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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this perait aay be subject to 'deed restrictions' wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUJeS respousibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, 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 owner and contractor lily be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611. '
<br />
<br />FurtberJOre, 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 wbieb they will be responsible. If JOU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. 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 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 'Plorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I' Affairs. If the applicant is IKII80De other than the
<br />"ownern, I certify that I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
<br />lowner' prior to COIIeIlCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforution 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 Iilde to obtain a perlit to do work and insWlation as indicated. I certify that no wort or
<br />installation bas COIIenCed prior to issuence of a perait and that all wort will be perfoIled to leet standards of all Ian
<br />regulating construction, City codes, loning regulations, and laud developlll!Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDVerDIl!Dtal agencies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lillited to:
<br />I Departlent of EnviIOlllental Regulation - Cypress Baybeada, Wetland Ireas and Invirolllentally Sensitive Lands,
<br />Water /IIastewater Ireablent
<br />I Southwest Florida Water Hanagetent District - Vells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Health i Rebabilitative Services, EnviIODlental Health Unit - Wells, Wastewater Ireatlent, Septic lants
<br />I US EnviIODlll!lltal ProtectiOn Agency - Asbestos abatetent
<br />I also certify that, if fill I8terial is to be used in Flood ZOne III or lA, etc. I, it is understood that a drainage plan
<br />addressing a 'COIpenSBting volUle' will be subllitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to petlit issuance.
<br />
<br />A pertit 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any coc1e. Ivery perait issued shall beCCIIe invalid
<br />unless the work authoriled by such perait is COIIenced within sillODtbs of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is ~ced. One 90 day atension of tile, lily be
<br />allowed for the perait with fee charge of $15.00. !he atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />IIARMING YO OIlIER: YOUR FAILURI YO RECORD A lfOtICE OF CC>>lMIICIIIDl' MAY RESULI II YOUR PAYING DICE FOR IMPROVIIIDI'S 10 YOUR
<br />PROPmY. IF YOU Inmm YO OUlIlf FIIIAlfCING, COISULI WIfB YOUR LIIIDIR OR AI AnoRIIY BEFORE RECORDING YOUR DICE OP
<br />. JOBS UJm $2,500 I VA DO lOt tIIID 10 RECORD AID POSI A 'IOtICE F C(JOIIlfCEllllfl".
<br />
<br />
<br />
<br />SfArl OF FLORIDA
<br />CDUm' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAfE 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 kn01lll to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />4
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