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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that tbis penit lilY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
<br />regulations. lbe undersigned assOles responsibility for COIpliance witb any applicable deed restricti0D8.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be liceJl8ed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor Jay be
<br />cited for a lisdeleanOr violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requirl!leDu laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />"Contractor Secti0D81 of tbis applicatioo for which tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor tbat laY be an indication that be is not properly licensed and is not entitled to peW~ting privileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of 'Plorida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by tbe Florida Deparl:lent of Agriculture and CoD8U1Bl' Affairs. If the applicant is 8OIBOIl8 other than tbe
<br />"owner", I certify tbat I have obtained a copy of tbe above described docUlBDt and pICllise in good faitb to deliver it to tbe
<br />"owner" prior to co.enCl!lel1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infoIlation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas CDlenced prior to issuance of a penit and that all work will be perfoned to leet staDdards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8Jlt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber gov8IDlelltal agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst tate to be in COJpliance. Such agencies include but are not lillited to:
<br />t Departlent of Invirolll8lltal Regulation - Cypress Baybeads, IIetland Areas and InviroDleDtally SensiUve Lands,
<br />IIater/llastewater IreabeDt
<br />t Soutlnfest Florida IIater Hanagl!leDt District - lIe11s, Cypress Bayhea4s, IIetland Areas, Altering IIatercourses
<br />t ArlY Corps of Engineers - Seawa11s, Docb, Kavigable IIatenays
<br />t Departlent of Healtb , Rebabilitative Services, InvirODleDtal Healtb Unit - IIe11s, IIastewater IreabeDt, Septic Iws
<br />t US BnvirODlleJltal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if filllaterial is to be used in Flood Zone "AI or "I, etc. I, it is understood that a draiDage plan
<br />addressing a lCOIp8D8ating volUJe" will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sha11 issuance of a penit prevent tbe Building Official fICII tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peWt i88Ued shall be<<De invalid
<br />unless tbe work authoriled by such perlit is COII8I1ced witbin sillODtbs of issuance, or if work authoriled by the penit is
<br />suspended or abandoned for a period of sil IODtbs after the tille tbe work is co.enced. One 90 day 81tension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />IIARMING t'0 omR: YOUR FIILURB 10 BlCORD I 1000ICI OF WIMBICBIIBIt' lilY RBSOLt' IN YOOR PlYING !IIICS FOR IIIPROVIIIBIt'S 'fO YOOR
<br />PROPBRIY. IF YOU II1'BID I'D OmADf FIJlARCING, COIISULI' IIIIB YOUR LDDIR OR All IftOIIDY BBFOBI RBCORDDfG YOUR JOt'ICS OF
<br />COMHBICBHBMl' . JOBS OlDER $2,500 11 VALUB 00 NOt' KEED 'fO BlCOBD AlID POSt' I 1I10t'ICB OF ClJIHDCBIIII1'I.
<br />
<br />SIGJlAfURB: (MID OR AGBIII
<br />
<br />SIGlfI'IURB: COIIIRACIOH
<br />
<br />SfAfB OF FLORIDA
<br />COUlm' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAfl OF FLORIDA
<br />COUIIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to lie 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 oCJth.
<br />
<br />(Signature)
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(NUt!. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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