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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit aay be subject to "deed restrictions" wbicb JaY be lOre restrictive than City
<br />regulations.. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~ner bas hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the lRIDer and contractor .y be
<br />cited for a lisdeJeanor violation under state law. If the otfller or intended contractor are uncertain as to wbat licensing
<br />requirelents JaY apply for the intended wrk, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />-Contractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the IIOrk. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlitting 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, bave been provided witb a copy of "Florida's CODstruction Lien Law - BoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is 8OII!One other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COllBDCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and that all wrk will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IIOrk or
<br />installation bas COllBDCed prior to issuance of a perlit and tbat all IIOrk will be perforJed to Jeet stanc1ards of all laws
<br />regulating construction, City codes, loning regulations, and land developJeJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govel1llleDtal agencies laY apply to the intended IIOrt, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />I Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater treatlent
<br />I Southwest Florida Nater Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />t US BnvirODJeDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volllle" will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued sball be construed to be a license to proceed ,lith 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 perlit prevent the Building Official frOl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoIe invalid
<br />unless tbe IIOrt authoriled by such perlit is cOIIBnced within Sil IOnths of issuance, or if work autboriled by the petlit is
<br />suspended or abandoned for a period of sil IOntha after the tile the IIOrk is ~ced. One 90 day l!Itension of tile, Jay be
<br />allowed for the perJit with fee charge of $15.00. 'l'be l!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF CCJUmNCKIIEI1' MAY RESUL'I' IN YOUR PAYING 'l'IilCE FOR IMPROVIIIBIl'S TO YOUR
<br />PROPIRTY. IF YOU IHtIHD '1'0 OB'I'AIN FINANCING, CONSULt WI'I'H YOUR LIHDBR OR AM AnOmY BEFORE RECORDING YOUR NO'l'ICI OF
<br />COMMENCEMENT. JOBS UlDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD AND POSt A "NO'l'ICI OF COHHBIfCIMBM1'''.
<br />
<br />SIGNATURE: OWNER OR AGlHt
<br />
<br />SIGNATURE: CON'l'RAC'l'OR
<br />
<br />STATE OF FLORIDA
<br />COUH1'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STA'I'B OF FLORIDA
<br />COUH'l'Y 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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