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<br />MAR-11-2004 10:26 PM
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<br />P.02
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<br />4. NOTI~t O!' DEED Ri:8Ta:tC1'ION8
<br />The uncklra.1gned under.tande that thie permit My be "Wljeat to .de~ re"tr.i.l;:tionsu whiClh
<br />may be .ore r..trictiye than Cit.V ~8aUla~ion.. ~n. un~ra~gn.~ 488Qm.. reapona~btl1ty ~or
<br />oomp1iance witb any applicable deed re.tr1ct1on..
<br />B. UNLIC~N8iO CONTRACTORS AND CONTRACTO~ lE5PONS1BILITIES
<br />If the o~.~ he" hired a oontractor or contractors to und&~ak. wor~, they may be reQUired
<br />to be liceA.ad in A1~~...rri".,"e wit:h .t...~. QncI lQ",..l rO'i\lool.&L.l.um.. J:r 1:11e eontrector ia not
<br />lAownaea .. reqUired by law, botb tbe owner and contractor may b. oited for a m1.~.nor
<br />violation uncier .tate law. U' tll. Owner or 1Dtended eontractor a:;<e lUlcertll..1n a8 to loIhat
<br />1~oenain9 requirement. may .pply for t~e intended work, they aZ'Q advised to contact the
<br />City o~ %.~Y~h~11. .~~l~n~ Pep.r~nL, 813.780-0020.
<br />rurthermore, it the owner ha" h1red 1I contractor or contractor., h. i. advised eo neve the
<br />contractorl.) 8ign po~ions of the ~Contracto: Sec~i~.n of this applicatiOft for whigh they
<br />will be relpons1ble. If yoU, as the owner .igne as the contractor, you are ~n~ioat1na that
<br />ynn, r.<ath.r ~)wln the ~C>"'ior.ct:Q~, ..... .......pQnsl.tl.l.. tor the work. It the Qontrae~or willlhe.
<br />you to liqn .a COft~raotor that may be an indica~ion that ne i8 noe properly liconeed and 1.
<br />not entitled to Pe:mitt1n9 pr1v1lege. in the C1ty of Zaphyrhilla.
<br />C. TAANsPOR.TA.'1'ION IHPAcT RES Am> UTILI'!.'Y COma:C:T!ON i'li1lilS
<br />D. OONSn\t1CTUIOIf L:tEN LAIf (CHAPTER 7l;J, FLORIDA S'l'A'l'OTn, AS AMiHDl:D)
<br />I =-rtify that I, the applicant, ~ve been prO'l'icl.d with OJ r:opy ot "Florida's Con8tructiol'l
<br />lien LaN - Romeo~r'l Protection G~ae" prepared by tbe Florida Depa=~ment ot AqrieUlture
<br />and Con8~r Attaire. If the appli~ant i, someone other that tho ~own.rw, T ~.~itv ~h.t !
<br />h.v. cb~.1ned a copy 0: tbe above de.cribed document and promise in good faith to deliv.r
<br />it to the ~~erN prior to Caanencemen~.
<br />E. CONTlUlCTOR' S/OlfN!~'! ArrlDAvIT
<br />I o8rtlry that all the inro~t.1on in thi~ appliCAtion ia a~~n~..~. and that All ~O~k wLll
<br />be dOn. .1n COmpliance with all applicable lawe requlatinq oonstruct~on. zonin9, aQd land
<br />dovelopment.
<br />Appliqation is hereby mada to Obtain . p.~it to do NDrk and in.talla~ion .s indioated. I
<br />certify that no W~~ or installation haa eommA~oed ~ri~r too i..u.~o. .f ~ ~~it snd tho~
<br />all w~rk will be ~rtormed to meet ItaDdaros ot all laws r.qulat~~g conatrue~ion, City
<br />code., Zoning reQulationa, and lana development regulations 1n the ;uri.dio~ion. I alao
<br />c.rt~ty that I una.rltand that the regulation. ot other go..rnmental aQano1ea may aPPlr to
<br />the intenda<1 ,",Ork, and that .tt i.9 IllY r.''r>0l\.~104.l.~~)' t... J..dqn1;~f~ Ntun: .at.!.....,. % u,u..l L....t. to
<br />~. ill cOIlIplia!lC:.. Suoh a/lene1e. include but i1~e not l.l.lIU.t~ to, *Oap.artlllent or
<br />En~lro~efttal keqUlation-cypress Beybaada, Wetland Areas and EnVironmentallY Sensi~i~
<br />Land" ~at.~lNas~.wat.r Trea~nt
<br />.8outh"R~ ~l~tida Wat.~ Wana...ent: Di.trie~,w.~~a, CYP~c.a a.ylw4da, ..t~ana Areaa,
<br />Alterinq Watercouraes
<br />*Army Corps of Engi~..rl-Se.w.ll., Do~k., N~v~gable Na~erwey.
