff' E'I.unfllA
<br />
<br />(]OlJN'j'Y Off' .____'______'__,____.,____._.__.___..,..
<br />
<br />'j'he forego.lng instr\lmant was acknowledged
<br />Before me I:Id S '.'_.."_ ctay of "__,_.,..__.__.., l~_.
<br />
<br />b \' .._____.__'_.,____....,.,___.,__._,___ _..______._.._.__....______,.
<br />. (name of persoll aClknol~ledged)
<br />[)I-Iho is personally klJown to lIIe, or
<br />
<br />LI \/ho has pr.odlloed____...._,._,___,__.__..____.__
<br />(type of idellti.ftcat:1on)
<br />and Hhol](Ud [jdid !lot take an oath.
<br />
<br />SJYllatllle of persull tald.ng a()klJo~lledgement-
<br />
<br />._. _ __. Oh... _,.._._.._~___. ...__..._.__ ..__.__._...._____.____."_~.. __._"__ __..
<br />'i~alll~'-.i:-Yl.)'ed, p1:1 lIi:ed 01: stamped
<br />
<br />---..... --_.._-...~.~...._-_.~._---"._--~._---~ -.,.
<br />
<br />... .-.----.-----...--. - -.... _..~_.__.-. --_. ~ .
<br />
<br />SIGNA'l'IIRHJ: CON'I'R1\C'I'On
<br />
<br />S'l'A'I'El 011' FLORIDA
<br />eOlIN'I'Y DE' ..__.___._.__....'....._.....,_._,.,___,..________.,..
<br />
<br />The foregoing Instrlllnent \'Ias aoklla~lledged
<br />Before HIe this _____riay of-..m'...-___.____, 19 _:.""
<br />
<br />b Ij ___.____._____.....________ ____'_...___..___"'____._~, .....
<br />(name of person aokllOwled9/id)
<br />[~ho is personally known to me, or
<br />
<br />[) \}ho has prodllced____,__,___,__._,__.___,_....,.
<br />(type of j dsnl:JHoaU,on)
<br />and \t~ho [.Idld C}Ud not: tal.e an oat:h
<br />
<br />-." ,- ...-.___, '~n.____..___ -._ ...""_..._.~..._..__..,..
<br />
<br />"- _......_~....-.~----~-.- .--.... .'~"-. ..-..-.........- ._-_._-~~._-_..
<br />
<br />Si.gnat:ur:e of person taklllg aoknmll edgment j
<br />
<br />--'-. ---.- "--_.'._-"'."--~--'._-"--_.",.-', '''._".__._-'-~'"----'''--_._,.,_._~, .----..-
<br />
<br />Hame typed, pr.l.nted or sl:alllped
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