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CONDITIONS'OF PERMIT AFFIDAVIT: A. NOTICE OF DEED RESTRICTIONS 'I'be undersigned understands that this perlit tay be subject to 'deed restrictions' wbieb tay be lOre restrictive than City regulations. !be undersigned asSUJeS responsibility for COIpliance "ith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance "ith state and local regulations. If the contractor is not licensed as required by 1il1f, both the mmer and contractor tay be cited for a lisdeaeanar violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the RContractor Sections' of this application for "bieb they "ill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that tay be an indication that be is not properly licensed and is not entitled to pertitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien La" - BcIIeowner's Protection Guide' prepared by the Florida Departient of Agriculture and ConsUlet Affairs. If the applicant is lIOJH!One other than the 'owner., I certify that I bave obtained a copy of the above described docuaent and pIOlise in good faith to deliver it to the ImmerR prior to cOlll!Dceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work "ill be done in COIpliance with all applicable lil1fs regulating construction, loning, and land developaent. Application is hereby lade to obtain a perlit to do "ork and installation as indicated. I certify that no work or installation bas CDleDced prior to issuance of a perli t and that all work "ill be perfoIJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIllleDtal agencies tay apply to the intended work, and that it is If responsibility to identify "hat actions I lust take to be in coapliance. Sueb agencies include but are not lilited to: · Departlent of BnvirODJental Requlation - Cypress Baybeads, Wetland Areas and BnviroDJentally Sensitive Lands, Water/Wastewater 'I'reatlent · Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, lIetland Areas, Altering Watercourses · Arty Corps of Engineers - Seawalls, Docks, Ifavigable Watenays · DepartJent of Health & Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater 'I'reatJent, Septic 'I'anks t US InvirODJental Protection Agency - Asbestos abateaent I also certify that, if fill taterial is to be used in Flood ZOne RA' or RA,etc. I, it is understood that a drainage plan addressing a 'cOQeDSating volute' "ill be subtitted "hieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball be construed to be a license to proceed "ith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall beCClle invalid unless the work authorized by sueb perlit is co.enced "ithin sil IODtbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of siz IODtbs after the tile the work is co.enced' One 90 day eztension of tile, tay be allowed for the perlit "ith fee ebarge of $15.00. 'l'be eztension sball be requested in "riting to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the profect "ill be considered abandoned. WARlfIIfG '1'0 l*JIR: YOUR FAILURE '1'0 RECORD A IfO'I'ICE OF C(JIM!IfCBllllff HAY RESOL'I' IIf YOUR PAYIIfG filCE FOR DIPROVIJID'I'S '1'0 YOUR PROPER'I'Y. IF YOU II'I'BIfD '1'0 OB'I'AIX FIllJlleIIfG, COISOL'I' 1I1'I'H YOUR LDDIR OR II A'I"I'OIIBY BBFORB RBCORDIIfG YOUR IfO'I'ICE OF C(JIJIKIfCElfBlf1' . JOBS UNDER $2,500 IN VALUB 00 IfO'I' IfDD '1'0 RECORD lID POS'I' A 'NO'I'ICE OF COIIMEIfCBllEl'l". SIGIfA'I'URB: CMlER OR AGEII'I' SIGIfA'I'URE: COlI'I'RAC'I'OR S'I'A'I'E OF FLORIDA COUIf'I'Y OF Tbe foregoing instrument was acknowledged L~JI:___ ____ ....L.. _ .. ft .. S'I'A'I'E OF FLORIDA COUIf'I'Y OF The foregoing instrument was acknowledged .. - ... ..