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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this penit lilY be subject to 'deed restrictions' .bich lily be lOre restrictive than City
<br />regulations. rbe undersigned asSUle& responsibility for cmpliance .ith any applicable deed restrlctiCll8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors to undertake work, they IIY be reguired to.be licensed in accordance .ith
<br />state and local regulations. If the contractor is not licensed as reguired by law, both the DIIIll!r and contractor lilY be
<br />cited for a lisc1e1l!a1lor violation under state la.. If the owner or intended contractor are uncertain as to .t licensing
<br />reguirl!l8Dts lily apply for the intended work, they are advised to contact the City of ZepbyrhUls BuUtUng Departlent, (8t3)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OlDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />lContractor SectiODSI of this application for .bich they .ill be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor .ishes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to pmitting privileges in the
<br />City of Zepbyrbi11s. . .
<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, have been provided .ith a copy of IPlorida's Construction Lien La. - lIoIeoImer's Protection
<br />Guidel prepared by the Florida Departleot of Agriculture and Conslller Affairs. If the applicant is so.eone other than the
<br />lOIfJ1erl, I certify that I have obtained a copy of the above described c10cuIent and prolise in good faith to deliver it to the
<br />lownerl prior to co.enC8Ellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />. I certify that all the infollation in this application is accurate and that all wort .ill be 40ne in CDlpliance .Ith all
<br />applicable laws regulating CODStruction, lOlling, and land developl8Dt.
<br />
<br />Application is bereby lade to obtain a pemit to do wort and Installation as indicated. I certify that no worl or
<br />installation has cml8Dcec1 prior to issuance of a penit and that all worl .ill be perfouecJ to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land develO(Jl8Dt regulations in the jurlsdlcUoo. I also
<br />certify that I understand that the regulations of other gGYerDl8Dtal agencies lilY apply to the intenc1ec1l1OIl, and that it is
<br />ay responsibility to identify .hat actiODS I lUst tale to be in COIpliance. Such agencies include but are not 11litec1 to:
<br />I Departleot of InviIOllllelltal Regulation - Cypress Bayheads, Wetland Areas and InviIOlllelltally Sensitive Lands,
<br />Water/lfastewater rreatlent
<br />t Southwest Florida Water lIanagl!l8Dt District - lfe11s, Cypress Baybeac1s, lIetland Areas, Iltering lIatercourses
<br />t Anly Corps of lDgineen - Seawalls, Docks, lavigable lIatenays
<br />t Departlent of Health i Rehabilitative Smices, InvirODleDtal Health IJDit - lIells, Vastewater rreatlent, Septic rws
<br />t US BnviIOlll8lltal Protection Agency - Asbestos ahatl!l8llt
<br />I also certify that, if fIll .aterial is to be used in Flood Zone III or II,etc.l, it is understood that a drainage plan
<br />addressing a lCOIp8D8ating vol..1 will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issuec1 shall be construec1 to be a license to proceed with the vorl and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall i88UillCe of a penit prevent tile Building Official f~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit i8suec1 aba11 beCCIIe invalid
<br />unless tbe vorl autborilec1 by such penit Is ~cec1within sillODtbe of issuance, or if work autborlled by tile penit Is
<br />suspendec1 or abandonec1 for a period of sillODtbe after the t_ the worlis ~cec1. One 90 day atenslOll of tiE, lilY be
<br />allOlfec1 for the penit with fee charge of '15.00. !be atension sba11 be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />IImUG ro (JfIIR: YOOR PAILUD ro RICORD A lorICE OF C<IIIIICIIIIIIf lilY RlSULr II YOOR PAIIIG DICE FOR IIIPROVIIIIIrS ro YOOI
<br />PROPIRn. IF YOO ImIID ro OB'fm FIJIUCIIG, COISULr 111m YOOR LDDBR OR IIIAnoJIIBY BBFORB RICORDIIG fOOl DICE OF
<br />allMDCIMBIII. JOBS UIDBR. '2,500 II VILUB DO lor DID ro RBCORD DD POSr I 'RorICE OF aJINBJICBIlBDI.
<br />
<br />SIGllAtURI: CIOIBR OR IGD!
<br />
<br />SIGllArURB: COJrRACrOR
<br />
<br />srArl OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />srArl OF FLORIDA
<br />coum OF
<br />The foregOing instrwaent 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 oiJth.
<br />
<br />(Signature)
<br />
<br />(Ba.e Typed, Printed or St~ed)
<br />BOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Bame Typed, Printed or Stamped)
<br />BOTARY PUBLIC
<br />
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