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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'!'be undersigned understands that this penit lIy be subject to Ideed restrictions' wbich IIY be lOre restrictive than City
<br />regulaticms. !he undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lIy be required to be licensed in accordance with
<br />state and local regulati0D8. If the contractor is not licensed as required by law, both the owner and contractor lIy be
<br />cited for a lisdeIeaDor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />, requiruents JaY apply for the intended work, tbey are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Secticms~ of this application for wbich they will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that IIY 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 UTILITY 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 - lDeoImer's Protection
<br />Guide' prepared by the Plorida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OI8OI1e other than the
<br />IOWDerl, I certify that I bave obtained a copy of the above described dOCUleDt and prcmse in good faith to deliver it to the
<br />"owner' prior to COIIeDC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIPliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~cec1 prior to issuance of a penit and that all wort will be perfOIJed to leet stanc1arda of all laws
<br />regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other 9OYBIJIIIl!Dtal agencies Jay apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />· Departlent of Envirollll!lltal Regulation - Cypress Bayheads, Wetland Ireas and EnvilOllleDtally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />· Southwest Plorida Water Hanagl!l8Dt District - Wells, Cypress Bayhea4s, Wetland Areas, Altering Watercourses
<br />. Any Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />. Departlent of Bealtb i Rehabilitative Services, EnvirOJ1l8Dta1 Health Unit - Wells, Wastewater Ireatlent, Septic Iws
<br />t US EnvirOllleDtal Protection Agency - Asbestos abatl!lellt
<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 lCOIpen8ating volUJeI will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peClit issuance.
<br />
<br />A perlU 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 shall issuance of a penit prevent the Building Official flOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becoIe invalid
<br />unless the work authoriJed by such penU is COIIeDCed 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 wort is C08l!I1cec1. One 90 day atension of tile, .y be
<br />allowed for tbe penit witb fee charge of $15.00. '!'be atension shall be requested in writing to the Building Official. An
<br />approved inspectiOn.lUSt be logged during eacb SillODtb period, or tbe project will be considered abancloned.
<br />WARRING TO OIIIIR: YOUR PIILURB TO RECORD A IOIICI OP C(IIIIDCIIIIK'l MAY RESUL! II YOUR PIYlIG !IIICI FOR DIPROVIIIIIIS !O YOUR
<br />PROPERTY. IF YOU IIIIIfD TO 0Bt'11lf FIIlAlfCIIG, COIISUL'I' WIIB YOUR LIIfDIR OR 1II1nORDY BIPOHI RICORDIIfG YOUR DICI OF
<br />aJlHDCIHIIfl'. JOBS OlDER $2,500 II VALUE DO 110'1' IfEED TO RECOJID AHD POS! A 'HOlICK OF CCIIIIDCIIIIIf'I.
<br />
<br />SIGDIURI: COIIIRICIOR
<br />
<br />SIGDIURB: OOIR OR AGIII'I'
<br />
<br />S'I'A'I'E OF FLORIDA
<br />COUIf'I'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'A'I'E OF FLORIDA
<br />coum OF
<br />The foregoing instrument 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 oath.
<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 />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(NUt!. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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