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<br />CONDITIONS OF PERMIT ~F1DAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this pel'lit lilY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUle& responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake IIOrt, they tay 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 tay be
<br />cited for a lisdelleanOr violation under state law. If the OIfII8r or intended contractor are uncertain as to wbat licensing
<br />reguirelellts lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the OIRler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. 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, have been provided lith a copy of 'Florida's Construction Lien Law - lIaIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is 8OI8OIle other than the
<br />'owner", I certify that I have obtained a copy of the above described dOCUlellt and p~ise in good faith to deliver it to the
<br />"OII1er' prior to COllenCeJll!llt.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all wort will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlellt.
<br />
<br />Application is bereby Iilde to obtain a perlit to do wort and installation as indicated. I certify that no IIOrt or
<br />installation bas C31enced prior to issuance of a perlit and that allllOrt lill be perfoDled to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developll!l1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverueDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify Ibat actions I lUSt tate to be in COIpliance. Such agencies include but are not 11lited to:
<br />t Departlent of EnvirODlel1tal Regulation - Cypress Baybeads, Wetland Areas and Invirolllentally Sensitive Lands,
<br />Water/lfastewater !real:lent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Healtb , Rebabilitative Smices, BnvirOJllental Healtb Unit - Wells, Wastewater !reatlent, Septic !ants
<br />t US BnvirOJllental Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill taterial is to be used in Flood Zone "A' or 'I,etc.', it is understood that a drainage plan
<br />addressing a 'COIpenSating volUle' will be saitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCCIIe invalid
<br />unless tbe IIOrt authorized by such perlit is COIIIlDced within sillOnths of issuance, or if IfOrk authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile tbe work is co.enced. One 90 day utension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. An
<br />approved inspection 8USt be logged during each sil IODtb period, or the profect will be considered abandoned.
<br />WARIIUG !O lJIDR: YOUR FAILURE !O RECORD I IOfICE OF COIIIDCEIIIM! lilY RBSUL! II YOOR PIYIIG nICE FOR IMPROVIIIII!S !O YOUR
<br />PROPEIIft. IF YOU III'lDD 'fO OBt'AIN FIIANCIIG, COIfSUL! WI'IH YOUR LENDER OR U lnoIIDY BBFORI RICORDING YOUR DICE OF
<br />COOfEICEMBM'l. JOBS UNDER $2,500 II VALUI 00 10'1 IUD !O RECORD AID POsr A "IOfICE OF COIIIEIICBMIIIr'.
<br />
<br />
<br />SIi!L~~~h) ~tL~
<br />
<br />S!A!E OF FLORI~
<br />coom OF 5(20
<br />The forego1ng instrument was acknowledged
<br />before me this Ju/./t: IS-, 19~ by
<br />
<br />~1A~ m~,Jb/1RR[O;'L/
<br />~ per ally known to ~ or who has
<br />produced
<br />as 'dentification an
<br />tat an oath.
<br />
<br />S!I'IE OF FLORIDJr)
<br />coum OF (J-7JS (! D
<br />The foregoing instrument was acknowledged
<br />before .me this .::lit/Uc:' /~, 19~ by
<br />
<br />
<br />or who has
<br />
<br />
<br />I
<br />Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(N ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A, STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC110274
<br />
<br />r' "..
<br />~.. JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC110274
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