|
<br />01/30/2006 12:46 FAX 3523516103
<br />
<br />CENTRAL DOZER
<br />
<br />~ 003/009
<br />
<br />A. NC~XCE OF D~ED ~ZST~~CTXONS
<br />Th. unde~s~gned understands t~a~ thi$ permit ~.Y be Bubj.~~ to "deed res~r~dt~ons" wnich
<br />may be ~c%e rest=ictive, than City ~egu~ati~hS- The u~ders~gned a..urnes re8ponsibi~ity %or
<br />compJ.1a.ncB w;l.:'th any. App1~cabJ.. ClefiJd re:;'t1:"1ot.ions.. '.
<br />II. UNt.:rCI!lNeI!lD CON'.1'ftAC'rO~'AND CON':t'~CToa l\Jj:SPONt9:J:SI:LJ:'1'J;ae .
<br />~~ ~~. g~ner,ha& hired a cgntr.c~o~ gr oontr~ptor8to und.rta~e work, 'they may be required
<br />to b. ~icenged ~n ~coor~ano. with ~ate and ~o=a~ ~eg~~at~one. %~ ~h. con~ractor i9 not
<br />~iccneed as r=qu~red by ~aw, both tbe owna~ and contr.o~or may. be c~t.g ror a misde~.anQr
<br />Y1c1ation under 8~at. 1aw. I% ~he o~n.~ or intended contr.~tor are uncBrta~n as to what
<br />~icen~i~9 requirAroents may apply ror the ~ntQnded work, they are advised to contact ~he
<br />c~ty of ZephYrhi~~~ Bui~din9 Departm.n~, B13-780-0020.,
<br />ru~the%mgre, i~ ~he ow~.r haa h~%ed '. co~~ractor Q~ oQntracto~.. h. ~~ advieBd ~o have the
<br />c;:ontrllcto>:, (l:l) s.i.~n pO,;''r..i.ous' of 'th. "Qontrillctcr, aec:t.ionCl" o'f th;l.s appJ.i.c:e.t.i.on fa: whj,oh ~hey
<br />.~:i.J.~ be respon5l.!.b~e. :rt y6u,' ,1!l1!J the owner signs al!!l~h= oontractor, yc~ are .indJ.cQtin9 that
<br />you., rat):la:l: than the c:.ontraQ~or, are respoftsib.Lc ~or tne work, .:!:r the contrae~or w1.s):l...~
<br />you to Q;I.~n AS cont~aetor tn~t may b& an indio~~.ion th~~ he i. not p~oPQr~Y'J.icBnSQd and is'
<br />ftct entit~.g to pe~tting pr~vi.L.~es in the C~~Y o~ Zephyrh~J..Ls.
<br />C-' T~BPOa~ATLO~ :J:MPACT EZ~S AND OT:r~I~Y CONN~C~~ON FEES .
<br />p. CONSTRUC~OI:ON L~EN ~A- (CRAPTE~'713, FLOaIDA STATUTZS,'AS AMENDED)
<br />~ oert.!.~y th.~ Ir the app~.ioantr hay~ b~en pr~v.i.ded ~ith .' eopy'of t'r1~rida's Con8truction
<br />~iBn Daw - Hameowner's,Pr6teeti.on Gu~d." prepared by ~he F~or.ida DBpartrnent of A9rioU~~ure i
<br />and COn~Qmer ~~~airs. ~t the app~!oaftt is someone other tnat the "owne~". ~ OQ.~ry that :J: j.
<br />have obtaLned a oopy of the Dbove d.scr~~ed doaum8ri~ and p.gmise ~ft qood ~aith to de~ivBr I
<br />~t to the "owner" pr~or to CommencBment. !
<br />E. CONT~C~OR'S/owNER'e A~F~DA~~. .
<br />% oeXt1fy t~8t a~~the ~n~Qrm~tion ~n ~h~s appl~cat~on'~. aocurate and that a~.L work wi~1 l'
<br />be done in Q~~i~nce with ,all app~ieAb~e ~aWa r.qu~ating =on8~ruct1onr ~on1ng, and ~and
<br />dilve~opment ' ',. '.
<br />Appl~~at1on i~ hereby made to ODtain a permit ~o do work and in~ta1iation as indic~teQ, ~
<br />CB%~1~y that no wo~k or ~~sta1.Lat1on has commenced prio~ to t.Bua~ce o~ . per.m~~ Bnd that
<br />&11 work wi11 b. per~or.m~d to meet sta~darQB of A1~ ~aws regulating,ooftstruotion, c~ty
<br />aodes, zOn1ng regu1at:i.ons, .and 1and de9.~opmBnt regu1ati~n~ 1ft the juri&diotion_ ' I a~so
<br />,oe~t1~y that I ,~nderetattd ~h.~ the re9u1ationa o~ o~har governmontal agencies may app.Ly to
<br />~he 1nt.nged wo.k, and that .i~ is my ~e8pons~~11ty to id.nt~fy what Bction~ 1 must tak9 to
<br />be ~n compliance. Such ~g.~cie. ino1uae but .~. no~ limited tOI *D.par~mBnt of
<br />Enyironmenta~ Reg~lat.ion-Cypr..s Sayheads, wet1and ~cas aftd ~nv.ironmenta11y SensitivQ
<br />LlllJ'ld.9, wi!lte~/"a.,tewa'l:.cr T:"C1tmen~ : . ,
<br />*Southwe~t ~~D.iga Water Management D~st~~~~-W.~ls, Cyp:z:es# Bayhaadsr w.t~and Areaa,
<br />Al.ter.ing WaterCC?Ul:'se05 ',. '
<br />~Army Corps bf Eng~nee~B-Seawa11~, pockS, Nav~9~b1e wa~erways
<br />*Department of Hea~th & Rehabi~.itative servioes, Env~:onm.n~al Hea~~h Uni~-W911e,
<br />~as~ew.tGr T~eatment, Sep~~~ ~aftks'
<br />*U.S. En~ironmonta~ Protect~ori ~genoy-A$bestDs abatement
<br />Z IllJoso oertif::r 1;ha~, .ir: :t.i..LJ. mat.~ial is' to bQ "'eled iJ'l rJ.o~d. Zone "A" or "~, eto.", it :l....
