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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this penit laY be subject to "deed restrictions" wbieb lay be .re restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for COIpliance wIth any applicable deed restrIctiODS.
<br />
<br />B. UNLlCENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOler bas bired a contractor or contractors to undertake wrt, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by ID, both the 0IIDer and contractor EJ be
<br />cited for a lisdBl8anOr violation under state law. If the mmer or intended contractor are uncertain as to what licensing
<br />requirl!leDts EY apply for the intended wrt, they are advised to contact the City of ZepbyrhiUs Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor SectiODS~ of this application for wbich they will be responsible. If fOu, as the owner sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the IOrt. If the contractor "ishes you to sign
<br />as contractor that EY be an indication that be is not properly licensed and is not entitled to perait,ting 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 - lDeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUl8l' Iffairs. If the applicant is ~e other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJellt and pr~ise in good faith to deliver it to the
<br />"owner" prior to co.enCl!lel1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoCliltlon in this application is accurate and that all IOrk "ill be done in coapliance "ith all
<br />applicable IDS regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby Iilcle to obtain a perlit to do wrt and installation as indicated. I certify that DO IOrk or
<br />installation has C31encecl prior to issuance of a perait and that alllOrk "ill be perfoIl8d to Het staDclarcls of all IDS
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other 9OvBIDl8Dtal agencies EY apply to the intended IIOrk, and that it is
<br />~ responsibility to identify wbat actions I ElBt take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />· Departlent of Envirolllll!lltal Regulation - Cypress Baybeads, Vetland Areas and BnvirODlentaUy Sensitive Lands,
<br />VaterfVastewater rreatlent
<br />· Soutlnfest Plorida Vater Hanagl!leDt District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Vatercourses
<br />· Irl' Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />· Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - VeUs, Vastewater Ireatlent, Septic lants
<br />t US Bnvirouental Protection Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fIll Eterial is to be used in Flood Zone "A" or "I,etc.", it is understood that a drainage plan
<br />addressing a "COIpenSating volUlle" will be subllitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the IIOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technIcal codes, nor shall issuance of a perlit prevent the Building Official fa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued sllall hecme invalid
<br />unless the vork authorbed by sueb perait is co.enced within slllOllths of issuance, or if IOrk authoriled by the perlit is
<br />suspended or abanclonec1 for a period of ail .ntbs after the tile the IIOrk is ~cecl. One 90 clay 81tension of tile, EY be
<br />allowed for the perait with fee charge of $15.00. Ibe 81tenslon shall be requested in writing to the Builcling Official. An
<br />approved inspection lUSt be loggec1 during eaeb slllODth period, or the project will be consIdered abandoned.
<br />VARIIIIfG to ODIR: YOUR FAILURI to RECORD I NOTICE OF aJIMUCIIIIIIl' MlY RESULr II YOOR PIYIHG nICE FOR IIIPROVBIIDI'S to YOUR
<br />PROPmY. IF YOU IIIIHD ro OBrlIJf PIIlIICIJfG, COBSULI VIm YOUR LBJIDBR OR AI IIfORDY BD'ORE RICORDIJfG YOUR IO'IICI OF
<br />ClIIHBIfCBllBlft'. JOBS OlDER $2,500 IH VIWI DO Hor mo fO RECORD AND POSf I "HorICI OF C(JfHBIfCBllBlf!".
<br />
<br />SIGU'IURI: <<*IIBR OR AGm
<br />
<br />SIGIIA'IURI: comIACIOR
<br />
<br />srlrB OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIIIB OF FLORIDA
<br />CDUm OF
<br />The foregoing instru.ent 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 St~ed)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(NUt!. Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
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