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<br />CQNDITIONS OF PERMIT AFFIDAVI~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this perait laY be subject to .deed restrictionsB wbieb laY be lOre restrictive than City
<br />regulations. rbe undersigned asSUle& responsibility for COIpliance 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 laY 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 laY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lenta laY 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 wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting 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 - lbIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
<br />"ownerl prior to co.enCl!ll!Jlt.
<br />
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is berebyaade to obtain a::~,':rlit to dQ w~rk and installation 'as indicated. I certify that no work. ~
<br />installation bas Cc.lenced prior to isauance of a pirlit and that all work will be perfoIJed to Eet staDdards ~l laws
<br />regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction..:! also ')
<br />certify that I understand that the regulations of other.govl!11llleDtal agencies lilY apply to the intended worl,mm ~t it is.
<br />If responsibility to identify wbat 'actions I lUst tale to" be in COIpliance. Sueb agencies include but are 119\ lilli,ted to: .-
<br />I Departlent of BnvirollleRtal Regulation~ Cypress Baybeac18, lIetland Areas and BnvirollleRtally Sensitive I.U4s, )
<br />, ~ lIater/Vastewater 'freatleDt -.....
<br />I Southwest Florida lIater Hanagl!leRt Dist,ict - Wells, Cypress Baybeads, Wetland Areas, Altering lIatercop
<br />I ArI' Corps of"Bn,ineers - Seawalls, ~, Navigable lIaterways """ . . J
<br />I Departlent of Health i Rehabilitative 'mices, InvirODleDtal Health Unit - lIells, lIastewater rrea~:Septic 'f~
<br />I US BnvirODleDtal Protection Agency - As1Jestos abatl!lent ..,. ...."
<br />I also certify that, if fill .aterial is to be used in Flood ZOne IA. or DA,etc.D, it is understood ~~a drainage ~an
<br />addressing a BCOIpenSating vol.. wUl be saitted wbieb is prepared by a"professional engineer regtsterlJfl in tha"tate of
<br />Florida prior to perlit issuance. \~. ...;,'
<br />~, ...
<br />"'J
<br />A perlit issued sball be construed to be a license to proceed with the worl and not'as autborityG liolije, c8lCt!1 alter, or
<br />set aside any provisions of the tecbnical:codes, noI't;8ball issuance of a perlit prevent the Bui~ omtial f/cJI thereafter
<br />,requiring a correction of errors in plans; construction,. or violations of any code. Every perllt'"lS. aft}!.beCOle invalid
<br />unless the work authoriled by sueb perlit is ~ced within sillOllths of issuance, or i~\:-eU~11~ the per.it is
<br />suspended or abandoned for a period of sillOlltbs after the tille the worl is lDIeDced. One.: -dar.:1fteU1'll\ of tille, lilY be
<br />allowed for the perait with fee charge of $15.00. !be l!ItensiOD shall be requested in WIi' \0 t;JJ'~ng Official. An
<br />approved inspection IlUSt be logged during eaeb sillOllth period, or the project will be COB&\Ilered~.
<br />IIARJ1ING 'f0 OWBER: YOUR FAILURE 'f0 RICORD A NO'rICE OF <XIlMDCBIlIlft' MAY BESUL'f IN YOUR PAYI.'fIlICB.;Fo~S ro YOUR
<br />PROPBRTY. IF YOU IIft'BMD ro OB'lAIN FIWCIRG, CORSULr III'fB YOUR LDDD OR All AftOIlDY B.flORE IIKQIIJlli 1001I IIO'IICB OF
<br /><mmfCBHBR!. JoBs'.UlfDD '2,500 IN VALU! 00 NOI mn 'f0 RICORD AJID POS'f A .NOIlCE OF ~~.. .,'
<br />, r.- '1 .....1
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<br />U ~L !: .i
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<br />GJlArURE: (MID OR AGBIf'f SIGJlA!URI: COR1'RAC'fOR~'''::
<br />
<br />srAII OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SrA'fE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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