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<br />.r <br /> <br />COt1D!TIONS OF PE.RMI'l' AFF!OAVI'I <br />A. NOTICI!: O!' DEED RJ:9TIUCTJOOS <br />The undersigned ~n~er.tand. that thia permit may be .ubj.~t ~o ~deed restrictions" WldCh <br />IJIllLY .be more relltrictive than City regulations. 'l'b'C 1.:nderlligned assume!! rfuponsl.b1lity for <br />compliance witb any applicable deed re9tri~tion.. <br />B. UNLICDl'St.D CONTRACTORS AND CONTAACTOR RBSPCNSIBILIUES <br />If the owner hils hir..a II COl:1:ractor or contractors to undertake wo!:k, th&y ~y b':!o cp.quire<:i <br />to be licensed 1n a,:cordanc., w.1.th state .r.d local J:'ell'llllt.!.ons. I r the contractor .is nl'lt. <br />1ioaus.d .. requIred by ~aw, both the owner and oontractor mAY be oi~.d f~r a misdemellnor <br />Violation u~der sta~ft law. If the owner or intended contractor /lre uncertain as to whll. <br />licensing requir<<mants mAy IIpply for the intended work, they are advi:sed to oontact the <br />City or Zepb.yrhills Bul1dinq D..pa~tment, 813-7611-661).. <br />FurtheLlIlOre, ;I..f the O"..ne1' has hired a <~cntrllctor or contrllct<;C&, he i.s advi3Qd to :la;r,~ the <br />cOnt~acto)r (Ii' lIi'ln porth'ns of. the "Cc,ntract:or Secti.,n&" of th.is app11Cllt!.on for wj"d.'~h they <br />will be .raaponaiple, It: you,~:; the owner Signs ae tr.e con;:racr.c,c, you are i:1.dic8.ting t.hat <br />ycu, rather thiin the <:;:Ontrlctor, are respollsible fe-,r th", work. It the .:ontr.a-otor \'li.sil...,. <br />you to s:'qn .. contra<:;:tor that may ~ an indiCAtion thOl'.: he is not. prop~rly l~cerHied ana 1" <br />net ent.itIed to pe~tting privileges in the City of Zephyrhl118. <br />C. TRJ\J1SPORTATION IMPACT I!'E&S AND UTILITY CONNECT!Oil FEEs <br />D. CCNS'I'P.lTC'1'UIo..~ LIEN LFJi1 (CHAPT!:P. 713, l!LORI01\. S'l'.ATUTES, AS AMENDeD) <br />I certify that I, the applicant, hAve l:leell provided with II copy of. "Florid.'.. Conatruction <br />lie!; Law - Bomuowner'.. 1'l:otec;1t1on GuideN prepar..d hy the Floridll D"p_ttmen:: of J>.gdc.ulture <br />And CUn.~~ Affaire. It the .pplic.nt ift someone ether that the "own.rN, I cerify that I <br />hllve obtained a copy of the above deacrtbed. document ilnd promise .!.n good. hlth to dl'!l.tvel: <br />it to the "owner'" Prior to cOllllll.ence1l\ent. <br />E, COt/TAACTOR' SlOWER'S An'.tDA.VIT <br />I c:ert.lfy that all t..ha 1ntgn....tioD in this applio.t1011 ia accunt.e IInd t..l'.>>.t all work will <br />be donlt 1n cOUlpliance wi.th all Ilpplicable law. .regulating construction, :roning, and lall<1 <br />de',el ofm..n t . <br />AppliclltJ.on i. hereby Il"....dtl to obtain. permit: to de work and inatslhtioll U incitclltlld. I <br />c~rtify that no work or installation has co~nced prior to issuance of II ~ermit and t~t <br />all work will b. performed to meet atan~al:~ of all laws regul_t.J.ng conatruction, City <br />coca., :l:oning ..regulation., and land de\'elopJllel)t regu).atlo!:oa in the jUl:'1I'diC1:10n. I a180 <br />certify th~t I underetand that ehe regulations of other goverrunental agenci~s ~y apply to <br />tile i.ntended lro.rk, and thllt ~t 1. It(\" r.ellponsihUlty to identity what llct.1.cms I mUllt tltlc~ to <br />be in c~llan<:;:.. Such agencies include but are not 11~t.d tOI "Department of <br />Env1ronmental