<br />QndQra~ood th~t a drainage p~an C1d~rees~n9 a.:'compens.tLnq volume" w.i~~ bO eubm.itted wh~ch
<br />i$ prepared by a ~ro~...ssiOftB~ en9~neer reqistered'in tho Sta~e of r.Lo:idA,pr.ior to pe~t
<br />i6S~C1nCle,
<br />A PB~t ~s~ued sh.~1,b. .con8~rued'~o be a l~cQnse to proceed ~ith the worK ~nd not as
<br />authority to vio~ate, .can~e~, a~t~=, 0% set aS1de any prov~~~ona of the tebhnica~ coa~s,
<br />nor ehB~1 i.~u.nee 0% a perm.it p~eYant the Sui.L~ng G%~~cia~ ~~om therBaft~r req~1riftg a
<br />oorreotion o~ err~rs .in p1anl!!lr Qon5t~uotion, or Yio1ation~ o~ any code. Every permit
<br />issued .ha1~ become inva1~d un~e~. tha work .uthor~zed gy su~h peDm~t .is eommencea w~~h1n I
<br />ei~ months o~ ~l!!Isuance, or if work a~tnori~~d by th~ p.~~t is auepended or abandoned for1a
<br />per~~d o~ s~x ~onth~ af~er the t1m.,t~a.work ~s commenced. On~ 90 day extBna1o~ ot time !
<br />may be a1~owed ~O~ the permit w.itn f&. oharge of $15.00. The ~~~.ne~on shall be rBque&~ed,
<br />ift writ1n9 to'the SU~1d~ng Officia1. An Bpproyed ~ne~c~t~on must be l09ged dur~n~ each ai~
<br />mo~th period, 0: the pr~j~et w~~1 be CO~ei~erBd ~ba~doned. , ,
<br />W~N~NG TO OwN~~: ~OUa rAI~ORE TO RECORD A ~OT~CE or COHHENCEMENr MAY RESULT ~~ ~O~
<br />~AYING TWIC~ FOa XHPaOV~ME~T9 ~O'YOUR PROPEaT~. ~~ YOU ~NTSND TO OB~~N tI:NANC:rN~, CONBUL~
<br />wrTB YOUR LENDER OR ~N ATTORNEY bErO~ RECORDZNG YOOa,NOT+CE O~ C6~ENCEMENT. ~OS~ OND~R
<br />52,500 %N VALU~ DO NOT NEED ~O ~COaD'ANb POST A ~NO'1'ZC~ of COMMENCEMENT~:
<br />
<br />.V~~
<br />
<br />.
<br />.; '.
<br />
<br />SIc;oNl'.TURl!: j OWN~!\. 02'.. AQ!:l'IT
<br />
<br />" ,..
<br />
<br />sr:J:C:N~'l'URE : CCNTP.AcTOR
<br />
<br />'STA.:%':!: OF I"L~R:J:OA L-h1t:1......;~
<br />COUNT'):" 6:5'
<br />The fo~e9oing ~ns ~ent W~OW~ed90~(~
<br />Before ., t is i!lY of 'f 20'='-X;
<br />by .'
<br />(n~Q oZ peraon a~kno~~edged)
<br />is pereona1.Ly ~nown to mG, or
<br />
<br />ST)lT~ OF F~OR~DA
<br />coUNT~ or_
<br />Th. fore9oin9 ~n8trument w~s acknow~.a~ed
<br />a_fore tile tlH.8_' day oE' 2~
<br />,by
<br />(n~e' of person acknowledqed)
<br />o ~ho i. Ji>.~.Cl~a.1.1y kt.own to m.e, '.or
<br />
<br />o wtlo haa produoed
<br />(e~e o~ ~d.ft~~~icat~on)
<br />cr.ncl. wkioD c:U.d , 0 d:ld not: take an Oath.
<br />
<br />
<br />or ~dcnt~~~oat~on)
<br />t.ak:e an oat:n
<br />
<br />ei~nature D~ per-son tak~ng ~cknow1eagem.~t
<br />
<br />s 9 at~'v~f pe.aon eaking aoknowled~.nt
<br />.' ~."""."'to lW4OFlAELLENHAll.
<br />. .... MYClWMISSIQtUI\1l7tV17~
<br />N6RI.. .. ."'s.~emo.'" amped.
<br />"~eOFF~df'~ 80l1d11dTn", 8udGIlH":~r; ~"..iet.
<br />
<br />"
<br />
<br />Name ~yped, p~~nt.d or s~amped
<br />
<br />lOO/ZOO 'J
<br />
<br />lZOQ-08L-S Ie 'ON xv:!
<br />
<br />8NI01rna S11lH3AHd3Z
<br />
<br />Nd 01 :EO r~d/900G/'~/NYr
<br />
|