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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that tbis penit lily be subject to 'deed restrictions' wbieb lily be lOre restrictive than City
<br />regulations. !he. undersigned assUIeB responsibility for cmpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, botb tbe 0IIIler and contractor lilY be
<br />cited for a lisdell!aDOr violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />reguirl!leDts lily apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />PurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for wbieb they will be responsible. If you, as tbe owner Sign as tbe contractor,
<br />you are indicating that you, ratber tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perlitting 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 witb a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIBI Affairs. If tbe applicant is SOIeODe otber than tbe
<br />'owner", I certify that I bave obtained a copy of tbe above described docIJIent and promse in good faith to deliver it to the
<br />"owner" prior to COIIeIlCBlBllt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe infoIlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land devel~t.
<br />
<br />Application is bereby tade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation baa COIIeIlced prior to issuance of a pemt and that all work will be perf OIled to _t standards of alllilllS
<br />regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveruental 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. Sueb agencies include but are not lilited to:
<br />t Departlent of EnvirOlllBDtal Regulation - Cypress Baybeada, Wetland Areas and EnviroDIBDtally Sensitive Lands,
<br />Water IWastewater '1reatlent
<br />t Soutbwest Florida Water NanagelBDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health' Rehabilitative Services, Envirouental Health Unit - Wells, Wastewater '1reatlent, Septic '1anks
<br />t US EnvirOllleDtal Protection Agency - Asbestos abatelBDt
<br />I also certify that, if fill IIterial is to be used in Flood ZOne 'A' or "I,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeD8ating volute' will be sDitted wbieb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to penit issuance.
<br />
<br />A pmit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. !very perlit issued shall beCCE invalid
<br />unless the work aut.borbed by sueb penit is COIIeIlced witbin sillODtbs of issuance, or if work aut.boriled by the penit 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 tbe perlit with fee charge of $15.00. '1be utension sball be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the profect will be considered abandoned.
<br />VARNUG !O OWIIR: YOUR FAILURE !O RECORD A lotICI OF C(JlMllCIIIIRf MAY RlSUL! II YOUR PAYIKG fllICI FOR DIPIIOVBIIBI!S !O YOUR
<br />PROPBR'I'Y. IF YOU IIl'I'DD !O OB'I'W FIJlAlCIIG, COISOL'I 1fI'I'B YOOR LBIDIR OR II If'I'ORDY BIFORB RICORDIIG YOUR JOrICI OF
<br />C(JtMDCBMm'. JOBS UlDIR '2,500 1M VALUE 00 10'1' mo !O RECORD AID POS'I A 'lotICI OF CCJIIIIICIIIIJI' ~
<br />
<br />SIGNA!URE: OOBR OR AGBII'I'
<br />
<br />SIGJlI'rtJRB: COJmlACTOR
<br />
<br />S'l'Afl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />S'l'Afl OF FLORIDA
<br />coum 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 />(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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