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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS ,
<br />!be undersigned understands that this pmit JaY be subject to 'deed restrictions' which JaY be lOre restrictive than City
<br />regulatiODS. !he undersigned assUIeB responsibility for cmpliance with any applicable deed restrictiCll8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIRler lias lIired a contractor or contractors to undertake work, tIIey JaY be required to.be licensed in accordance witll
<br />state and local regulatiODS. If tile contractor Is not licensed as required by law, both tile 0IIDer and mntractor JaY be
<br />cited for a liad_anor violation under state law. If tile OIRler or intended contractor are uncertain as to llIat licensing
<br />requirl!l8llU JaY apply for tile intended work, they are advised to contact tile City of Zepbyrllills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtlleIlOre, if tile OIRler lias lIired a contractor or contractors, he is advised to bave tile contractor(s) sign portions of tile
<br />'Cantractor Sections' of tIIis applicatioo for ,hich tIIey will be responsible. If you, as tile OlDer sign as the mntractor,
<br />you are indicating that you, ratber than the contractor, are responsible for tile wort. If the contractor lillles fOIl to sign
<br />as contractor that JaY be an iDdication that lie is not properly licensed and is not entiUed to penitUng privileges in the
<br />City of Zepllyrllills.
<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 ,itll a copy of 'Florida's Construction Lien Law - BoIeoImer's Protection
<br />Guide' prepared by tile Florida DepartJent of Agriculture and Consllller Affairs. If the applicant il 8OI8OD8 ot.ber than tile
<br />'owner', I certify that I bave obtained a copy of tile above described docUIent and premBe in good faith to deliver it to the
<br />'owner' prior to co.enCl!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />. I certify that all tile infomtion in tIIis application is accurate and that all wort ,ill be clone in cmpliance ,Ith all
<br />applicable laws regulating construction, lORing, and land develo.-ot.
<br />
<br />Application is l1ereby Jade to obtain a penit to do wort and installation as indicated. I certify that DO wort or
<br />installation lias cmleDcec1 prior to iuuance of a penit and that all IOrt will be perforJec1 to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land devel~t regulations in the juris4icUCIl. I also
<br />certify that I underltand that the regulations of other gOYeIllleDtal agencies JaY apply to tile intended work, and that it is
<br />If responsibility to identify what actions I lUSt tate to be in COJpliance. Such agencies inclucle but are not luited to:
<br />t Departlent of InviIODl8lltal Regulation - Cypress Baybeads, lIeUandAreas andlnvirODl8DWly Sensitive Lands,
<br />lIater /Vastewater lreatlent
<br />t Soutblest Florida lIater IlanageleDt District - lells, Cypress Baylleac1s, lIetland Areas, Altering lIatercourses
<br />t IrIy Corps of Engineers - Seawalls, Docks, Xavigable laterways
<br />t Departlent of Health' Rehabilitative Services, BnvirODleDW Health Unit - lIells, lastewater Ireallent, Septic lants
<br />t US BnviIODleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill oterial is to be used in Flood Zone 'A' or 'A, etc. ., it is understood that a drainage plan
<br />addressing a 'cmpensating volUIB' ,ill be sublitted Ibich is prepared by a professional engineer registered In the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued shall be construed to be a license to proceed with tile IOrt and not as authority to violate, cancel alter, or
<br />Bet aside anJ provisions of the technical codes, nor shall iuuance of a penit prevent tile Building Official fa thereafter
<br />requiring a correctioo of errors in plans, ConstruCtiCll, or violations of anJ code. Ivery penit issued sball becOIe invalid
<br />unless tile wort authoriled by such penit is co.enced within sillODtbs of issuance, or if work autborbed by the penit il
<br />suspended or abandoned for a period of Iii IODtbs after the tile the work is ~cec1. One 90 day atensiOll of tile, JaY he
<br />allowed for the pmlt lith fee charge of $15.00" !be atension shall be requested in writing to the Builting Official. An
<br />approved inspection lUSt he logged during each sillODth period, or the project will be considered abanc1oned.
<br />IIARIJIIfG 10 (MER: YOOR FAILURB 10 RECORD I ROIICE OF tlIIMDCIIIBIIlIIY RlSULI IIf YOUR PIYlIfG lllCE FOR DIPIJVIIIBIrS 10 YOOR
<br />PROPIRIY. IF YOO mIlD 10 O8IAII FIIIIIICIIC, COISULI IIIB YOUR LBIDIIl OR IX AIIORIIY BlPORB RICORDIIG YOUR.ROIICI OF
<br />-. JlIIlI - ll,~ D VILIDIIIlIIIOf - 10 IIItOID IIlD IIIST I ~~4
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<br />
<br />51 SIGDIIIRf~
<br />
<br />
<br />~
<br />srArB OF FLORIDJ?
<br />coum OF I1J S- (0
<br />The foregoing instrument was acknowledged
<br />before me this .~ 19____ by
<br />
<br />wbo is personally known to .e or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />SIAIB OF FLORIDA/)
<br />COOllY OF 'f1!Sco
<br />The foregoing inst~t was aC~ledged
<br />before me this /h~7~9 t1 by
<br />, G
<br />(lU/I/ /;')!!-I Twoi' nl
<br />wbo is personally known to 818 Dr wile lias
<br />~oo...ced
<br />as identification and who did}did not
<br />take an(ti~t~!./lr~
<br />
<br />(Signatu~ K.nJ
<br />1-1 JJ (jA-]). ()
<br />(Name Typed, Printed ~r Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Nue Typed, Printed or StiUlped)
<br />NOTARY PUBLIC
<br />
<br />'~~~":U'." " LINDA D. lOAN
<br />f:f':;&~~ MY COMMISSION' CC 209593 EXPIRES
<br />~.~~: June 15. 1996
<br />.....'(,....;..~.~ BONOED 11lIIU TIIOV FAIlfINSllWlCE.INC.
<br />,Rf.,\\,
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