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<br />lL tJUTICE; OF DEED RE:STRICTIOllS
<br />rhe ulldersJ<::JIled understands thai. t]lis permit !nay be subject to "cleerlrestcicl.irlrls" i'lhi"h
<br />HldY he 1I10le 1:eslricl'Jv8 than I'it\, reCjulations, The undelsiqlleel aSSllllles lespr)IIsihi Lil.\' fUl
<br />c:omp.lianr:e l'/lth allY applicable deed restricLions.
<br />B. 1J/'ILj('F.:11SED 'I:UIITRlI,C:TOB3 Alii) CCJI1TR/\CTI)R RESPOllS1BJLI'I'IES
<br />1 f j-]18 ('llllel lIas hired a contractor ur ,:;unLractnrs 1.0 undertake vlork, they Inay he lequj red
<br />tu he licensed in ar;coI'dance 11iUl state and local regulations. jf the cOld'ldcl.or is nul'
<br />1. i censed as l'eqlJ ired b\' J al", buth the 01-l118J: and contractor Hlay be ci Led for a [IIi sdellledllol
<br />vi.ulaLi.un llJ\del sLate lal-l, Jf I~he O\'mer or intended contractor are Ilncert.ain as lu Hl1al'
<br />licensillg requirements Il1ay apply for the intended I.mrk, l~hey are advised tu (Contact. lhe
<br />CiLy of Zepllyrhills Bllil(jjng Department, 813-78()-0020,
<br />FurtlleJInore, tf the OI.mer has lilred a contractor or contractors, he is advised to Ilaile the
<br />cOIltract_or(s) si'Jn portions (Jf the "Contractor Ser.:::tions" or this application fo! which Lhey
<br />\Iill be responsible. If YUIl, as I:he ovmer si9ns as the contract()L, you ale lIH!.ir':al:11IfJ Illat
<br />yuu, raLher Illall rhe contracLor, are cesponsi.ble fOl the \'Iork. 1 f !:lIe ('ont.l'acIUI I'lisiles
<br />YOIl to SirJll as cOI1Lractol that. may be all indication tllat: he is noL prupelly 1 iC<::llsed and is
<br />not enUl-led I:c, pelll1H.ting pLivjJ.e~lesin the City of ZephYl.llills.
<br />(.', 'I'R!\.tJSPOR'l'l\'I'[UN TtvIPl\r::T fEES MID U'J'lLI'l'Y ('Ulltll<:::CI'J011 Ji'E:E:S
<br />[I. COI1S'l'RIJe'1IJIUtJ LIE!) LA\,~ (CHll_PTER 713, FLORIDA STATUTES, AS l\HEtIDEU)
<br />I certify that: 1, the applicant, have been provi.ded vlith a cupy of "Florida's (.'lJnsl:ruct.lon
<br />llen La", .. Home(l\'1ner's Plotecti.on Gui.de" prepared by the F'lorida fJepRrtmenl: of l\griclllture
<br />and Consllfller Affairs. If tile applicant is someone other that the "eH'mer", I l~eLi fy l.hat 1
<br />have ol!\:ai.ned a copy of the ahove described document. and promise in <Jl1OeJ fai.t.h 1:0 delivel
<br />it.. Lo tll6 "n"mer." prior to commencement.
<br />E, CUtI1'RN:'J'UR' S/(MIlEf<' S AFTL DAV I T
<br />I cel!.i fy I hat alL '.he Informat.iun in this appl icaLi.on is aCCllrate and that al] Hock \Ii Ll
<br />he clone in compliance I,JiLlI all applicable la\vs regulating cUl1s1.ructioII, zoninCj, and Land
<br />d<;\lelopllleltl .
<br />l\r'plicatioll is helehy made to obtain a permi.t 1:0 do \'Iork and installal..ioll asilHllcated.
<br />'~erti.fy lhal no \'Iorl; or installation has commenced priur to issuance of a jJeJIIIJt and I hat.
<br />all \<]('11'); I-iiI I ))8 per.formed to meet standards of all lal'ls regulating constructioll, ('ity
<br />codes, z'mi.ng reql1.latinns, and land development regulations in the :)\uJsdlct:i.ull. J also
<br />cer.1:i.fy that I IIncleJ:'st:and I'hat the requlat:ions of other governmental aqelj(.~ies may apply to
<br />Ille intended \'101'10., and that it is my re.sponsibi.li.l~y to idenl.ify \'Ihat actions J must take to
<br />be 111 <;omplLance, Such aqenci.es inc.lude but are notlilldted to: *Ilepart,menl ()f
<br />EJlIIJnJllm611t:al Retjulalir)J\-C)'press Bayheacls, Hetland Areas alld E:llviuJllmelil'aUy Sensitive
<br />I,ands, v'Jat:er/\'</aslel'later 'l'ceatment
<br />+SOllth\H::st F'Jorida \'~at er l'lallagement OistrJct-I'Je1.1s, ('yprf;ss Bayheads, IJellall<.1 i\leas,
<br />lU I, erilICJ \)al:erC,)llr ses
<br />*ArlllY COlpS of E;nr:J'ineel:s-Seal'laJ Is, Docks, l~avigabje IJaLen'/ays
<br />'Ueparlrllenl. of fleaJLh [, HehabiJitatilJe Services, Envirollmental Health Ullil'v.Jells,
<br />I^Jastellal er TL"eaIIl\ent, Septi.c Tallks
<br />! [J . S. En I! J J OlllHell tal P rot eeLi on l\genc y- Asbe s t os aba temen t
<br />1 also (;erlify that, lf fill IIlatelia1. is to be used in Floocl ZCJl1e "A" ()J "l\,el'c it is
<br />ulldersl:ood tllot a draina']e plan addressing a "compensal:LIlCj vol11llle" I,d 11 be Sllhlld.1 "('-;r! \'ihi.ch
<br />is prepared hy a professional engineer legistered ill the StaL:e of r,'!llrida pri')j t:o penlli t.
