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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pemit lilY be subject to Ideed restrictions I wbieb lily be lOre restrictive tban City
<br />regulations. 'be undersigned assUIeB responsibility for allpliance 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 JaY 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 O1IIler and contractor lilY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJlOre, if the OIfDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for whieb they will be responsible. If you, as the O1IIler sign 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 JaY be an indication that be is not properly licensed and is not entitled to perlitting 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, have been provided with a copy of IFlorida's Construction Lien Law - HCII8OlfJler's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOJI8One other than the
<br />lower", I certify that I bave obtained a copy of the above described docUlBDt and prOllise in good faith to deliver it to the
<br />Howerl prior to COllleDC8leDt.
<br />
<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 develoPElt.
<br />
<br />Application is bereby .ade to obtain a peIlit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~ced prior to issuance of a perlit and that allllOrt will be perforted to Ret 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 govl!l'Ul!Dtal agencies lilY apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not laited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Nater /Wastewater Treablent
<br />t Southwest Florida Nater Managuent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic 'anks
<br />t US EnvirODleDtal Protection Agency - Asbestos abat8leDt
<br />I also certify that, if fill .aterial is to be used in Flood Zone IAI or HA,etc.., it is understood that a drainage plan
<br />addressing a .cOlpl!llSating vol.. will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A pemit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a pemit prevent tbe Building Official fCOl thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless tbe work authorized by sueb pemit is ~ced within sillODths of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tae the wort is coaenced. One 90 day extension of tile, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. Tbe 81tension sball be requested in writing to the Bui14ing Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />WARNING TO omR: YOUR FAILURE to .~J.D A. NOTICE OFaJIMEI!CEllENt MAY RESULT IN YOUR PAYING !VICE FOR IMPROVIIIEI!S TO YOUR
<br />PROPERTY. IF YOU INtBHD to OB!lIlf FIWCING, COISULT lID YOUR LBHDIR OR D AftORRBY BEFORE RECORDING YOUR DICE OF
<br />COMMENCEMENt. JOBS UNDIR $2,500 IN VALUI DO NOT NEED to RECORD AND POST A "NOTICE OF COJIMENCIMEN!H.
<br />
<br />. .
<br />
<br />SIGNAtURE: OWNER OR AGm
<br />
<br />SIGNATURE: CON!RAC!OR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAR OF FLORIDA
<br />coum 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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