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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />!be undersigned understands that this pemit lilY be subject to Ideed restrictions I wbieb lilY be lOre restrictive than City <br />regulations. 'be undersigned assUles 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 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 lilY be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />reguiruents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) <br />788-6611. <br /> <br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the <br />DContractor Sectionsl of this application for whieb they will be responsible. If you, as the ower sign as tbe 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 pertitting 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 that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - BCII8OlfDer's Protection <br />Guidel prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOlll!OD8 other than tbe <br />lower", I certify that I have obtained a copy of the above described docUIIeDt and prOlise in good faith to deliver it to tbe <br />DownerD 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 COIpliance with all <br />applicable laws regulating construction, loning, and land developleDt. <br /> <br />Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no IIOrk or <br />installation has COIIeJ1ced prior to issuance of a pemit and that all wort will be perforted to _t standards of all laws <br />regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also <br />certify that I understand that tbe regulations of other govl!l'Ul!Dtal agencies lilY apply to the intended IIOrk, and that it is <br />If responsibility to identify wbat actions I lUSt take 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 />Water/Wastewater Treatlent <br />t Southwest Florida Nater Hanaguent District - Neils, Cypress Baybeads, Netland Areas, Altering Watercourses <br />t AIIJ Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />t Departlent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'reatlent, Septic '1ants <br />t US EnvirODleDtal Protection Agency - Asbestos abateleDt <br />I also certify that, if fill laterial is to be used in Flood Zone IAI or HA,etc.l, it is understood that a drainage plan <br />addressing a .cOlpeDsating vol.1 will be sublitted wbieb is prepared by a professional engineer registered in the State of <br />Florida prior to peIlit 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 sball issuance of a pertit prevent tbe Building Official fIOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued sball beCOle invalid <br />unless the work authorized by sueb pemit is COlleDced within sillODtbs of issuance, or if work authorized by the pemit is <br />suspended or abandoned for a period of sillODtbs after the tiJle the wort is COlleDCed' One 90 day extension of tiJle, lilY be <br />allowed for the pertit with fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An <br />approved inspection lUst be logged during eaeb sillODth period, or tbe project will be considered abandoned. <br />WARNIHG '10 omR: YOUR FAILURE TO RECORD A NOTICE OF COIIIDCBIIBNl' MAY RESUL'I IN YOUR PAYING !VICE FOR IMPROVBIIBI!S to YOUR <br />PROPERTY. IF YOU IIl!EMD TO OBtAIN FlNANCIRG, COISUL'I WIIB YOOR LBHDIR OR All AnORDY BEFORE RECORDING YOUR NO!ICE OF <br />COMMENCEMEN!. JOBS UNDIR $2,500 IN VALUI DO NO! NEED '10 POST A DNO!ICE OF CCJIIENClllENfH. <br /> <br />~~, &:~ ~ <br /> <br />Y- SiGNA'Iu.k: omR OR AGENt <br /> <br /> <br />( <br /> <br /> <br />STAR OF ~IDA <br />coum OF ~eo <br />The foregoing instrument was acknowledged <br />before me this /0 ~~ ~ , 19.1.!:i- by <br /> <br />::Sh~ L. (fujl~ <br /> <br />who is personally known t me or who bas <br />produced . e,<~ . <br />as id tification <br />ak <br /> <br /> <br />S'IArl OF F~ <br />coum OF 1St D <br />Tbe foregoing instrument was acknowledged <br />before me this )6 - ~ ') , 19~ by <br /> <br />~n b. Ovtd ~\{'(~, C-J!e <br />wbo is per.!9Dal~ kn~ :to lie or~ w~o bas <br />produced I-Z/Jr-} ~ r-, t.x<.lI{ c:; , C-, <br />as id tification did/di not <br />t~ke 0 <br /> <br />".'-' .., ,", -.~~ .~-~ .,. .~:"; J'1 <br /> <br />:"+'rr <br /> <br />J"~' _ -~ ./ -'''\. ~;;~:, <br />,2cn.Je-d Thru T;,;)/ Fain. Jnsurt;.lo,e- Joe.. <br /> <br />, .1 Tr ~ <br /> <br />;: :'.'if~ <br /> <br />':~Ur,-;nc(' illc. <br />