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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned uDC1erstands that this pmit iii' be subject to 'deed restrictiOll8' ,hich iii, be lOre restrictive thin Cit,
<br />. reguJations. !be undersigned asSUle& respcmsibIlitr for cmpliance ,ith anr applicable deed restrIctlOll8.
<br />
<br />B. UNLICSNSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer has hired a contractor or contractors to undertake work, ther IiIr be reguired to be licensed in accorclance ,ith
<br />state and local regulatiOQl. If the contractor is not licensed as required br law, both the owner and contractor iii' be
<br />cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat lic_iDg
<br />reguireaenta .y apply for tile Intended work, they are advIsed to contact the City of Zepbyrbills BulldiDg Departaent, (813)
<br />788-6611.
<br />
<br />PurthellOre, if the owner bas hired a contractor or contractors, he is advised to bave tile contractor(s) sign portions of the
<br />'Contractor SectiOll8' of thIs applicatloo for which they will be responsible. If JOU, as tile owner sIgn as the contractor,
<br />you are indicating that JOU, rather than tile, contractor, are responsible for the IOrt. If the contractor wishes JOU to sign
<br />as contractor that .y be an indication that be Is not properly lic_ed and is not entitled to peraltting privileges in the
<br />City of Zephyrbllls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED)
<br />I certifr that I, the applicant, bave been provided with a COllf of 'Plorida's COnstructlon Lien Law - JIoMoImer's Protection
<br />Guide' prepared br tile Plorida DepartMnt of Agriculture and ConsUller Iffairs. If the applicant i8 8CJMODe other than the
<br />'OWDer', I certify that I bave obtained a copy of the above described c10cuIIent and proUse in good faith to deliver it to tile
<br />'OWDer' prior to ~ceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that alllOrt ,ill be done in COIpliance ,ith all
<br />applicable laws regulating construction, Joning, and land develolJl8Dt.
<br />
<br />Ipplication is berebr aade to obtain a perait to do IOrt and installation as indicated. I certify that DO IOrt or
<br />installation baa CDlencec1 prior to issuance of a penit and that all IOrt ,ill be perfomec1 to _t staDdard8 of all 1_
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdictiCll. I also
<br />certify that I under8tand that the regulations of other gOYeIDllental agencies lilY apply to the intendec1lOrk, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIPliance. Such agencies include but are DOt lulted to:
<br />. Departlent of InvirODleDtal Regulation - CJPress Barbeada, lIetland Areas and InvirODleDtallr Sensitive LaIIds,
<br />lIater/llaatewater !reataent
<br />· Southwest Florida later Ilanagel8llt District - lIells, CJPress Baybeads, lIetland Areas, Iltering WatercoUrses
<br />. Alii Corps of Bnqineers - Seawalls, Docks, lavigable lIatenays
<br />. Departaent of Health' Rehabilitative Senices, Bnvironaental Health Unit - Veils, Vastewater !reataent, Septic !ants
<br />t US Bnvironaental ProtecUII1 Agency - Asbestos abattleJlt
<br />I also certif, 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 'coapensatlng volue' wUl be soblitted wbich is prepared br a professional engineer registered in the State of
<br />Florida prior to perlIt i88uance.
<br />
<br />I pmit i88ued shall be construed to be a license to proceed with the work and not as authoritr 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, COll8truCtioo, or violations of any code. Ivery peralt issued Bball becme iDvalid
<br />unless the IOrk authorized br such penit is coaIllIlcec1 within slllODtbs of i88uance, or if work authoriled by tile perlit is
<br />suspended or abandoned for a period of sllaontbs after the tiIIe the IOrk is co.encec1. One 90 day 81tensioo of tille, lilY be
<br />allowed for the peralt ,ith fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. In
<br />approved inspection aust be logged during each 8il aonth period, or the project will be considered abandoned.
<br />IIARlIIIG !O CIDR: YOOR FAILORI !O BOORD I IOIICK or COlIIDCIIIIIIIAY RISUL! II YOUR PAYIIG !IIICK POI IIIPROVIIIDI8 !O YOOJl
<br />PROPIR!Y. IF YOO IIfIID 'fO OBIIII PIIIIIICIIG, COI8UL! IIIIB YOOR LIIDII OR IllnoRDY BBPORB RICORDIIG YOUI .OIlCK OF
<br />OIOIIICIMD!. JOBS URDU '2,500 III VILUlIlO 101_ !O RICORD UD POSf I 'IOIICK OF aJIIIDCIIIDl'l.
<br />
<br />c~ ;;~<'--2~
<br />
<br />SIGII!URB: CMIIR OR IGIII! SIGIA!URIl: COIIIRAC!OII
<br />
<br />SIIII OF FLORIDA b?A'.c
<br />coum OF r tv co
<br />The foregoing instrument was acknowledged
<br />before Jle this ~ ~L.y', 19.1$f by
<br />f
<br />
<br />SIIIB OP FLORIDA ~
<br />COOllY OF /' A c.z;
<br />Tbe foregoing inst~t was acknowledged
<br />before me this c:2' U()L. ( , 19~ by
<br />
<br />wbo is personally known to .e or wbo bas
<br />produced
<br />8S identification and wbo did/did not
<br />take an oath. ~ K~
<br />(Signature) Notary Public aiCO Co, F
<br />~9A EXI~ M:ldl) )QQ~
<br />(Rame. Typed, n or up )
<br />ROTARY PUBLIC
<br />
<br />wbo is personally known to ~ or wbo bas
<br />produced
<br />as identificationO?', w did/did not
<br />take an oath
<br />
<br />/
<br />
<br />(Signature) Notary Public PaiCo Co, FL
<br />(Rue Typ~ EaP'i~99S
<br />ROTARY PUBLIC
<br />
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