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<br />O~/07/2006 16:43 FAX 8136266894
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<br />KEARNEY CONSTRUCTION CO
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<br />CONDITIONS OF pt;RMll II.E'FIOIWn
<br />"A. NOTICE Of DEED RESTRICTIONS
<br />T)'le unde~signed unc!eI:standS that this perrlllt. m~y be subject to "deed re:<:tI:iction::;" which
<br />may be more restrictive th..l(l City reg1)).ations. 'the under.l'ligned aS~llmeC responsibHity for
<br />compH.~nce with "ny applicf1hle deed r,;,striction~.
<br />B. UNLICENSED CONTRACTORS AND CONTRnCrOR RESPONSIBILITIES
<br />If the owner hae hired a cOntI:actor o.r. cont.ract.ors to und,;,rt.1dc.e work, they J!Ii'ty be reqIJired
<br />to be licensed in accordanCe with state ~nd local ~~qulution~. If th~ contractor is not
<br />licensed u~ required by laW, both the owne~ and contracto!: m~y be cited fo!: a ml~demeanor
<br />violation undeI: staj~e law. If the owneI: or intended contractor ~re uncertain a~ to what
<br />lic'~nsing .reqLlirem'!:nts may apply for th~ int.ll!nded work, they are: .;dvi:::ed to cont&ct the
<br />City of Zephyrr,ill:,; euildtng DepaI:tment, 813-780-0020.
<br />Fu~thermore, if the owner has h~reu a contractor or cont.ractors, he is advjsed to h~ve the
<br />contractot[s) sign portions of the "Contractor sections" of this applicHtion for wnich they
<br />wil~ be responsible. If you, as the owneI: ~igns as the contractor, you ~re indicating that
<br />you, I:<:lther than U",e: cont.racLor, are r'Jt1pons1ble for the wo.rk. Xf the contractor w1she::.
<br />you to sign <IS contractor that. may be ..r, ind:J.catlon tMt he is not properly licensed and is
<br />not entitled to permitting privileges in th0 City of ZephyrhillS.
<br />C. TRAN$PORT~1'ION IMPJl.C'T FEES l\ND UTIL!TY CONNECTION ~"EES
<br />D. CaNSTRUc:rUION I.IEN Y.A.W (CIIAP'I'ER 113, FLORIDA STII.TU1."ES, AS AMENDED)
<br />I certify that 1. the applicant, have been provided with ~ copy of "l1'loI:ida's Con:;t.ruct10n
<br />lien L~w _ Homeowner's Protection Guid~" prepaI:cd by the F~oI:ida D'!:partment of Agricult\lre
<br />and consumer Afh1rs. If the applici."'t i:; somo;:one other t.hat the "owner", I ceI:ify that I
<br />!lave obtained a copy of the above described document and promise ii' good fal th to deli veI:
<br />j.t to the "owner" prio.r to cOlmlencement.
<br />,',. COIIITRAC'TOR' S/OWNER' S AFf'IDIWTT
<br />l certify tl,at all the infor.maLlon in this applJ.caLion is accll~ate and t.hat all work will
<br />be done in compliance with all applicable laws ~egulating construction, zoning, Dnd land
<br />dev'!:lopment.
<br />II.pplication i:; hereby mad~ to obtai" a permit to dO work and installation <IS indJ.cat~d. I
<br />certify that CIa worK or installation ha~ cCXM.erlced pI:io.r to issuance of a pfumit and that
<br />all WOI:k will be perforllled to nleet standard~ of aU laws I:cqulat:J.ng constr.)ction, Cir.Y
<br />cedes, ~onin9 regulations, and land development legulutiono'in the jU~isdiction. I also
<br />certiLy that I understand that the I:~gulat1ons of other guvernmental agencies may apply ToO
<br />the intended WOlk, and that it i~ my responsibility to identify whue actions! must take to
<br />be in compliance. Such agenci~~ include but are not limited to: ;oepartment of
<br />~~nvironme()l""al Re9ula t ton-cypre:;~: Bayhead~, Wetl;;lnd IIreaS and Environment.ally Sen~j.tive
<br />Lands, Water/Wastewater Treatmc~t
<br />;Southwe~t Florida Water Management Oistrict-Well~, Cypress Bayheads, Wetland Areas,
<br />Alt~ring Wate:rCour~ea
<br />'Jl.f.'I"f1Y Corps of EngineeI::;-Seaw:Jlls, Docks, Navlgable Wat:erway~
<br />"D,;,partment of Health & Rehabilitatl.ve Services, Environmentl.ll H~,,~lth Unit-welle,
<br />Wastewater Treatmcnt, septic Tanks
<br />..u. s. ErwironmentuJ PI:otectir:>1' Ag'!:ncy-1\sbestoa abat.ement
<br />I also certify that, if :till mateI:1al is to be used in Ll'lood Zone "II." or "1\,etc:.", it is
<br />under~tood that a drainage plan addrea::;ing ~ "compensat.ing volume" will be subm~tte:d which
<br />'I s prepaI:'!:d by a proffJssional eng:,neeL' registen:d in the State of Floridll pI:iOr to permit
<br />issuance.
