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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this penit JaY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
<br />regulations. !be undersigned assU1e8 responsibility for Impliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they uy be required to.be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisc1t!1ea1lor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirl!leDta lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Deparblent, (813)
<br />788-6611. .
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If fOU, as the owner sign as tile contractor,
<br />you are iDc1icating that fOU, rather than the contractor, are responsible for the wort. If the contractor wisbes fOU to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peilitting priVileges in the
<br />City of Zepbyrbills. ' .
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lbIeoImer's Protection
<br />Guide' prepared by the Plorida DepartJeot of Agriculture and ConsUIeI Iffairs. If the applicant is 80IlKIlI other than the
<br />'owner', I certify that I bave obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the
<br />'owner' prior to co.enCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />. I certify that all the infoIlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlellt.
<br />
<br />Application is bereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation bas CDlenced prior to issuance of a penit and that all wort will be perfoned to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the iurisclictlOll. I also
<br />certify that I understand that the regulations of other gov8IDlelltal agencies IIY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt tate to be in cmpliance. Such agencies include but are not luited to:
<br />t Departlent of InvirOlllelltal Regulation - Cypress Baybeac1s, Wetland Areas and InvirOlllllltally Sensitive Lands,
<br />Water/lfastewater !reatlent
<br />t Soutbllest Florida Water Jlanaglll!llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Health i Rebabilitative Senices, InviIOJllental Health Unit - IIells, IIastewater !reatlent, Septic lanb
<br />t US Envil'OOlental Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill taterial is to be used in Flood lone 'I' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'CCMIpeII8ating vol_' will be subtitted wbich is prepared by a professional engineer registered In the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued sJlall be construed to be a license to proceed with the wort and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical cocles, nor sball iuuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correctiOll of errors in plans, construction, or violations of any code. Ivery penit iuued &ball beCOll! invalid
<br />unless the wort authoriled by such penit is co.enced within sil IOI1ths of issuance, or if wort autborbed by the penit is
<br />suspended or abandoned for a period of sil IODths after the tile the wort is ~ced. One 90 daJ lltension of tile, .J be
<br />allowed for the penit with fee ebarge of $15.00. !be IItenaion .11 be requested in writing to the Builc1ing Official. An
<br />approved inspection lUSt be logged during eaeb sil IOI1th period, or the project will be considered abandoned.
<br />"ARMING to OVIIR: YOUR FAlLORl to RICORD A IOIICI OF CCIlMIICllllllIIIY RlSULf II YOUR PAYlIS !IIICI FOR lIIPROVIIIIIIS to YOUR
<br />PROPIR'IY. IF YOU lIDID to OB!III PIIIICIIG, COISUL! 11I0 YOUR LDDIR OR U AnomY Droll RICORDIIG YOUR IOIICB OP
<br />aJtMBICIHIIIt'. JOBS UlDII' $2,500 II VALUE DO 101 DID to RECORD UD POS! A 'IOIICI OF aJlMDCBIID!'.
<br />
<br />VL~#--
<br />~rtJRI: omR 'OR
<br />
<br />SIGllrtJRI: CON!RAC'fOR
<br />
<br />SrAfl OF FLORIDA
<br />coum OF
<br />Tbe foregoing instl'WleDt was acknowledged
<br />before me this , 19_ by
<br />
<br />SfAfE OF FLORIDA
<br />COOIfi OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />wbo is personally known to lie or who bas
<br />produced
<br />as identification and wbo did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Hue Typed, Printed or Stuped)
<br />HOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
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