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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this perlit JaY be subject to -deed restrictionsH wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUle& responsibility for cmpliance with any applicable deed restrictioos.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, 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 lar be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!leDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />Furtberlore, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />-Contractor Sections- of this application for wbich they will be responsible. If you, as the owner slgn as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. 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 perIltting 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 HFlorida's Coostruction Lien Law - lkIIeoImer's Protection
<br />GuideH prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is SOIeOIle other than the
<br />HownerH, I certify that I have obtained a copy of the above described docUllellt and prOlise in good faith to deliver it to the
<br />HownerH prior to COlleDCelleDt.
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<br />E. CONTRACTOR'S/OWER'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 coostruction, loning, and land developlleDt.
<br />
<br />Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to iss1Wlce of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYerDlental agencies lilY apply to the intended work, and that it is
<br />Ii responsibility to identify wbat actions I lUSt take to be in ampliance. Such agencies include but are not laited to:
<br />t DepartEnt of BnvirOllleDtal Regulation - Cypress Baybeacls, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water /Wastewater TreatEnt
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, BnvirOlllelltal Health Unit - Wells, Wastewater TreatEnt, Septic Tanks
<br />t US BnviIODlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill Iilterial is to be used in Flood Zone HAH or HA,etc.H, it is understood that a drainage plan
<br />addressing a -COIpeDSating vol.H will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<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 iss1Wlce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, coostruction, or violations of any code. Ivery perIlt issued shall becOIe invalid
<br />unless the IIOrk authoriled by such perlit is c~ced within sillOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day Bltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. rbe eltension 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 />WARJfIIG fO omR: YOUR FAILURE TO RlCORD A NOTICE OF C(IIMDCIIIBIl! MAY RlSOL! II YOUR PAYlIG !VICE FOR DIPROVIIIIftS fO YOUR
<br />PROPERn. IF YOU Imrm fO OftAIlf FIIWICING, COlfSULT Wlft YOUR LBIDER OR AN AnoRIIBY BEFORI RICORDIlfG YOUR IIOIICE OF
<br />C(JOIBlfCEMm'. JOBS UlmER $2,500 II VALUE 00 110I liED fO RECORD AND POST A HIOTICE OF C<IIIIEIfClllBll!..
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<br />~f~
<br />SIGlfA!URI. OR AGED' .
<br />
<br />
<br />(Name Typed, Pr
<br />NOTARY PUBLIC
<br />
<br />3 c~~ pJ c~
<br />SIGNA'fOIIE: CON!RAC'fOR
<br />
<br />
<br />(Name Typed, Prin
<br />NOTARY PUBLIC
<br />
<br />~,
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