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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perlit lar be subject to "deed restrictions" wbich Iilr be Ere restrictive than Citr
<br />regulations. !be undersigned assU188 responsibility for coapliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIlIer bas hired a contractor or contractors to undertake IfOrk, ther lar be required to be licensed in accordance with
<br />state and local regulatiOD,S. If the contractor is not licensed as required by law, both the owner and contractor lily be
<br />cited for a lisdeleallOr violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />reguirel8Dts lilY applr for the intended work, ther are advised to contact the City of Zepbyrbills Building DepartEnt, (813)
<br />788-6611.
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<br />FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sectioos" of this application for wbich ther will be responsible. If you, as the OIIIler sign as the contractor,
<br />rou are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor "ishes rou to sign
<br />as contractor that lily be an indication that be is not properly licensed and is not entitled to peClitting privileges in the
<br />Citr of Zepbrrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 "Plorida's Construction Lien Law - lIoEoImer's Protection
<br />Guide" prepared by the Plorida Departlent of Agriculture and ConsUl8l' Affairs. If the applicant is 8OI8ODe other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to CoaeDC8IeDt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application ia 'accurate and that alllfOrk will be done in COIpliance with all
<br />applicable lawa regulating construction, loning, and land developlleDt.
<br />
<br />Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certifr that no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perfoClec1 to I88t standards of all laws
<br />regulating construction, Citr codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certifr that I understand that the regulations of other govel1lleDtal agencies Iilr apply to the intended II01'k, and that it is
<br />IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />I DepartJent of EnvirODJelltal Regulation- Cypress Baybeacls, lIetland Areas and EnviroDleDtally Sensitive Lands,
<br />lIater/lfastevater 'l'reatlent
<br />I Southwest Plorida lIater Managel8Dt District - lIells, Cypress Barbeads, lIetland Areas, Altering lfatercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, Navigable lIaterways
<br />I Departlent of Health' Rehabilitative Services, EnviroDJeDtal Health Unit - lIells, lIastewater 'l'reatlent, Septic lanks
<br />I US EnvirODJeDtal Protection Igency - Asbestos abatuent
<br />I also certify that, if fill Iilterial is to be used in Plood ZOne "I" or "I,etc.", it is understood that a drainage plan
<br />addressing a "COJpenSating volue" will be s_tted wbich is prepared by a professional engineer registered in the State of
<br />Plorida prior to perlit issuance. . -
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<br />A perlit issued shall 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 perlit prevent the Building Official f[QI thereafter
<br />requiring a correction of errora in plans, construction, or violations of any coele. Bvery perlit issued &ball bec:me invalid
<br />unless the work authoriled by such perlit is COIIeIlcedwithin sillOlltbs of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of ail IOIltbs after the tile the work is ~ced. One 90 clay utenaion of tile, Iilr be
<br />allowed for the perlit with fee charge of $15.00. !be utension shall be requested in lIIiting to the Building Official. An
<br />approved inspection lUSt be logged during each sillOllth PeriOd, or the project will be considered abandoned.
<br />IIIRHING TO (JIRER: YOUR PIILURI 'l'0 RECORD A NO'lICE OF ~ lilY RESULI II YOUR PinK; !IIICE FOR IIIPROVIIIIIIS 'l'0 YOUR
<br />PROPERlY. IP YOU IIIIID TO OBIIII iIlUCuG,.COJfSUL! 1I1'l'B tOOi LUDIR OR IIlftORDY BEPORB RECORDII; YOUR JOIICE OP
<br />aJlMEJfClllBNl'. - JOBS UNDER. $2,500 IN VALUE DO NO! IEID TO RECORD IffD POSt I "IOllCE OF aJIIIItCBIIBII".
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<br />SIGHA'l'URI: OOBR OR IGm
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<br />SIGlllruRI:
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<br />S1'l'fl OP PLORIDI ~
<br />coum OP .<fC()
<br />The foregoing instrument was ~c~owledged
<br />before me this)7~ ,;(,.;2.. , 19f.Z:.. by
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<br />",1)f:\~ KATHERINE M, BREWER
<br />NI'Q'~*! !-8'f COMMISSION' CC317615 EXPIRES
<br />~,~y September 26. 1997
<br />"'~Rf.~\' ,'" BOtCJED THRU TII)V FAIN 1NSUIWa.INC.
<br />
<br />l$.;:&~~~~~ KATHERINE M, BREWER
<br />!*{ i*~ W COMMISSION /I CC317615 EXPIRES
<br />~t, ,~~ 8eJltember 26.1997
<br />-',.w..'r.I. . BONDED TIIRU TROV FAIN INSUIlANCE,Ir<<:.
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