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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rile undersigned understands that this perait laY be subject to .deed restrictions. wbich lay be lOre restrictive than City
<br />regulations. !he undersigned assUJes responsibility for CCIIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired 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 0IIIll!I and contractor laY be
<br />cited for a lisdeIeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbich 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 wisbes you to sign
<br />as contractor that laY 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, bave been provided with a copy of .Florida's Construction Lien Law - lReowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOMOIle other than the
<br />.owner", I certify that I bave obtained a copy of the above described docuIent and pn.ise in good faith to deliver it to the
<br />"owner" prior to co.enCl!leDt.
<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 laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby tade to obtain a peIlit to do wort and insWlation as indicated. I certify that no wort or
<br />installation bas CDIl!Jlced prior to issuance of a perlit and that all wort will be perfoIled to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llleDtal agencies IlaY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt tale to be in cotpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnvirOJlleDtal Regulation - Cypress Baybeads, Wetland Areas and Invil'OllleDtally Sensitive Lands,
<br />Water /lfastewater !reablent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />* Deparblent of Health i Rehabilitative Services, InvirODl8Dtal Health Unit - Wells, Wastewater treatlent, Septic tants
<br />* US InvirODlental Protection Agency - Asbestos abatl!lf!llt
<br />I also certify that, if fill laterial is to be used in Flood ZOne .A. or IIA,etc.lI, it is understood that a drainage plan
<br />addressing a .co.pensating volute. will be subllitted 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 fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the work authorized by such peIlit is ~ced within s1llODths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day utension of tile, IlaJ be
<br />allowed for the petlit with fee charge of $15.00. rile utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each s1llODth period, or the project will be considered abandoned.
<br />WARRING ro (JIIBR: YOUR FAILURE to RlCORD A NOtICE OF CCJtMDCEIIItI! MlY RESULt 1M YOUR PAYING !VICE FOR IIIPROVIIImS to YOUR
<br />PROPERTY. IF YOU IIft'BID ro OB'lAIN FWlCIIG, CORSULt WItH YOUR LBlDBR OR AI AnomY BEFORE RECORDING YOUR JIOtICl OF
<br />COMMDCEMEIl!. JOBS UNDER U,500 IN VALUE DO lOt IBED to RECORD AID POS! A "NOtICI OF aJIIEICBIID!-.
<br />
<br />SIGII'fURIl: (MIllR OR AGIIft'
<br />
<br />SIGIA'fURIl: COIft'RAC!OR
<br />
<br />SfArE OF FLORIDA
<br />CDUm OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StAtE OF FLORIDA
<br />CDUm OF
<br />The foregoing instrument 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 />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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