<br />A perrnit issued shall be construed to be a license t.o pI:oceed with t.he work and not as
<br />authod ty to violate, cancel, alter, or set aside any pI:ovisiol'S of the technIcal codeS,
<br />nor ::;hall issuance: of Oil petmi t prevent the: auilding Offici!ll from there:JfteI: requi dng a
<br />cOI:rection of rucors in pl..ns, constrllction, OL' violationS of any code. EverY permit
<br />issued shaD. bocome invalid un loss the: work auttlorized by such peI:lnit is commenced within
<br />six monthS of issuance, or if work nuthorlzed by the pe~1t is su~pended or abandoned fOI: a
<br />period of aix months after th'~ tim'!: the ,,",ork is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee c!large of $15.00. The extensiOn shall be I:equestuo
<br />in wri tj ng to t.he Building Official. An approved inspection must be logged dud n'. each ~;ix
<br />month peI:io<.l, or the pr.oject will be considered abandOlled.
<br />WARNING TO OWNER, YOI)R FII.ILURE TO RECORD ]'. NOTICe: OF C~NCEMF.NT MAY RESULT IN YOUR
<br />~AYING TWIC~ FOR IMPROVEME~S TO YOUR ~ROP~RTY. IE' yOU INTEND 'ra OBTAIN FIN~NCING, COIIISUL!
<br />WITH yoUR LeNDER OR ~ ATTORNEY BEFOR~ RECORDING YOU~ N TrCE O~' COMMENC ENT. JOaS UNDER
<br />$2,!lOO IN VALUE no NOT NEED TO RECORD AND FOST II "NOTl 01" C NC€ l'
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<br />I4J 002
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<br />ST~TE 01" rLORXDA
<br />COUNTY or
<br />'l'he fo:regoj ng inst.rum..nt wll$ ack.(lowlsclged
<br />Be fore me this _ day of , 2~
<br />I:>y
<br />(name of person aCknowledged)
<br />LlwhO is persol11.>ll:J' Known t.o m~, OI:
<br />
<br />Dwho h~s produced
<br />(type of Jdentificallonl
<br />llnd .,.moL] did Odid not tuke an oath.
<br />
<br />
<br />SI~ATUR~: OWNER OR II.GENT
<br />
<br />O~
<br />C TY OF
<br />The :!;C)1:egoing i,'u..r\!lllent ~sb"cknOwledgedo6
<br />Sefore me this ~ay of'3. ruary, 20_
<br />by Jeff M loa'!""I...., ~Tice rr~"ident
<br />(n~me of perRon ~cknowledgedl
<br />I1ho is personally known Lo me, or
<br />
<br />o whe t.&S pJ:oduced
<br />(type of identiflcationl
<br />"nel ~o Odid I!ktld not take an oath
<br />
<br />/:(.UP ,Jw kj _L/_
<br />
<br />Siqnature of. person teking acknowledgment
<br />
<br />Signat~re of peI:jr", tar.ing acKnowledgement
<br />
<br />N~me
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<br />1iP4\l!JIlH ANNtSP'E!ftE ~
<br />MY COMMISSION 1/ D~OO
<br />~~ !XPIltES: April 1S!. 2009
<br />'4QNoMarAllV fI, N.-,. ~- c..
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<br />Nam~ typed, printed or ~tnmped
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