<br />issuance.
<br />l\ peun.i I: Issued sllall be (;ollslrued to be alic:elise lrJ pro'-ceed I.d!:h tile \'lOrk alll,l 1\01 as
<br />authority to violate, canuel, a1 tel', ur set 5side any provisious uf the I'echnical ,;odes,
<br />Ilor shall issuance of a permit prevent 'tlle Building Officla] from Lhereaf1:ec refjuj)lny a
<br />cOlre(;j iOIl uf erIors i.n plans, construction, OJ. 11.lo1aLiolls of any code. F:velY permil
<br />issuer! sha] I I,Jec:ollle lll\lalid unless tlJE: l'IOlk authorized by sllch permit is COll1I1l8nced l.d.Lhin
<br />s1:: 1Ilontlls of iSSUEtllCe, or if lvork authorized by the perml!: is sllspended or ahalldoned for a
<br />j:.eriod of six lItonths after the tirrte the l'lork: i.s cOllunenced, One 90 day extension of 1.1111e
<br />may be aL.lo\'led for the peulli.t "il:h fee charq-e of $15,00. The extensiun shalL he requested
<br />i/1 vlrillllf::l to tIle Buil.dj!'l(j Official. An approved illspectiofl must lie locjlJ8d durillCI each si)(
<br />month period, or Lhe rHojp.r;l.: ",ill be consi.derecl abandoned,
<br />~'iI\RtlIlj(j Tn UI'~llF,R.: YUlm FlU LUBE TO HECORU A t]UTl(~E elf' ('(Jt'1l.1EllCE[IE~I1'l' 1']!\Y BF',SUt.'l' III YOflH
<br />PllfIllc:; 'II-neE F'I!H H1PRO\lE11E:llTS TU YUUF PROPERTY. IF YUU lllTEtlll 'I'U OB'I'lllll Fllli\IICIllG, ('UIISIiLT
<br />~HTII YUUH LEtIDER OR All I\TTORllE'i BEE'OHE RE(,()R/l[[I(~ YOlJR !IUTICE OF c~or.nJ~,[ICE:rlE:l.]T. ,IC>BS l/llilEf<
<br />$2,511U J 1.1 V!IJ,UF.; DO 110'1' lJEELI TO PEe'OFD Am) POST A "110TICE: (it t"Ul1I'mtJC:E:I'IE'.II'I'''.
<br />
<br />_._-_.__._---------------_....._--~-_._--
<br />
<br />SII3tlATLJRE: c)WllER OR AGEllT
<br />
<br />----- -- .-.-.-.--------..-----...-~._---- -- --____.__ ~._. _0-_..-_--- .._. ,._
<br />
<br />SIGIIATURE::
<br />
<br />CON'['RAC'1'Ur<
<br />
<br />S1'}\TE OF' FLOFU DA
<br />CUIH1'I"f OE' ---______.____~________._____
<br />The t01'8(:J'oiny insLrumenl: vias acknovded<::Jed
<br />Before me this __.__." day ()f ____..___., 21t.
<br />
<br />by .-------___ ______._____. __... ..___________, ,___ .._.....b.._____.
<br />(nalne of pel.son a(:kno\'iledged)
<br />[I uhu is personaLly ):1I0Iln to me, ()r
<br />
<br />S'fl\TE: OF' fLORI Dl\
<br />COUllTY tlf .. ... '_______'m__..___~.
<br />The fOlegoing .i nstl'llIn8IlI: Ivas aCkIHI\-11 ed(::led
<br />Be for e me I: hi s _ . .__.__r1a y (J f ------...--.----.- , 2 ()
<br />
<br />by _._____. _ .___.. _"___'_" 'm_"m_,,_.... ,_...
<br />(name of persoll achlOV/ledyecl)
<br />[Jlhn j s personally kIlO\lIl to lne, or
<br />
<br />[] Hho lia s produced_____.__. _____
<br />(type of identification)
<br />dlld \VllOl] (jj d [] ell d not. tah" an oa th,
<br />
<br />[J l'lho has proehl ced '_'_'. .___.__.__,__..____.______,
<br />(type (If ldellli Iieat ion)
<br />a II d vilw [] d .i d LJJJ cl fl 0 t I i:l k e a Il 0 a t 11
<br />
<br />Si':fllal\]re or perSUll tal:ll1':1 aCblU\iledgernent
<br />
<br />,Sj ':fIlature uf per son I.ak 1./1'] ac-kllol'll edr::ll1leIJt:
<br />
<br />.-., -._-_._._--~----. - ..-- - -..--.----------------.--
<br />
<br />tJaWE: I. yped, pr illted or st:amped
<br />
<br />l lame 1_ yped, pl: i lit eel or s I. Blllped
<br />
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