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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that tbis perlit JaY be subject to Ideed restrictions I wbieb Jay be lOre restrictive tban City
<br />regulations. the undersigned asSUles responsibility for co.pliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be
<br />cited for a .isd_anor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />reguirl!lents lily apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />IContractor Sections I of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat laY be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of IPlorida's Construction Lien Law - HoIeotmer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and COnsUler Affairs. If tbe applicant is sOl8One otber tban tbe
<br />lowner", I certify tbat I bave obtained a copy of tbe above described docUIent and prOlise in good faitb to deliver it to tbe
<br />"owner. prior to COlleDCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in coapliance witb all
<br />applicable laws regulating construction, zoning, and land developllellt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas co.enced prior to issuance of a perlit and that all wort will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber goveruental agenCies lily apply to tbe intended IOrk, and tbat it is
<br />.y responsibility to identify wbat actions I lUst take to be in coapliance. Sueb agencies include but are not lillited to:
<br />t Departlent of EnvirollleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Vater/Wastewater freatlent
<br />t Soutbwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
<br />t DepartJent of Healtb & Rehabilitative Services, EnvirODJental Healtb Unit - VeIls, wastewater freatlent, Septic fanks
<br />t US EnvirODJental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "A" or NA,etc.", it is understood tbat a drainage plan
<br />addressing a .cOlpell8ating volllle. will be subaitted wbieb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A petlit issued sball be construed to be a license to proceed witb tbe wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a petlit prevent the Building Official fIOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOll! invalid
<br />unless tbe wort authorized by sueb perlit is cOllllDced witbin sil IOntbs of issuance, or if work authoriled by the Petlit is
<br />suspended or abandoned for a period of sil IODtbs after tbe tile tbe IOrt is ~ced. One 90 day l!Itension of tile, lily be
<br />allowed for tbe perlit witb fee charge of $15.00. fbe l!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOntb period, or tbe project will be considered abandoned.
<br />WAIUlING 1'0 omR: YOUR FAILURE 1'0 RECORD A 10rICE OF CCIDIDCEIIIMf HAY RESULf IN YOUR PAYIIG DICE FOR IHPROVIHEIfS 1'0 YOUR
<br />PROPERft. IF YOU IJI!BID 'l'O OBfAllf'FlMAlClIlG, COIfSULf vIm YOOI LEIDER OR All AnOIlDY BEFORE RECORDIIIG YOUR 1f000ICE OF
<br />COMHEIfCEHBIt'. JOBS OlDER $2,500 IIf VALOI 00 1f000llEED 1'0 RECORD AIfD POSf A 1I10'lICE OF COMHEIfCEllEJl!II.
<br />
<br />SIGJIA!URE: OIflIER OR AGEJII
<br />
<br />SIGJlAfURE: COIt'RACfOR
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfE 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 Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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