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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'lbe undersigned understands that this perlit JaY be subject to 'deed restrictions' wbieb Jay be lOre restrictive than City regulations. !be undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .y be cited for a lisc1eJea1lOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelleDts .y apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813) 788-6611. FurtberlOre, if the OIIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb they will be responsible. If JOU, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes JOU to sign as contractor that .y be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - BcIIeoImer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUle1' Affairs. If the applicant is 8OEOI1e other than the 'owner", I certify that I bave obtained a copy of the above described dOCUlBDt and pralise in good faith to deliver it to the 'owner' prior to COlleDCelH!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in COIPliance with all applicable laws regulating' construction, loning, and land developleDt. Application is bereby .de to obtain a Perlit to do work and installation as indicated. I certify that no wort or installation bas cmleDced prior to issuance of a perIIit and that all IOrt will be perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!l1lleDtal agencies .y apply to the intended IOrt, and that it is Iy responsibility to identify wbat actions I lUst tate to be in cOlpliance. Sueb agencies include but are not lilited to: t Departlent of EnvirOlllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Wastewater 'lreablent t Soutbvest Florida Water ManageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArIy Corps of Engineers - Seawalls, Docks, Navigable Watenays t Deparblent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'lreablent, Septic 'lants t US Envirouental Protection Agency - Asbestos abatl!lent I also certify that, if fill .terial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'COIpeDSating vol_' will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A petlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCCIIl! invalid unless the wort authoriled by sueb perlit is COIIBIlced within sillOllths of issuance, or if IIOrt authoriled by the petlit is suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 day extension of tile, .y be allowed for the petlit with fee ebarge of $15.00. 'lbe extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned. "ARNIHG 'fO OWHER: YOUR FAILURE 'fO RECORD A NO'lICE OF C<IlIIDCEIID'l MAY RESOL'l IN YOOR PAYING 'lIfICE FOR DlPROVIIIIftS 'l0 YOOD PROPEm. IF YOU IIlmD 'fO OB'l'AIN FIUKCIHG, COXSUL'l WI'lH YOUR LBIIDIR OR AX A'l'fORDY BBP()RE RICORDIIG YOOD DICE OF COMMDCEHBM'l. JOBS OlDER $2,500 IN VALUE DO 10'1 IDD 'fO RECORD UD POSt A 'NOIICE OF C<ItMIJfCEIID!'. S1~~~ S'lA'lE OF F~ coum OF fJ:5m The foregoing in~trum~t was a~~owledged before me this 7' ~5 , 19.:J.:L by .~oL SIGII . COI!RAC'fOR S'lA'lE OF FLORJ~ coum OF 'St'/7 The foregoing instrument was aCkn~ledged before me this ;-:::1r' , 199 by brsJi '73e17A8 who i ersonally known to me or who has produced as id ification and who did/did not take oath. . ~