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<br />CONDITIONS OF PERMIT AmllAVIT
<br />A. NOnCE 01' DtBD RESTIU(;TIOllS
<br />The und."ulgned unct.utands that th1a penn11: may b.. lIubject .to "d.ed relltr1ationlln which
<br />11\IIY be more re.tdctiv.. thlln City reIJulat:ionll. The undersigned &SIIWMlII r..ponsibility tor
<br />compliance with any eppliCl.b~. d....d r..triction...
<br />B. IlNLICIHSlD CONTAACTOM l\IfD COIl'l'MCTOR RE9PONSIllILITIM
<br />If the own.r hae hired a <:ontractor or contractor.. to undertake work. th..y may be required
<br />to be licen.ed ln accordallce with et..te and local regulationa. It the oontraotor ie not
<br />licen..d aa required by llllf, both the owner and contnetor m..y be oit.d lor . m1sd.m..anor
<br />vlolation under stat.. lalf. If the owner or intended contr..ctor are uncertain a. to wh..t
<br />lioenling.~equ1rements mil]' apply for tbe intended work. they ..r.. adviled to contaot the
<br />City of r;ephyrhilh BuUding D..putment. 813-788-6611.
<br />Furthermor.., if the oNDer ha. hired a contraotor or contraotors, h.. i.. advised to have tb.
<br />contraotor (II) ..ign ponion.. of the "Contraotor Settiona" of thill applioation for whioh th.,y
<br />...ill be responllible. If ~'OU, a.. the oWller 1I1!Jnll a. the contractor, you are indicating thl,t
<br />you, rath.r than tbe oontl:actor. are responsible for thl!J work. If the oontraotor wiBbe..
<br />you to d9ll a. oontrll,;tor that may be an indio..tion that h. 1e Dot properly licensed and b
<br />not entitl..d to pennittinlf p.r1vilegllS in the City of tephyrh.1lb.
<br />c. TRl\NSIi'ORTATION IMPAOT FEES AND UTILITY CONNECT lOll PUS
<br />D. COHSTRUCTUION LI!Il LAtl (ClIl\PTER 713. rr.otullA 8TATUTE.~, AS AMENDED)
<br />I oertify that I, the applioant. have been provided with a oopY of "Florida'.. Con.truetiora
<br />lien Lalf - Homeowner' 8 Prot..ction GuldeN pupared by the 1I'10rid. Del>az:tllMnt of Agricultu"..
<br />and Con8wner Alt..he. If the applicant 18 lIomeone oth..r th.at the "ownern. I ee.dfy that J:
<br />have obtained a copy of the above describe" i;lQ01.1lll6nt and prom.18e in good faith t.o deliver
<br />it to the "owner" p"lort(l oomm.mo_nt.
<br />E. cONTAACTOR' S/OlmER' B },nU1AVIT
<br />I certify that all the Inl:omation in th1a epplication h aecurllte and that all \lork wl11
<br />be clone in aompliance with all applicable laws regulating aonlltruotion, zoning, ..nd l..nd
<br />development.
<br />Appl.ioet1on ill h..uby mad.. to obtain a pennit to c\o work and 101te11ation all 1ndicated. J:
<br />o..rtify that no work or il,etallation hae corom.nced prior to ~..uance of " pennit and that
<br />all work will be perfor\lllld to me.t st..ndards of all law. r"IJul...ting oonstruotion. City
<br />cocles, 'r:oning regulat~one. ..nd land development regulations in the jurisdiction. I .lso
<br />certify that I underetand that the regul..tion. ot other governmental agenci.s may apply to
<br />the intend..c\ work. ..nd thllt it 11 my .r:..ponslbllity to identify what actions I mu..t take 1:0
<br />be 1n complianoe. Sueb a\lenci... include but lira not limited tal "'Dep..rtment of
<br />tnvironmental Rel/Ulat!on-\:ypres.. B..yh....d.. Wetl..nd 1,re.. and Ilnvi.r:OIlJ1l8I1t:..lly Senaitiv..
