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<br />CONDITIONS OF PERMIT AFFIOAvIT
<br />A. NOTICE or DtBD RESTRI<;TIONS
<br />The unde~II0ned under.tan'~ that this pe~t may be .ubject to ~d.ed ~eat~ictlonl" which
<br />may be mo~e.re..tdctive tluln City regulations. The Unde~.igned auum... r.sponlibility for
<br />compliance with any applinabl.e deed ~..trictlon..
<br />B. IltfLIC&HSID CONl'RACTONf AND CONTAAc'rOR REBPONSIIlILITIBS
<br />If the ownsr has hired a (~ntractor or contractors to undertake work, they may be reqUired
<br />to be licensad in accordal,ce with state and local regulations. If the cOntractor i. not
<br />licensed aa requ;!.red by I.,,,, both the owner and contractor may be cited tor " miademeanor
<br />violation under atllte lllw. If the owner or intended contractor are uncsrtain al to what
<br />lic.n.ing requirementa mil]' apply far the intended work, they are advi.ed to Contaot the
<br />City of Zephyrhilh BUildlng Ile:putment, 813-7B8-6611.
<br />Furthermore, if the awne~ has hir.d a contraotor or contractorl, h.. is adviS"d ~o have th~
<br />contractor!s) sign par tim,s of the ~Contractor Seetianl" of this applioation far whioh th~y
<br />..ill be r""pon.ible. If l'QU, III thl! owner signa a. the contractor, you arl! indicating thllt
<br />you, rather than th.. oontJ:.cto~, are re.ponsible for the work. If th.. contractor wish...
<br />you to s1gn .. oontr.."tor thst IllaY be an indiaation that h. is not properly licensed and h
<br />not entitled to pe~ttin\f Privilege. in the City of tephyrhilla.
<br />C. TIWlSI10RTATION IMPAOT FEES AND UTILITY CONNBCTIOlI PUS
<br />D. CONSTRUCTUION LIBN LAt1 (CIlAPTI!:R 713, fl.olUOA STATUTL'I, AS AHENDI:D)
<br />r oertify that I, the applicant, hllve been provided with a oopy 01: ftFlorida'. Conltruction
<br />lien Law - HOIlUIowne~' s Protection Guids" pupa rid by the 1'1""i<la Department of AlJricultuu.
<br />and Consumer Aftairl. If the applicant i. som.one other that th.. ftownl!r", I cerify that r
<br />have obhined a copy of the above c1elcdba<l do01llllent .nd promia. in good faith to deliver
<br />it to the "owner" prJ.ortc. commeno_nt.
<br />R. CONTRACTOR' '/OWNER' S J.rrUIAVIT
<br />I certify that all the intotll\llt1on in thil application 11 accurate and that Illl ..ark w111
<br />be done in oompliance with all applicable laws regulating con.truction, zoning, and land
<br />d.evelopment.
<br />AppliQatlon h hereby madll to obtain a pemrlt to do work and inltallation al indicated. J:
<br />oertify that no lfolOk or inltallation haa oaJm\enc:ed prior to 1811uanoe ot a pU111it and that
<br />all work wl1l be performed to meet atandard. of all laws regulating oonstruotion, C1ty
<br />code.., 'tonin" reoulationa, and land development regulations in the jurildiction. I aleo
<br />certity that I understand. that the regulation. at other qovern~ntal agenci.1 may apply to
<br />the lnteude<l work, and thllt it 1a my .responsibility to identify what "ctions I nru.t take 1:0
<br />be in compliance. Sueh allenci.. include but ara not limited tal "Depertment of
<br />t:nvlrolUllental Regulation-c:ypre." Bayheacla, Wetland Are.. and Envirol1lll811tally Sensitive
<br />Landa, "at"r/Wastewater T".atment
<br />*southwest rlorida Water tlanagement Di.triol:-"ell., Cypre.. Bayh."da, .stland Area.,
<br />Altering Watercourse.
<br />*A.rmy Corps of ISnqin....u-II.....ll., Dock., Navigable W.te.r....y.
<br />*Depertment ot aealth , Rf,hebil..1tal:ive service., Environmental Health Unit-Well.,
<br />Wastewater Treatment, '.pHc Tank"
<br />*U. S. Knvlronmental 'rote<:tion Agenoy-Asb.ltoa abatement
<br />I aha certify th.t, if fal material 18 to be u.ed in Flood Zone ftA" or "A,etc.", it i.t
<br />undautood that a dralnagll plan addressing a "COIIIp.nlatinq volume" Ifill be eubmitted. which
<br />18 pr..pared by a professional engineu r..ghte.re<l in the Btats of floride prior to permit
<br />issuance.
<br />A permit iSlued Ihall be nonat:rued to be Il 110ense to proce..d with' the "'Ol:k and not a.
<br />authority to violat.., oanuel, alter, or sat a.id. Iny proviaionl of th.. technical oodes,
<br />nor .hall ia.auan08 of a p<l~t prevent the Building Ol:l:io1&l from thenathr requiring a
<br />oorrectiOh of erron in pl.alll, construction, or violations of any code. Every P4rrn1t
<br />issued "hall become inva!i_d unlels the work Iluthorized by lIuoh pe.rlllit h COIIIIIenc.d wtthin
<br />..ill months of issuanoe, 01: if work authorized by the permit il ,uIPlnded or abllnd:onecl tor a
<br />pariod ot aill month. sItel: th. time the work ill COllll1\llnaed. On.. 90 day elltenuon of time
<br />may be allowed far the peJ~t with fee charge of $15.00. The extenlion IIhall be r..que.ted
<br />in lfdting to the Buildinu Official. An app.roved inspeotion Il\\lllt: be logg..d durin.g eaoh aill
<br />month period, or the proj'l<lt ",111 b.. ool1l1idel:ed abandoned.
<br />WARNING TO OWNltltl YOUR I'JULURE TO RECORD A HOTIC! or COMHDlCEM1lNT MAY RBSULT IN 'lOUR
<br />PAYING TWICE fOR IMPROVEMI!:NTS TO YOUR PROPIlRTY. II' YOU INTEHD TO OBTAIH FIN)>JICI~'G, CONSUJiT
<br />"ITIl YOUR LBKDI!lR OR AN AT'i~Ol\tlllY IlI!:IOR! I'leCORDING YOUR NOTIC! 01' COMMI!:NCOfBIfT. Jc,es UNDER
<br />$2,500 IN VALUE DO NO Elm TO RECORD AND POST A ~NOTICE OF COMMJl:NCDlENT".
<br />
<br />
<br />Er?~
<br />
<br />"~ATI!: or FLORIDA '\""l <...,
<br />COUNTY OF \\I.. ~... (.;)
<br />The foregoinq in~t.r~nt we. e n(,wledq"d
<br />!letor:a me this ~y of , ~
<br />~ . b
<br />. ~n"me of perlon acknowledgo,dl
<br />CEho i. per.onally known to me, or
<br />
<br />STAT! OF !'LORIDA
<br />COUNTY or
<br />The foregoing instrument Hall aoknowledged
<br />Before me this , ay ot~_.. , ~
<br />by L.' ~
<br />ackn'))lledged)
<br />known to ...,. or
<br />
<br />
<br />Dwho
<br />
<br />9iona
<br />
<br />ame typed,
<br />
<br />_~~"~~ & Bonding Co
<br />
<br />. d
<br />
<br />9L90'ON
<br />
<br />SillHHAHd3Z JO AIIJ
<br />
<br />VIVI16 IOOZ '9j'lI11r
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