Regulation-Cypres. Beyhe.d8, Wetland Are_. and Environmentally Sen8it~ve <br />!,lmcts, Watftr/W.stllwater Treatment . <br />"'Sout.hwest Ylorida Water Hanagement Diatrict-Wel,1s, CypresE; Ba.yheads, Wetland Areas, <br />Altering Watercoursea <br />"'Array Cor.p. of Engineerll-S,..walls, PoQks, Navig~ble Waterway.. <br />"'Department. of Health, R..habJ.llt:atlve Services, Envirordnl'n1::al H...alth l/ni.t-Well$, <br />WalStewater Trca~nt, Septic Tanka <br />.U.S. li:nV1ronmental Pl.otection Agency-Aabest.Oll ablt8l<lOnt <br />I a180 oer.tify that, if fillll1ateria.l ia to be ..sed in Flood Zon.lfl "A" tlt" "A,etc.", itlS <br />understood that a drainage plan ad<:ire8lling a "compenl'lati~g volume" will he ""Omitted wt.;.<;h <br />ia prepared. by a prol!l>>lsicnal engineer registero!d in tl'". Stat.. of FloridA pl.ior to penoi t: <br />ill.ullnc.. <br />A permit iaauea lIhal~ be con.trued to he a licenlle ~o p~ooe.a witll r.he work and not AS <br />.utbority to "'io~.t., cancel, alter, or .et _.id.... any prOVisions 01 the tschn1cllJ. code'!;, <br />nor shall issulIDce of a pe~t prevent the Bw11d1ng Offi=ial from tberearter requiring a <br />correction of errors in plllns, conatruction, or v101<<t:l('ns of any code. Every pennit <br />i..ued :ahllll beoame invaIta unleas the work authori~.Q by &uch permit is commenced within <br />aix montha of issu~nce, or i.f work autnor1~.d by the permit is lIuspend.ea or abandoned tor a <br />pe.r10d of six IllOnt.r.a II:-t.r the time the ,.ork ia cOlll1\enced. One 90 clllY extenll;.on oE time <br />-V be allowed for the permit with fee charge c-t $15.00. The eKtensio!:'. shall be .L'.q1l..ted <br />j n wri tin9' to the Building Ofticial. An apprcved. inBpe::tion must be ::'ogge<l du.rJ.nq "Itch aix <br />month period, or the project will be consiQered ~bandoL~d. <br />i'lARHIN'G TO OWNER: YOUR FAII,URE TO RECORD A NO'rrCI!: O~ COMMDlCEt4ENT !olAY RESULT IN YOUR <br />PAYING TWICI!; FOR IHIi'ROVEMi:NTS TO YOUR PMPERTY. IF YOU nrr~D ~'O OElT".IN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN Ari~RHEY B~FO~E RECORDING YOUR NOTICE OF OOMM~NCF~. J0B5 UNDER <br />$ , N VALIJE 00 Nf}T NF-ED TO RFCORD ANO POST A "NOTICE OF COM;,>ll!:NCEMENT". <br /> <br /> <br />-'----~,-. -.----.- <br /> <br />:3 IQlUlTURE, CONTRJ>..CTOR <br /> <br />STATE OF !'LO~ <br />COUNTY OF ,v rl ~ D/I <br />Tha foregoing ~~nt w~acknowledged <br />l>et:or,~ th;j .' ~ ~ or CLn --' .:.te.e3 <br />by .. ~ /l.r; ~ <br />(name of perlSon a nowIedged) <br />~ho i" personally known to me, or <br /> <br />o who has producecl <br />(type <br />o did no <br /> <br />ST,WE OF ~'LORIDA <br />COIm'I'Y ()F <br />The forellolng i.nst.rUlJ1ent "".1I <br />Before me thia -----Pay of <br />:by <br /> <br />aoknowledged <br />, 19 ___ <br /> <br />(name of person ~ckr.owledgedj <br />CHho 1.. personally known to me, or <br /> <br />N~ typed, pcintod or st~ped <br /> <br /> <br />o wtH' halS produced <br />itype of identification) <br />and who Odid [Jijd not t.!':e an oath <br /> <br />.'. <br /> <br />S,1.:gr4l~i~ perao' tdring acknowl..dgment <br />No:o'v ., t)il~ - Stote of Florida <br /> <br />or .tArnp"'CI <br /> <br />-------- <br /> <br />~ . d <br /> <br />~Vo,~' rqJ <br /> <br />SlllHdfHd3Z ~r !l!~ <br /> <br />h d 'j 'J ; 0 <br /> <br />.:- L! I) .~ <br /> <br />J!' <br />