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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit aay be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. !he undersigned assU11e8 responsibility for co.pliance 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 laY 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 0IIDer and contractor lilY be
<br />cited for a lisdele8llor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelellts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the ower bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the OIfDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes 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 'Florida's Construction Lien Law - lDeoImer's Protection
<br />Guide' prepared by the Florida Depart:lent of Agriculture and ConsUlleI' Affairs. If the applicant is SOIIeOIle other than the
<br />'owner., I certify that I have obtained a copy of the above described docuIent and prolise in good faith to deliver it to the
<br />'OImer' prior to COIIeDCl!lleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in COIPliance with all
<br />applicable law8 regulating construction, loning, and land develOlJleDt.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation bas CDIeIlced prior to issuance of a perait and that all work will be perfoIJed to .et standards of all 1_
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIPliance. Such agencies include but are not luited to:
<br />I Departlent of InvirOl1lelltal Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands,
<br />Water/Wastewater t'reatlent
<br />I Southwest Florida Water Managelellt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />I ArIy Corps of Ingineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater t'reatlent, Septic t'anks
<br />I US InviIOlllleJ1tal Protection Agency - Asbestos abatuent
<br />I also certify that, if fill IIterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIIpeIlSating volUlle' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued sball 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 becoIe invalid
<br />unless the work authoriled by such peIlit is COBeJlced within sillOntbs of issuance, or if work authoriled by the perait is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day l!Itension of tile, .y be
<br />allowed for the perlit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the profect will be considered abandoned.
<br />WARKING t'O lMIR: YOUR FAILURE t'O RECORD A NO!ICH OF C(JIIBNCBIIIM! MAY RESUL! IN YOUR PAYING filCH FOR DIPROVIIIBIt'S t'O YOOR
<br />PROPmY. IF YOU IJIIIND t'0 OBIm FIIIIICIRG, CONSULt' wlm YOUR LIJIDIR OR II AnoRIIY BIFORB RECORDIIG YOUR IIOt'ICH OF
<br />COMIIDCBMm. JOBS OlDER $2,500 IN VALUE 00 IO! lIED t'O RECORD lID POSt' A 'NO!ICH OF <XIUIDCIIIIII'f1.
<br />
<br />SIGlAfU1II: OIOIIR OR AGBIIt'
<br />
<br />SIGllfU1II: ComAC'IOR
<br />
<br />St'AD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this ( 19____ by
<br />
<br />St'AD OF FLORIDA
<br />coum OF
<br />The foregoing instI'UlleJ1t 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 />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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