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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this pemit JaY be subject to 'deed restrictions' wbich lay be lOre restrictive than City
<br />regulations. !be undersigned asSOles responsibility for cmpliance 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 work, they laY 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 laY be
<br />cited for a .isdeleallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthe1'lOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sectionsl of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 'Florida's Construction Lien Law - lDeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is SOlf!Olle other than the
<br />'owner", I certify that I bave obtained a copy of the above described docuaent and pralise in good faith to deliver it to the
<br />"owner" prior to COIIenCetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agenCies laY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Depart:lent of Bnvirol1llelltal Regulation - Cypress Baybeads, Wetland Areas and InvirolllM!Jltally Sensitive Lands,
<br />Water /Wastewater Ireatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress.8aybeads, Wetland Areas, Altering Watercourses
<br />t AI'IJ Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Depart:lent of Health i Rebabilitative Services, BnvirOlllelltal Health Unit - Wells, Wastewater Ireat:lent, Septic lants
<br />t US EnvirODlelltal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "AI or "A,etc. I, it is understood that a drainage plan
<br />addressing a 'COIpensating volUte' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball 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 shall issuance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
<br />unless the work authoriled by such pemit is cOllellced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day 81tension of tile, laY be
<br />allowed for the pemit with fee charge of $15.00. fbe 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or the project will be considered abandoned.
<br />WARMING TO omR: YOUR FAILURE 10 .~COJ.D A. NOfICH OF <XIlMII!CEIlIMf HAY RESULI IN YOUR PAYIKG nICH FOR IIlPROVEHBIl'S 10 YOUR
<br />PROPBRfY. IF YOU IJlfEMD 10 OsrAIlf FWHeING, CONSULI lID YOUR LBIIDER OR AM A!'IORDY BIFORE RECORDING YOUR NOIICH OF
<br />COMHEJicmmlft'. JOBS UlDER $2,500 IN VALUE 00 NOf RDD TO RECORD AID POST A 'NOfICE OF C(JIHDCEMm'.
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<br />
<br />SIGlA'lURB: OWIIIR OR AGE1ft'
<br />
<br />SIGlAIURI: comACfOR
<br />
<br />SIAfE OF FLORIDA
<br />COUlffY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAfE OF FLORIDA
<br />COUNTY 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 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 />(Rame. Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
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