<br />Lands, Wat..r/""8t....ater TJ:.abnent
<br />"Southwe.t llorida Water tlanagement Di.triot-wells. Cypress Bayheadll, Wetland Areas,
<br />AlterlnlJ Watarcour8e..
<br />"ALroy Corpa of En\lin..er.-1h.....lla, Docks. Navigable Wat..rway.
<br />"Depa.r:bnent of a..alth i lI"h..bil.itative Servioe.. :&nviromnental ae.lth Unit-W.ll..
<br />Wastewater Trestment. Septio Tanks
<br />.U. S. B:nviromnent.l 'rol:e(:tion "g..ncy-Aebe.toll ..b..tallUlnt
<br />I aho c..rtify that. if fal material 18 to be used in nood Zona "A" or "A, etc.". it 18
<br />und..retood. that a drain"IJ" plan addressing a "compen.atinq volU1ll(ln ..ill be submitt.d. whioh
<br />is prepared by .. professional engineal: regi..tered in the State of Florida prior to permit
<br />issuance.
<br />A pennit i..ued. .hall be (Ion..trued to be II licenlle to proce..d with. the work and not ...
<br />authority to violate. oann..l, altel:, or sat aside any providone ot th.. technical code.,
<br />nor .hall b..uallClI of a pllnnit prevellt the Building Official from thenafhr requiring a
<br />oorraction of error.s in plans, construotion. or violations ot any cod... Every permit
<br />i...ued .Iball become invali.d unl... the work autho.r:ized by Buch pnlll1t 11 C!ollllllenold within
<br />ail! month. of iuu..nae, OJ: it work authorized by the permit ill .Ullpended or aband,on.d for a
<br />period of .111 IIIDnths sftll>: the tiM the work i. commenced. One 90 day elltene10h of time
<br />may be allowed for the p.J~t with fe.. charge ot $15.00. Th.. extenllion ahall be requa.tad
<br />in writing to the 8uildlnll official. An approved in..p..otion mullt be logged durbg ..oh .:Lx
<br />month pariod. or the proj'lct .,111 be aonaid.ced abandoned.
<br />WARNIN", TO OIfNltRI YOUR I'JULURE TO RECORD A NOTICE OF COMMI!:NC>>l1lIIT MAY RIlSULT IN YOUR
<br />PAYING TWICE FOR IMl'ROVIHI!:HTS TO YOUR I?ROI?IlI\TY. II' YOU INT!llD TO OBTAIH FINl\II'CI~'G. CONIIUl.T
<br />WITH YOuR LBKl>BR OR AN AT'l~OI\NIY BErORE RECORDING YOUR HOTIc! or COMMENCEMBIfTo. J('!II UNDER
<br />$2,500 IN VJU,UI!l DO NOT NEIlD TO RECORD AND POST A "NOTICE OF COMMEIICDlENTN
<br />
<br />
<br />AT! OF
<br />COUNTY 01'
<br />The foregoing in..t;;.'lIl\ent lIU~knt>"ledge<t,~~
<br />B..fore me thie~ay o,~ y f!t:--~~J
<br />by -tJ.... v I'r\.'--.... \ .i'\C5
<br />/1D..me of peuon ..ckn.,,,ledged)
<br />!Y'who i. p..rsonally knolfllto...., or
<br />
<br />
<br />Signature
<br />
<br />OW
<br />;;(;N 'Ii CC H854<JO
<br />L:<r~h~-"_" N,,,, '1, 200J
<br />
<br />'~~~" ;vb., 8, Bending Co
<br />-~""-~.... ...""","~
<br />
<br />Name type
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<br />9i90'oN
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<br />
<br />:l\T1!: or lLO IDA
<br />cOUNTY OF
<br />The foreooinq in,t~nt V~Wledq.d .
<br />Befor.. m..~ ~ay f.:t ~ .,., ~
<br />by ~ '" , 0 _
<br />/(n..me of peuon ..cknowledg.,d)
<br />~o i. per.onally known to me. or
<br />
<br />
<br />Nama typed. ~r1nted 0
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<br />SlllHHAHd3Z JO Al;J
<br />
<br />VIVII.6 IOOl 'g,.'llIr
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