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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />file undersigned WIl1erltaods tJaat this penlt llal be subject to 'deed restricUooa' Ibich llal be lOre restricU,e tbaD City
<br />regulaU0D8. lbe lIIII1ersiga,d assU188 responsibility for cmpliance lith any applicable deed restrictioos.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer .... bired a CODtractor or contractors to undertake IIOrk, thel III be reQuired to lie licensed in acc:orc1uce 11th
<br />state and local regu1aUoos. If the contractor is Dot licensed as required by lal, both the cnmer and contractor 8' be
<br />cited for a U8d8eIDOl' violatioo under state lal. If the cnmer or Intended contractor are uaeutaln as to lllat llC8D1lng ,
<br />requirl!ll!Du IlaY apply for the intended IIOrk, thel are addsed to contact the City of Zepbrrbi1l8 Building Depar~~~ ,(813)
<br />788-6611. . " ,.., . .
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<br />FurtberlOre, if the 0IIl8l' has bired a contractor or contractors, be is advised to have the c:ootractor(s) sign portioos of the
<br />'Contractor SecUoos' of Ws'appllcaUoo for which theYlill be responsible. If fOIl, as the OlDer sign u the ~tractor,
<br />rou are in4icating that JOU, rather than the contractor, are responsible for the IOrk. If the cootractor liaIIu you to 81gB
<br />as contractor tJaat ., be an iDlUcaUon tJaat be is not properl, licensed and Is not enUUed to perJ1tUng pd'1:l~,~ the
<br />Citr of Zepbrrb1l1s., ,"" '.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES
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<br />D. CONSTRUCTiON LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AKBNDED)
<br />I certify that I, the applicaat, have beID provilled lith a copy of 'Floriila's COostrucUon LiID Law - .....r'8 'rot8cUoo
<br />Guille' prepared by the floriila Departlent of Agriculture and COll8l118l' Affairs. If the appllcaat i8 .... ok than the
<br />'owner', I certify tJaat I have obtained a copr of the above described c10cUIIeDt and promo in gooiI faitla to de1i1er it to the
<br />'OlDer' prior to co.eDCMeDt.
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<br />E. CONTRACTOR' S/OWNER 'S AFFIDAVIT
<br />I certify that all till infonaUon in Ws application is accurate and that all IOrk lill be 40ae in cmpl1ance ,ltII all
<br />applicable lava regulatiDg construction, 10000g, and land developllDt. \ \. ,
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<br />Application II herebr Jade to obtain a perlit to do lork and installation as indicated. . I cerUfr that 110 IOrl or
<br />installation baa ~ prior to i88uance of a perlit and that alllOrl ,111 be perforMll to _t ataDl1ard8 of a111aa
<br />regulating COD8truCUon, Citr coc1es" 10ning regulatioos, and land deve!opIIDt regu1aU_ in tile jurl84lcUCIl. I also
<br />certify that I understand that the regulati_ of other gOYerDl8Dtal agencies .r appl, to the lDtenl1el111Orl, aDIl tllat it II
<br />IY rupoosibllitr to ldentifr lllat actioos I IUIt tale to be in COIPl1ance. Such agencies include but Ire DOt l111te4 to:
<br />· Departlent of lovin_tal Regulation .. Cypress Bayhead8, Wetland Areas and InYirODllDtallr Sensitive Laal18,
<br />later/lastewater Ireal:lent ,
<br />I South.est Florida later lIanagl!l8llt District .. le11s, Cypress Baybeac1s, leUanclAreas, Iltering lfatercoursu" , '
<br />I kif Corps of bineers - Sealalls, Docb, litigable latenays
<br />I Depart:lent of Bea1th , Rehabilitative Senicea. BnvlrODl8lltal Bea1th Uoit .. lfells, lastuater IreatMDt, Septic I_
<br />I US BnviroDlll!llta1 Protection AgIDCY - I8beat08 abatl!l8Dt
<br />I also certify that, if fill laterial is to be used in flood Zone 'I' or 'I, etc. ., it is WIl1erstoocl that a dralDage plan
<br />addressing a 'CCJIP8II8ilting yol..' 1111 be sDitted Ibich Is prepared by a professional engineer regilterec1 in tile State of
<br />Florilla prior to perlit issuance. ' ; ,
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<br />A per.it i8~ued sball be COJIItrued to be a license to proceed litll tile IOrk and DOt as authority to ,iolate, CIIlC81 alter, or
<br />Bet asIde any provill_ of till tecbnlcal codes, nor shall i88uance of a penit prevent tile, BullcllDg Official fa tllereafter
<br />rBCJUiring a correcUOD of erIOI:I lD plans" coostrucUoo, or violaUODI of anr code. IVIQ pmlt 1I8l18l1 8IIa11'.... maUd
<br />unless the IOrl authorlle4 br luch penit II m.ncec1l1iWn IU IODtbs of i88I1a11C8, or if vorlautllori1e4 bJ tile pmlt is
<br />IU8penc1ed or abaDIlone4 for a period of IU IODtbs after tile tile tile IOrl il ~cec1. ODe 90 clar uteuiCll of tile, 8r be
<br />allowed for the penit ,ith fee charge of $15.00. lbe eatensloo sball be IllJueated in ,rlUng to tile BulWng Official. An
<br />approved inspeCUoo lUSt be logged during each Iii IODtII period, or tile project ,111 be COII8itJered abanI1cIIed.
<br />DIIIJIG 10 OUIII: rwa FlILURlIO R;lCORp, I IOIICI OF ~ 11I1 IllSULI II YOOR PIIIIG DICI fOIlIIPIIJV&IS 10 fOOl
<br />PROPIIIY. IF YOU IIIIID 10 0BI1II 'FWICIIG; COISULI IUI8 YOUR LIIDIR 01 AI II1OR11Y IIIfOIB IImOIIG IWI DICI OF
<br />alNllCIIIIHf. JOBS UIDIIl '2,500 II VILUIIIO lor IBID 10 BICORD lID POSII -IIOIICI OF CDElCIIIIII'. '
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<br />srlrB OF FLORIDA
<br />coun! OF
<br />Tbe foregoing instru.ent was ackQowledged
<br />before .e this , 19_ by, ' .
<br />
<br />srlD OF PLORIDI
<br />coom OF
<br />Tbe foregoing instl'UlleDt was acknowledged'
<br />before .e this ' , 19 by
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<br />wbo is persona~ly known to _ or who has
<br />produced \ .., I ,
<br />as identification and who did/did not .
<br />take an 04th.
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<br />(Signature)
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<br />(Rue Typed, Printed or Stuped)
<br />ROTARY PUBLIC
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<br />wbo is personally known to .e or wbo bas
<br />produced
<br />8S identification and who did/did not
<br />take an oath. .
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<br />(Signature)
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<br />(RUB Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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