<br />.DepGrtmen~ o~ Health , lehab11ir.tive Services, Environm.ntal aealth On1~-Wello,
<br />N.a.t.wlI!..~ 'I'z-eaa...nlr., e.'l:ie T"1\1c.I:I
<br />.U.s. Enviro~nt.l Protectlon Aq8DQY-Aabesto. abatement
<br />r a.l.lo oertify that, if' l!!.ll lIater1al io to b. !.l..d 1n FloOd Zone "1\" ar "A,eto.n, it 18
<br />under,tood that a ~a1nage plan .dd....ing a "eomp.nsatin9 volume" will b4 SUbmitted whioh
<br />J... pr"PI...ed by 4 p.u..'...l......l. ..rui~neer relJ.1!1tereC .1Q ~1'IliI 8tate or: Florida prior to perlll1t
<br />i8'Ullnee.
<br />A permit i.aued ahall be con. trued to be e license to prooe.d with the work .nd not a8
<br />authority to violate, oaneel, alter, or ,.t aai~. eny provts1on. of the teChnical cOdel,
<br />hor .he~~ ~88~nc. ut · permit pr...nt the Bu~~dinq 0~~1ct..I. fr~ thereatter requiring A
<br />correction gf errors in plane, construction, o. violation. of any cOde. Every PG~it
<br />i.lu.d s~ll beoeae 1n.al.1a unless the work authorized by suon P'~it 1. commenced Nithi~
<br />.ix months of .i..aU<JuQe, or if work authorized by the pemti't .is suapended or aOa!l4O%le4 tor 'I
<br />per~Qa Ot 81x months arter the t1me the work is commenced. One 90 day extension of ti..
<br />Ny be e11o_d for th. perm..t t Nith fee ohaZ'9'e ot US, 00. 'l'h. .Jtt:enaion .hall ble requested
<br />~n writing to the BUild1ng Off1cial. An apprOVed 1napeetion mUst be loqqed durinq each ,~X
<br />month p.riOd, or the p&o;.~t will b. con.1~red abandoned.
<br />IIA!UlUlIIY '1'0 OtQl'J:~: l'OOP,. FAIt~ TO .IlI:CORD A NOTICE or C~ HAY UBOLT IN YOUR
<br />~AY'ING TtfIC!: F01l, tNPROVEMBNT8 '1'0 fOUR PROli'li:ll'n'. If YOO INtIl:l.tD TO OBTAJ:N rINAIoICINGl, CONSUI.:r
<br />WUIf YOt11l. LENDER OR AN A~:rOIUlJ:Y HFOR! REcoaDING YOUR NOTICE 0(' CClMDlCDEN!. JOBS UNDER
<br />a2, SOO IN VA1,tlI; DO NOT HEUl 1'0 Rl:CORD AND POST A "NO'l'ICI: OF COtOIEIiCEMl?IlT".
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<br />S IGNA'1'tJR& I 01fN!l1l, OR AGItNT
<br />
<br />!!TA,n; or rt.oRIOA
<br />CO!JNTY OF
<br />Th. tor.aoing in.~rum.~t W~~ ~~~"~wl.ct~.d
<br />!lefore me thill _ day or I 2ll-
<br />by
<br />(naae of pereon &CllaaowhcicJed)
<br />Owho i. J:>.~.""'~' 1y "''''WI'l t", "'., Or
<br />
<br />o who has Pnl~oec
<br />(type ot .1aenUlicaUOlI)
<br />-!Ond ...ti",C dJ.<1 !:::leU," n~ "'.100 o.n oa1;h.
<br />
<br />SlQNA'l'URE: caN~IlAM'n.
<br />
<br />STATII: or ftoR.IOA
<br />C:OtlNTY OF
<br />Th. e6~.,oL~ J..n."'~YDQnt ~. .e~~4edged
<br />s.l:or. llIQ ttU.. -...l1ay of , 20_
<br />by
<br />(n~ 01: pOrion aoknowledqedl
<br />Chho ~. P.~Don~lly known ~o me, cr
<br />
<br />o who has produoed
<br />(typs of identification)
<br />..nd toho Odia ~;l.w nul 1..1<.. an ollL.b
<br />
<br />Signa~urQ ot person taking acknowledgement
<br />
<br />Slqnatu:e of per.on takin9 llckno~le~nt
<br />
<br />W... trPed, printed oz .t~ed
<br />
<br />Name t;yped, printecs or at_pea
<br />
<br />, 'd
<br />
<br />ILSt'oN
<br />
<br />SllIH~^Hd3Z ,0 AllJ
<br />
<br />~?'8D:B tOo~ '9 'qa~
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