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<br />CONDITIONS.OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this pe[JIit lay be subject to 'deed restrictions' wbich laY be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance 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 Jocal regulations. If the contractor is not licensed as required by law, both the QllDer and contractor JaY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberJore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiona of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the owner sign as tile contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the wort. 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 perJitting 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 STA-rUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - JReowner's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and CODBIlIeI' Affairs. If the applicant is SOEODe other than the
<br />'owner', I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />'owner' prior to COllenc8lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all wort will be done in eoIpliance with all
<br />applicable Jaws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation baa CDlenced prior to issuance of a pe[JIit and that all work lill be perfOlled to .et staDdards of all laws
<br />regulating construction, City codes, zoning regulations, and land developl8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnvlroDlental Regulation - Cypress Baybeads, IIeUand Areas and InviroDleDtally Sensitive Lands,
<br />IIater/llastewater freatJent
<br />t Southwest Florida IIater Hanagl!leDt District - IIells, Cypress Baybeads, IIeUand Areas, Iltering IIatercourse8
<br />t my Corps of Engineers - Seawalls, Docks, lIavigable IIaterways
<br />t DepartJent of Health i Rehabilitative Services, EnvirODlental Health Unit - IIells, IIastewater freatlent, Septic fants
<br />t US BnvirODleDtal ProtectiOn Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpensating volUle' will be subJiUed 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 IIOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pmit issued sbaH beCOle invalid
<br />unless the Norl authorized by such perlit is cOlleJlced within slllOntbs of issuance, or if lork autboriled by the perJit is
<br />suspended or abandoned for a period of sillOntbs after the tile the IOrk Is c_enced. One 90 day l!Itension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. Tbe l!Itension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sillOl1th period, or the project lill be considered abandoned.
<br />IIAR11IIfG TO OIIIIBR: YOUR FAILURE fO RlCORD I IIOTICK OF COHHIICKHIKT HlY RESULf III YOUR PIYIIIG fiICK FOR IHPROVDmS TO YOUR
<br />PROPBRTY. IF YOU IIIIND fO OB'flll1 PIWCIIIG, COIISUL'f IfI'fH YOUR LINDER OR AN AnORDY BBFORI RICORDIMG YOUR MO'IICB OP
<br />COHMIIICKHIKT. JOBS UMDER $2,500 1M VALUE DO 110'1 HIID fO RICORD AIID POS'f A 'HOfICI OF COIIHIMCBllm".
<br />
<br />
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<br />
<br />
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<br />SflR OF FLORIDA S;;
<br />coum OF ~/ltSc (/
<br />The foregoing! inst ept was acknowledged
<br />before roe this , 19~ by
<br />
<br />/.J.,..
<br />who is personally .known to .
<br />pHd'lced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />as
<br />
<br />
<br />(Signature)
<br />
<br />(N8IIe 'JJped, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />
<br />1a1TY" DLLV
<br />.... 01 FIorlda
<br />IIrClnn. ElQ). Aug. 14, 1996
<br />CclnIn. , CC 214508
<br />
<br />STAR OF FLORIDA 71
<br />coumop ~od
<br />The foregoing~instrument was acknowledged
<br />before me this ..J..E--dJ- , 19~ by
<br />
<br />wl~~ona1l-:[!;X, me er wilD b..
<br />
<br />~ed
<br />as identification and w.bu o1d]a~ not
<br />take an Oit.
<br />
<br />
<br />(Signatur
<br />
<br />(Name Typed, Printed or Stamped
<br />NOTARY PUBLIC
<br />
<br />
<br />~14LY
<br />-r.:. .-
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