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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersignecJ understands that this perait lilY be subject to "deed restrictions" wbich lily be lOre restrictive than City
<br />regulations. !be undersigned as8UJe8 responsibility for cc.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas birecJ a contractor or contractors to undertake work, they tay be requirecJ 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!lleaJlOr violation under state law. If the owner or intendecJ contractor are uncertain as to _bat licensing
<br />requirl!lel1ts lilY apply for the intendecJ work, they are advisecJ to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas birecJ a contractor or contractors, be is advisecJ to bave the contractor(s) sign portions of the
<br />UContractor Sections" of this application for wbich they will be responsible. If JOU, 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 lilY be an indication that be is not properly licensed and is not entitled to perJitting 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 providecJ with a copy of "Florida's Construction Lien Law - BoIeoImer's Protection
<br />Guide" preparecJ by the Florida Departlent of Agriculture and ConsllleI Affairs. If the applicant is SOEODa other than the
<br />"ownerU, I certify that I bave obtained a copy of the above described dOCUleDt and pIOlise in good faith to deliver it to the
<br />.owner" prior to co.eDCeJeIlt.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, IOning, and land developent.
<br />
<br />Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perait and that all work will be perfoIll!d to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develO(llll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llleDtal agencies lilY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilitecJ to:
<br />t Departlent of EnvirOl1ll!lltal Regulation - Cypress Baybeads, Wetland Areas and BnvirollleDtally Sensitive Lands,
<br />Water /Wastewater 'freatlent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t DepartJent of Health i Rehabilitative Services, BnvirODJental Health Unit - Wells, Wastewater !reatlent, Septic !ants
<br />t US BnviIOJllelltal Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill tateria! is to be used in Flood ZOne "A" or "A,etc. ", it is understood that a drainage plan
<br />addressing a "COIpeD8ating Vo1U1e" will be sublittecJ wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A penlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becCIIe invalid
<br />unless the work authorized by such peIlit is COIIeDced within slllOlltbs of issuance, or if work autboriJed by the peIlit is
<br />suspended or abandoned for a period of sil IOIltbs after the tile the work is CDEDced. One 90 day l!Itension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. !be l!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be loggecJ during each Sil IODth period, or the project will be considered abandoned.
<br />WARNING TO OOBR: YOUR FAILURI TO RECORD A IOfICE OF C(IIMBJCIIlm MAY RESULT IN YOUR PAYING 'NICE POR IMPROVEIIDI'S TO YOUR
<br />PROPERtY. IF YOU IIUND TO 0Bt'1I1f FIIfAICIIfG, COIfSUL! WI'IH YOUR LDDIR OR AI AnoRm BlPOD RICORDIlfG YOUR DICE OF
<br />momJlCBMBNt'. JOBS OlDER '2,500 II VALUE DO IOf lIDO 'fO RECORD AID POST A "JlarICE OF C<JIIIDCBIIBJIl'".
<br />
<br />SIGIIl!URl: CONt'JlAC'fOR
<br />
<br />SIGIA!URI: (MIBR OR AGIJf!
<br />
<br />S'fATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19,__ by
<br />
<br />STAR OF FLORIDA
<br />COUNt'Y 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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