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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis penit lilY be subject to Ideed restrictionsl ,bich lilY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for cmpliance ,itb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the QlIIIler bas hired a contractor or contractors to undertake wort, tbey lilY be required to be licensed In accordance ,itb
<br />state and local regulations. If tbe contractor Is not licensed as required by law, botb the OIlIer and contractor lilY be
<br />cited for a liscll!ll!illOr violation under state law. If tbe 0IIleI or intended contractor are uncertain as to what licBD8!ng
<br />regulreIeDts lilY apply for tbe intended wort, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtbenore, if tbe owner bas hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
<br />IContractor Sectionsl of tbis application for wbich tbey will be responsible. If JOU, as tbe OIIler sign as the contractor,
<br />you are indicating that JOU, rather tban the contractor, are responsible for tbe IOrt. If tbe contractor wishes fOIl to sign
<br />as contractor that lilY be an Indication that he is not properly licBD8ed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrhllls.
<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, tbe applicant, have been provided witb a copy of IPlorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guidel prepared by tbe Plorlda Departlent of Agriculture and ConsUller Affairs. If the applicant i8 SOl8Olle other than the
<br />lOIIlerl, I certify tbat I have obtained a copy of tbe above described dOCUElt and prolise in good faitb to deliver it to tbe
<br />IQlIIIlerl prior to co.enCelellt.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the infoIliltion in tbis application is accurate and tbat all work ,ill be clone in COIpliance ,itb all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Iilde to obtain a penit to do work and installation as indicated. I certify that no wort or
<br />installation has CDlenced prior to iBluance of a perlit and that all wort will be perfol'led to _t standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJleDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat the regulations of other goverDleDW agencies lilY apply to the Intended IIOIt, and that It is
<br />IY responsibility to identify what actions I lUSt tate to be in COIplianee. Such agencies include but are not lilited to:
<br />t DepartJent of InvirOlllelltal Regulation - Cypress Baybeada, Wetland Areas and Envirollll!llWly Sensitive Lands,
<br />Water/Wastewater '1reatlent
<br />t Southwest Florida lIater HanageleDt District - Wells, Cypress Baybeada, Wetland Areas, Altering Watercourses
<br />t A[IJ Corps of Engineers - Seawalls, Docks, lIavigable Watmays
<br />t Departlent of Bealtb i Rehabilitative Senices, InvirOllleDtal Bealtb Unit - Wells, Wastewater '1reatlent, Septic 'fanb
<br />t US InvirOllleDtal ProtectibD Agency - Asbestos abateJent
<br />I also certify that, if fill Iilterial is to be used In Flood Zone IAI or IA,etc.l, it is understood tbat a drainage plan
<br />addressing a lCOIp8II8ating voluel will be saltted which is prepared by a professional engineer registered In the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A pmit issued shall be construed to be a license to proceed witb the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a peIJit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors In plans,. construction, or violations of any code. Ivery peIJit issued aball becDe Invalid
<br />unless tbe wort authoriled by such penit is ~ced witbin sil IOIltbs of iBluanee, or if work autboriled by the perlit is
<br />suspended or abandoned for a periOd of 8il IODtbs after tbe u.e the IIOIt is co.enced. ODe 90 day 81tension of tile, lilY be
<br />allowed for tbe penit witb fee charge of $15.00. fhe 81tension shall be requested in .riting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or the project .ill be considered abandoDed.
<br />IfARlfIIG 'fO OIIIIER: YOOR FAILURI '10 RECORD A IIO'fICE OF aJlllBllCIIID1' MAY RlSOL'I III YOOR PIYIHG DICE FOR IIIPROVIIIIII'fS 'fO YOOR
<br />PROPERlY. IF YOU IJIDIID 'fO 0B'l1lJl PIWCIIIG, COJISUL'I WI'll YOOR LIIIDIR OR 1II1'f'fOR11Y BBFORB RICORDIIIG YOOR DICE OF
<br />aJtIIENCIIID1'. JOBS UllDD '2,500 IN VALUE DO IIO'f tIDD '10 RICORD IIID POSI A wlIO'fICE OF aJlMlllCIIID1'I.
<br />
<br />SIGNA'IURI: (MIIR OR IGIIft'
<br />
<br />SIGIII'fURI: COII'fIIIC'fOR
<br />
<br />S'IA'II OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StAD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_ by
<br />
<br />who is personally know.n to me or who has
<br />produced
<br />as identification and who didldid not
<br />take an oath.
<br />
<br />who is personally know.n 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 Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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