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<br />CONDITIONS OF PERMIT Al'l' .LLm.V-L ~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than city regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordance with state and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhi11s Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractorlsl sign portions of the 'contractor Sections" of this application for which they
<br />will be responsible. If yOU, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />yoU to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhi11s.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW ICHAPTER 713, FLORIDA STATUTES, AS AMENDED I
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law _ Homeowner's protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the 'owner", I cerify that I
<br />have obtained a copy of the above described oocument and promise in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certifY that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulatIons in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are riot limited to' -Department of
<br />Environmental Regulation-cypress Bayheads, wetland Areas and EnvironmentallY Sensitive
<br />Lands, water/Wastewater Treatment
<br />-southwest Florida Water Management District-Wells, cypress Bayheads, wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways
<br />-Department of Health' Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, septic Tanks
<br />*U.S. Environmental protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
<br />understood that a drainage plan addressing a .compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unlesS the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for tbe permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER' yOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH yOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND pOST A "NOTICE OF COMMENCEMEN "
<br />
<br />
<br />
<br />STATE OF FLORIDA ,f)/Jn/l,,\
<br />COUNTY OF 'f:::'.~vu
<br />The foregoing ir~trumen.t w~cknOWledge
<br />Before e this .5:!:-day of.. ., ~
<br />by n c...l;; rn ,--+A
<br />~ (name of person acknowledged)
<br />~ho is personallY known to me, or
<br />
<br />SIGNATURE:
<br />
<br />STATE. OF FLORIDA /2 r
<br />COUNTY OF ~JLi
<br />The foregoing inltrument was acknowledged
<br />Before1me thj~t day of ~-< ,~~
<br />by _ .-lA,/,M. ...:- ~
<br />.~ (name of person acknowledged)
<br />(~WhO is pezsonally known to me, or
<br />
<br />o who has produced
<br />(tYRe of identification)
<br />and Wh~did ~ot take ~n oath.
<br />
<br />K1(\A1oM ,[1~ODd
<br />
<br />Signature of p~~P taking acknowledgement
<br />l'f- ~s D
<br />"*. '>Ii MYOo ana M Wo d
<br />~~~. 9 : i MMISSlON' r
<br />Name typed, pri OJ3rlN6E Ei4;l200S ES
<br />oy FAIN IHSURAHC~ IHe
<br />
<br />o who has produced_
<br />(type of identification
<br />an~ho Odid Qiid not take an oath
<br />
<br />(lirJd Il7 it 11l/J/
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name
<br />
<br />",\\~~l';'""
<br />,,'~~;!'T~~.> Dana M. Wnrri
<br />
<br />t.y~ed*; ~~ib:f?DIljDJtP'lREt
<br />":.<. ',; July 14, 2005
<br />.~. f;r, .'; ,'. ;(l"nm THRU TIlOY fAIN INSURANCE. INC.
<br />
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