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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands that this penit Jay be subject to Ideed restrictions' wbich Jay be lOre restrictive than City
<br />regulations. !he undersigned asSUles responsibility for COIpliance with any applicable deed restricti0D8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with
<br />state and local regulatiOl18. If the contractor is not licensed as required by law, both the owner and contractor JaY be
<br />cited for a lisdeManor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirl!lellu JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sections' of this application for wbich they will be responsible. If you, as the OWDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI~ CONNECTION FEES
<br />
<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 'Florida's Construction Lien Law - lIoIeoImer'a Protection
<br />Guide' prepared by the Florida Departlent of Igriculture and ConsUJer Affairs. If the applicant is SOII8OIl8 other than the
<br />IOWDerl, I certify that I have obtained a copy of the above described docUJent and prOllise in good faith to deliver it to the
<br />lowner' prior to COlleDC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cQIPliance with all
<br />applicable laws regulating construction, Joning, and land developent.
<br />
<br />Application is bereby Jade to obtain a penit to do wort and installation as indicated. I certify that no work or
<br />installation has ~ced prior to issuance of a penit and that all work will be perfoned to leet standarc1s of all laws
<br />regulating construction, City codes" 10Ding regulations, and land developl8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other 90verDleDtal agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lust tue to be in COIIpliance. Such agencies include but are not lilitec1 to:
<br />. Departlent of InvirOlllelltal Regulation - Cypress Baybeada, Wetland Areas and Invirolll8llta11y Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />I Southwest Florida Water Hanageaent District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />I Any Corps of Engineers - Seawalls, Docks, Ifavigable Watenays
<br />I Departlent of Health & Rehabilitative Services, EnvirOllleDtal Health Unit - WellS, Wastewater 'I'reatlent, Septic lants
<br />I US EnvilOllleDtal Protection Agency - Asbestos abatuent
<br />I also certify that, if fill IIterial is to be used in Flood ZOne IAI or 'A,etc.', it is understood that a drainage plan
<br />addressing a lco.pensating volUJe, will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance. .
<br />
<br />A perlit issued &ball be construed to be a license to proceed witb tbe wort and not as authority to violate, cancel alter, or
<br />6et aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becOIe invalid
<br />unless tbe work autboriJec1 by such penit is co.enced within sillOnths of issuance, or if wort autboriled by the penit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is CDleDced. One 90 daJ atension of tile, -y be
<br />allowed for tbe penit with fee charge of $15.00. '!'be atension &ball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or tbe project will be considered abandoned.
<br />WARMIIIG '1'0 omR: YOUR FAlLURI 'f0 RlCORD A R01'ICl OF C<IIIIDCIIIBH'f MAY RlSUL'f III YOUR PIYIIG IWICI FOR IIIPROVIIIIIIS 'fO YOUR
<br />PROPIRIY. IF YOU IIIUD '1'0 0BI1IIf FnwtClKG, COIfSUL'f IUlH tOOR LIIIDIR OR II A'f'fOIlIIY BIFORI RICORDIIG YOUR R01'ICH OF
<br />COHMIJICIHIIlf. JOBS UIDIR $2,500 III VALUI DO 101' MIlD 10 RICORD AID POS'f A 'ROIICH OF COIIDCIMIIlf'.
<br />
<br />SIGIIA'I'URE: COII'I'RAC'I'OR
<br />
<br />SIGJIA'I'URE: OWIIR OR AGEM'I'
<br />
<br />S'I'I'lI OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by.
<br />
<br />S'I'I'I'I OF FLORIDA
<br />coum OF
<br />The foregoing inst~t was aCknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oa.th.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Bame Typed, Printed or Stamped)
<br />BOTARY PUBLIC
<br />
<br />(Bame Typed, Printed or Stamped)
<br />BOTARY PUBLIC
<br />
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