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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersignec1 understands that this perait laY be subject to ldeed restrictiCll81 wbieb lay be lOre restrictive tban City
<br />, reguJaticms. !he undersigaed BUIll respoasibility for cmpliance with any applicable deed restrictiCll8.
<br />
<br />B. UNLICENSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas blrec1 a contractor or contractors to undertake wort, they laY be required to be liceDSec1 in accordance with
<br />state and local regulatiOD.ll. If the contractor is not licensed as required by law, both the 0IIDer and cootractor _y be
<br />cited for a .isc1l11a1lOr violation under state law. If the 0III1er or intended contractor are uncertain as to what licusing
<br />reguiruents laY apply for the intendec1wort, they are advised to contact the City of Zepbyrbllls Building Depart:lent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the OlDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiOD.ll of the
<br />IContractor SectiOD.llI of this application for whieb tbey will be responsible. If you, as the OlDer sign II tile cootractor,
<br />you are inc1icating that JOU, rather tban the, contractor, are responsible for the wort. If the contractor wi8bes fOIl to sign
<br />as contractor that _y be an indication that be is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEHDED)
<br />I certify that I, the applicant, bave been provided with a copy of IPlorida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIl!OIIe other tban tbe
<br />1000erl, I certify that I bave obtainec1 a copy of tbe above described c10cuIeDt and promo in good faith to deliver it to the
<br />1000erl prior to ~cuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIliltion in this application is accurate and that all wort will be done in CfJIpliance with all
<br />applicable la18 regulating construction, loning, and land develo~t.
<br />
<br />Application is hereby lade to obtain a perlit to do IfOrt and installation as indicated. I certify that DO IIOrl or
<br />installation baa CDleDced prior to i881lallce of a perait and that all IIOrl will be perfcned to _t standards of all 1_
<br />regulating construction, City cocles, loning regulations, and land aevelOpMDt regulations in tbe jurisc11cUOIl. I also
<br />certify that I understanc1 that the regulations of other goverDleDtal agencies _y apply to the intenc1ec1worl, am1 that it is
<br />IJ responsibility to identify wbat actions I IUIt tale to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of InviIOllllelltal Regulation - Cypress Baybeads~ Wetland Areas and InvirODleDtally Sensitive LaDds,
<br />IIater/llastewater !reatlent
<br />t Soutbvest Florida later JlaDaguent District - lIells, Cypress Baybeac18, lIetland Areas, Altering IatercoUrses
<br />t AIIY Corps of In!Iineers - Seawalls, Docb, latigable lIaterways
<br />I Departlent of Health , Rebabilitative Services, InvirODleDtal Health Unit - lIells, lIastuater IreatMnt, Septic !anD
<br />I US InviIOllll!Dtal Protection Agency - Asbestos abatl!ll!Dt
<br />I also certify that, if flllllterial is to be used in Plood Zone IAI or lA, etc. I, it is understoocl that a drainage plan
<br />addressing a lCOI(IeD8iting vol_I will be sw.itted wbleb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sba11 be construed to be a license to proceed with the wort and not as autbority to violate, cancel alter, or
<br />Bet aside any provisions of the tecbnical codes, nor shall i88U8DCI of a penit prevent the Builc1iDg Official fa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit iasued aball becme invalid
<br />unless the wort autboriled by sueb pmit is ~ced within su IOIltbs of iB8U1DC8, or if worl autboriled by the perlit is
<br />suspended or abanc10ned for a period of su IODtbs after tile tile the work is co.enced. ODe 90 day atension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. lbe atenaion sba11 be requested in writing to the BuiWng Official. In
<br />approved inspection IUIt be logged during eaeb sillODth period, or the project will be considered abanc1oned.
<br />WARIIIIG !O (MIll: YOUR PAILURI !O RICORD A KOlICH OP aJlllBlCllllllllAY RBSUL! II YOUR PAIlIG nICH POll IIIPROOIIIIIS !O YOOIl
<br />PROPmY. IF YOO U'DID !O OB!AII PIIAlCIIG, COISOL! IIID YOUR LIIIDIR 01 U AnoRIIY BIPOJIB RICORDIIG YOUIIOIICH OF
<br />aJIMIICDIBII!. JOBS UIDIR"2 ,500 III VALUB DO IO! IUD !O RICORD lID POS! A IDICK OF CCIIIDCIIIIII!I.
<br />
<br />SIGllAIURI: COJI!RAC!OR
<br />
<br />SIGlAIURI: CIIIBR OR AGII1
<br />
<br />SIAII OF PLORIDA
<br />COURY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StAll OP FLORIDA
<br />coom OP
<br />The foregoing inst~t was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to .e or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to .e or who has
<br />produced
<br />as identification and who did/did not
<br />take an OiJth.
<br />
<br />(Signature)
<br />(Rue. Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rue Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
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