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<br />CONDITIONS OF PERMIT AVFIDAVIT
<br />" A. NOTICB or DBED RBSTRICTIONS
<br />!be undenlgnec1 UD4erltaDdl that tblB pemlt aay be subject to 'deed reatrictions' "bleb 18.y be lOre rutrlcthe thin City
<br />regulatiOll8. ,be UD4erllgDed us.. reaponaibillty for coapHance with any applicable deed rutrictlOlll.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR nESPONSIBILITIE~
<br />If the ower hu hired I contractor or contractors to undutue work, they II, be required to be licenae4 in accorUnc:e ,lith
<br />stllte iIDc110cal t8QUlaUOI1I. If the contractor ill not licensed as required by In, both the 0d8t IDd amtractDr MY be
<br />cited for I .l~r violation under state Ial. If the owner or intended contractor are uncertaiD u to lIb1t llcwing
<br />requir_ta ., apply for tbe Intended IOrk, they are aOvised to contact tile City of lepbyrbl11s Building DepartI8Ilt, (813)
<br />788-6611.
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<br />FurthetlOre, If the owner bas hired a contractor or contractora, he is ad~ise4 to haye the contrietor(l) Ilgn port!OIlI of the
<br />'COl3trlCtor 8ecUQDII Of this applicaUon for which they .ill be reaponalble. If JOU, uthe ower sigD as tbe contractor,
<br />you Ul! iDltlcating that JOU, ratblr than the contractor, are rupol1dble for the work. If the coatrlCtor wiahu JOIl to aign
<br />as contractor that IiY be an incUcatlon that be 18 not properly l1censed aM is Dot entitled to penlttiDg pd,Uegu in the
<br />City of Iepbrrbl111.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY COHN8CTIO" FEES
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<br />D. CONSTRUCTION' 1.1B" LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBMDBD)
<br />1 cutify that I, U. applicant, hlYS been prodeled with a copy of .Plorlda's CooatrucUon LilD LD . ~'. Protection
<br />Guide' prepared by tbt Florida Dtparl:ll!Dt of Agriculture and ConsUIel Affaira. If the applicant II IQIIOO8 other than the
<br />-ower I , I cutU, that I ball obt.iDed I copy of the above ducrlbed 40cdeDt and prollle In good foJtb to 4e1her it to the
<br />lowarl prior to c:c.IDC_t.
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<br />E. CORTRACTOR'~/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe lnfoIlltlon in thia application i. accurate and that all IOrk "ill be done in CDlpIIIDCI with all
<br />applicable 1_ regulating construction, IOIlIDg, and land develolllent.
<br />
<br />Application I. herebr lade to obtain a ptI1lit to do work and inatallatlon is indicated. I certify that DO work or
<br />inltallaUOI baa eo.enced prior to iUUiDce of a penit and that alllOrk will be perforJ8d to _t .tID4arda of all laws
<br />regulating COI1ItruCUon, tit, codes, loning regulations, and laod deyaloplll!llt regulatiODl In the juril4lctlll1. 1 also
<br />tutU, that I undarltud that the regulations of other goyeruental agenc.lu ..r apply to the inteacllc1work, anG that it Is
<br />I'i reaplXlllbUttf to Idmtlfr what actions tlUat take to be in cmpliance. Such aglDcies Inclll4e bot are IIOt lillte4 to:
<br />t Departlent of Bndroo.ental Rt9Ulltion - Cypru8 Bayheada, Wetland Arau and Bnvlrouentallr BalUn Lao4a,
<br />Ifater/Vutew.ter 'freatBt
<br />, Soutbwelt Florida Vater IIanIG.ut DI8trict - Wella, CDruB Baybeadl, Watland Area., lltarlog latercoutHl
<br />I AtIJ COJIlI of ~ .8eo11l1, Docu, lavigable lIatenal.
<br />. De~t of 8eI1tf'-Rebabl11tath. Senlc88~ jDvirOl'llllltal Health unit - IIeUI, Jast.iter rreatlent, septic I.
<br />t US bYiraeDtel hotect1C1llPDtJ . 18be8tol abatMellt
<br />I al80 certify tbat, if fill llterlal is to be used In Flood ZoDe 'A' or '1I1,etc. I, it 11 undmtood thlt i draiDage plan
<br />addreuiDg I lawpelLNtiDg vol... ,ill be 8ub1itted which II prepared bJ I professional engineer registered in till state of
<br />Florida prior to perlit llluaaCI.
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<br />A penit 181uecllllall be conatru8d to be a license to proceed with the tIOrk aztdnot u authority to dolete, CIIICIlalter, or
<br />set alide any prod Ilona of the tecbnlcal codes, nor shall i88uance of a pmlt prevent the Building Offielll fl'Ql tbereafter
<br />requiring I. correctlOD of errors in plans, construction, or violations of aDI codl. b8J:J pem1t 181ued Ihall becOIe invalid
<br />Wllesa the .rt luthorhe4 bJ such perllt Is ~ced within alllOlltbs of i8'uance, or if JOrt authorlled bJ till penit la
<br />8U8peOOed Dr for a period of sil IOIltba after the tbe the wort is co.nced. ODe gO 4Iy ataion of tlII, Iii be
<br />allowed for t with f charge of $15.00. Tbe extension shall be requu . writing to the Buildlng Official. An
<br />apptOnd illl IUIt be e4 during each ail IOII.tb period, or the projec 11 be ec11h1D&m1d. .
<br />01.(; 10 '11 to ItIaWJ A 'KOTICi OF CCIIIIBMCIIIJ! JIlY RBSUL I PI KG CB FOR IIIPROVIIIBJI'8 TO YOOR
<br />PROPIR1J. IF II!IIID OB!UI 'FUCIIG, co.SULt IIt'H YouR LIIDIR OR J IIG YOOR DICK OF
<br />. 2,500 III VALUI DO NO! _ to RECORD AHD POSt · II,
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