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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pel'lit Jay be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
<br />regulations. 'fbe undersigned asSUle& responsibility for ~liance 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 wort, they JaY 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 lisdl!leaJlor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelellts JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (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 you, as the owner sign as the contractor,
<br />you are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlitting 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 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUll!I' Affairs. If the applicant is 8OIBOIle other than the
<br />lownerl, I certify that I bave obtained a copy of the above described dOCUlent and prOllise in good faith to deliver it to the
<br />"owner' prior to Co.eDCBIBllt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlellt.
<br />
<br />Application is hereby lade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a pemit and that all work will be perfol'led to .et staDc1arda of all 1_
<br />regulating construction, City codes, loning regulations, and land developJellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJel1tBl agencies lilY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in ~liance. Such agencies include but are not luited to:
<br />t DepartJent of EnvirOllJelltal Regulation - Cypress Baybeads, Wetland Areas and InviroDlelltally Sensitive Lands,
<br />IIater /Wastewater !reatJent
<br />t Southwest Florida IIater lIanageJellt District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
<br />t Al'IY Corps of Engineers - Seawalls, Docks, Xavigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater !reatJent, Septic ,ants
<br />t US EnvirOllleJ1tal Protection Agency - Asbestos abatelleDt
<br />I also certify that, if fill I8terial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeDSating volUl8' will be sub8itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pel'lit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a pel'lit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCClle invalid
<br />unless the work authoriled by such pel'lit is co.enced within sillODtbs of issuance, or if work authoriled by the pel'lit is
<br />suspended or abandoned for a period of sillODtbs after the tile the wort is co.enced. One 90 day utension of tile, lilY be
<br />allowed for the pel'lit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />IlARHIXG !O <*HER: YOUR FAILURE to RECORD A DICE OF C(IIIDCIIIIIl! lilY RESUL! IX YOUR PAYING !WICE FOR DIPROVIIIII!S to YOUR
<br />PROPIlRt'Y. IF YOU IJl'fIlJID !O OB'l'IIM FIUlCIIG, COISUL! WID YOOR LIlIDIR OR II AnoRIIlY BlFORIl RICORDIIIG YOUR DICE OF
<br />COIlIIIMCIlIIEtft'. JOBS UlfDIR $2,500 IX VALUE 00 XOI' HIED to RECORD AID POS! A 'XOI'ICE OF C<IIIDCIIIIMt'..
<br />
<br />
<br />SI~Lfim~ 1if2~
<br />
<br />SUD OF FLORIDA Cih:
<br />Coom' OF fVl [)
<br />The foregoing instI'UDlent was a;;knowledged
<br />before me this -1J ~) , 19$ by
<br />
<br />I L), C\ ~\e: J., JYla 1'\ l\
<br />who is personally known to me or who has
<br />produced ('t)ff <:.r> /K.L.-l \ L t 'L.. I\(\l .'\ ~
<br />as identification and w 0 did/did no
<br />ta~ an <?ath~ . '
<br />( ~. '" r'.., ~, 1Y\o..lLU.~
<br />(Signature) ,
<br />('lnr\E->+~c- L. f'f\~or
<br />(Name Typed, Printed or St ed)
<br />NOTARY PUBLIC
<br />
<br />S!AD OF FLORIDA
<br />coum OF CDn. ,c..p D
<br />The foregoing instrument was acknowledged
<br />before me this ~, 19.!3!:L by
<br />
<br />L0. t::\, "-1e .l...\-.iY\C:>-" Y""'\
<br />who is personally known to me or who has
<br />produced c:]:k.:i:~(\cU. '-q kr'\l">\...:J f""\
<br />as identification and who did/did not
<br />tak~ an o~th. \, .
<br />l' 11 ~ . 'n r-': _ ~. iYl~
<br />(Si ature)
<br />\ L. '\
<br />(Name Typed, Printed or St ed)
<br />NOTARY PUBLIC
<br />
<br />
<br />CIAL NOTARY SEAL
<br />CHRISTIE L MAJOR
<br />NorARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION f;;~~~I 1;,~~_,
<br />
<br />ICIA NOTARY SEAL
<br />cHRISTIE L MAJOR
<br />NorARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC316103
<br />MY COMMISSION EXP. SEPT 15,1997
<br />
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