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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perait lilY be subject to Ideed restrictions I wbich lily be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer bas bired a contractor or contractors to undertake work, they lilY 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!ll!aDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for which 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 wi8bes 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, have been provided with a copy of IFlorida's COnstruction Lien Law - BcIIeoImer's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is IKIIl!ODe other than the
<br />lowner', I certify that I have obtained a copy of the above described dOCUll!llt and premse in good faith to deliver it to the
<br />ROImerl prior to COIIeDCel!Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlition in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ed prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOplllllt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of Bnvirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvil'OlllH!lltally Sensitive Lands,
<br />Water /lfastewater freatlent
<br />t Southwest Florida Water Managuent District - Wells, Cypress Baybeada, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Bnqineers - Seawalls, Docks, lIavigable lIatenays
<br />t Departlent of Health i Rehabilitative Services, BnvirODlllltal Health Unit - lIells, Wastewater freatlent, Septic fants
<br />t US BnvironJel1tal Protection Agency - Asbestos abatuent
<br />I also certify that, if fllllilterial is to he used in Flood Zone IAI or lA, etc. I, it is understood that a drainage plan
<br />addressing a lC0Jpen8ating vol_I will be suhlitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit 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 peIlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becDe invalid
<br />unless the work authoriled by such perlit is COIIIlJlced within sillOllths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOllths after the tille the work is co.enced. One 90 day atension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. fbe atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IOIlth period, or the project lill be considered abandoned.
<br />IIA1U1ItfG fO 0IfDR: YOUR FAILURE fO RECORD A IIOfICE OF C<IIIIDCBIIIIJ MAY RESULf III YOUR PAYIHG !IIICE FOR IJIPROVIIIIftS fO YOUR
<br />PROPEllft. IF YOU II'DIID fO OBt'IIH FIIIIIICIIIG, COIISULf IIfH YOUR LDDIR OR D AnORDY BIFORB RBCORDIIG YOUR DICE OF
<br />_. JlIIS 0IIlIIII $2,5410 IIIIIIIl IOII1111D 10 IlIlllIlD lID POSII ~.i:
<br />
<br />
<br />\/",,/' .~
<br />SIGllATURf: RIC!OR '
<br />
<br />
<br />SfArE OF FLORIDA
<br />coum OF elK co
<br />The foregoing instrument was acknowledged
<br />before me this~ ~ , 194 by
<br />
<br />W Irl n-'1Z (Cv (l {J
<br />who is personallY:: Jdiot.-u t~,]De or who has
<br />produced -'-"-
<br />as identification and who did/did not
<br />take an~ fp~.
<br />(Signature) ,
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI -,--
<br />.-:.-:;.,~"t;J;:.. RICHARD J. MATHERSON
<br />'"~"'''''j:o'
<br />{'(AJ:;~ MY COMMISSION I CC 211&46
<br />\~" '...;: EXPIRES: June 30. ,.
<br />~~P,:...l' ,.' 80IIdtd ThN NIlIlIIW PubIc UncIerMIlIII
<br />--"
<br />
<br />SrA!! OF FLORIDA 0,. 0'
<br />coum OF fL!/i:S. ~
<br />The foregoin~ instrumen~ was a~knowledged
<br />before me th1s ~~ ')y-, 19~ by
<br />
<br />'lI- L Tl ' v
<br />who is personally own to or who has
<br />produced-----
<br />as identification and who did/did not
<br />take an oa~~f' ~-
<br />
<br />(Signature) .: '
<br />
<br />(NilIIe Typed, Printed or Stuped)
<br />NOTARY PUB rr
<br />,""~'~il", RICHARD J. MATHERSON
<br />i"i;~;&i-l""'~?~< MY coMMISSION /I CC 211&46
<br />"*: ,:.: EXPIRES' June 30. 1996
<br />\';.'. .:;j . ...........----
<br />..,t:,lO--;"f\..~~""" Bonded ThfU NDIIIJ f"IIIIII'o \111\18"'''.--
<br />",,,,,,.,, -
<br />..,., ...",!,*~'.:' 1'.......----
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