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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this peIlit lily be subject to Ideed restrictions I wbich lilY be lOre restrictive than City
<br />regulations" rbe undersigned asBUleB responsibility for allpliance with any applicable deed restrictions"
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIler bas bired a contractor or contractors to undertake IIOrk, they lily 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 0IfIler and contractor lily be
<br />cited for a lisdeJeanor violation under state law" If the mmer or intended contractor are uncertain as to what licensing
<br />requiretents lilY apply for the intended IOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OIfIler bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for wbich they will be responsible. If you, as the OIfIler 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 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, have been provided with a copy of IFlorida's Construction Lien Law - lIoIeoImer's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and ConsUll!l' Affairs" If the applicant is 8OIeOIle other than the
<br />Immer", I certify that I have obtained a copy of the above described dOC1JleDt and prOtise in good faith to deliver it to the
<br />"mmerl prior to co.enCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all wort will be done in cDIPliance with all
<br />applicable laws regulating construction, loning, and land developlellt"
<br />
<br />Application is bereby lade to obtain a peIlit to do work and installation as indicated" I certify that no !fOrk or
<br />installation bas (DIeDced prior to issuance of a perlit and that allllOrk will be perfoIJed to leet standards of all laws
<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 goverDll!lltal agencies lilY apply to the intended work, and that it is
<br />Ii responsibility to identify wbat actions I lUSt take to be in cotpliance" Such agencies include but are not lilited to:
<br />t Departlent of EnvirOJllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water /Wastewater rreatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, Environtental Health Unit - Wells, Wastewater rreatlent, Septic '1anks
<br />t OS EnviIODleDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone IIAI or IA,etc"l, it is understood that a drainage plan
<br />addressing a lCOIpeDSating volute I will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to petlit issuance"
<br />
<br />A perlit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code" Ivery perlit issued shall beCOle invalid
<br />unless the IIOrk authoriled by such peIlit is ~ced within SlxlOllthS of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a period of SlxlOlltbs after the tile the IOrk is c08el1ced" One 90 day t!ltension of tile, lily be
<br />allowed for the perlit with fee charge of $15.00. '1he t!ltension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IOllth period, or the project will be considered abandoned"
<br />WARMING '10 omR: YOUR FAILURE '10 RECORD A NO'IICE OF COIIMBNCBIIBtf'I MAY RESOL'I IN YOUR PAYING fiICE FOR IMPIIOVIIIIIl'IS '10 YOUR
<br />PROPER'IY" IF YOU lllUIID '10 OB'IIDI FIIlAllCIJlG, CONSUL'I WIrH YOOR LIIIDIR OR AN AnomY BIFORB RECORDING YOUR IIO'IICE OF
<br />COIIMENCBMIJI'I. JOBS ONDER $2,500 IN VALUE 00 110'I NEED '10 RECORD AND POS'I A INO'IICE OF aJOIBJfCEIIEJftl"
<br />
<br />~.;;~,
<br />
<br />SIGIA'IORI: OOBR OR AGBJI'I
<br />
<br />~~ O~F FLORIDA P 1t5c 0
<br />
<br />The foregoing instrument was a~~owledged
<br />before me this ..:ru...~ t t; , 19~ by
<br />
<br />
<br />who i
<br />produce
<br />as identification and who did/did not
<br />
<br />tak~hl1.. ~~
<br />3V~E) /L.....E51?[.L
<br />
<br />( ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BRUCE A. ASBEL
<br />Notary Public, Slate of FIortda
<br />~ CoInm. expires June 22. 1988
<br />Comm. No. CC 388272
<br />
<br />~ ~I.~
<br />SIGJIA : COIl'lllAC'lO~
<br />
<br />S'IA'IE OF FLORlDAPA
<br />CommOF _ SCO
<br />The foregoing instrument was aCkn~ledged
<br />before me this j'ttL l.( l S- , 19 'f by
<br />
<br />fUr;
<br />who is ersonally to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ta~e oa.tJJ"4. ~
<br />(51 ture) /J
<br />C€. !:J:.. ..;.~-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BRUCE A. ASBEL
<br />Notary Public, SIIte of Florida
<br />My COInm. expi.... June 22. 1_
<br />Comm. No. CC 388272
<br />
<br />
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