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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis perait lilY be subject to .deed restrictions" wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUle& responsibility for cmpliance 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, they JaY be required to be licensed in accordance witb
<br />state and local, regulations. If t,be contractor is not licensed as required by law, botb tbe owner and contractor lilY be
<br />cited for a .isdeJeal1Or violation under state law. i If tbe owner or intended contractor are uncertain as to "bat licensing
<br />requirel8llts lilY apply for tbe intended work, they are advised to contact tbe City of ZepbJl'bills Building Departlent, (813)
<br />788-6611. '
<br />
<br />Furtberaore, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />.Contractor Sections. of this application for wbieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor that lilY be an indication that 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 that I, tbe applicant, bave been provided witb a copy of .Florida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and COIISUIIeI Affairs. If tbe applicant is SOlC!Olle otber than the
<br />.owner., I certify tbat I bave obtained a copy of tbe above described docuJent and pIOlise in good faitb to deliver it to tbe
<br />"owner" prior to co.enCl!lH!Jlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and tbat all work will be done in COIPliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perfoIlecl to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlll!llt regulations in tbe jurisdictiCll. I also
<br />certify that I understand tbat tbe regulations of other goveI1llleDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COI(Iliance. Sueb agencies include but are not lilited to:
<br />. DepartJent of EnviroDlll!lltal Regulation - Cypress Baybeads, Wetland Areas and EnvirOlllH!lltally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water Hanagl!lH!Jlt District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses
<br />. ArJy Corps of Engineers - Seawalls, Docks, lIavigable Waterways
<br />. DepartJent of Healtb , Rehabilitative Senices, InviIODll!lltal Healtb Unit - Wells, Wastewater !reatlent, Septic lanks
<br />t US Envi1'OllleDtal Protection Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne .A. or "A,etc.., it is understood tbat a drainage plan
<br />addressing a .cQlPeDSating volUlle. will be sublitted wbieb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to peIllt issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beaIIe invalid
<br />unless tbe work authorized by sueb peIlit is COII8Jlced witbin silaontbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil aontbs after tbe tile tbe work is co.encec1. One 90 day atension of tile, lilY be
<br />allowed for tbe perlit witb fee charge of $15.00. !be t!ltensiOD shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb silaontb period, or the project will be considered abandoned.
<br />WAIUUHG 'fO 0IRfIR: YOUR FAILURE !O RECORD A 1I0000ICE OF COlMDCIIIEIft MAY RESUL! III YOUR PAYIIIG filCE FOR IMPROVIIIII!S !O YOUR
<br />PROPmY. IF YOU IIlDHD 'fO OB!AIII FIWCIIIG, COKSOLt WID YOUR LBIIDII OR 111 AnoRIIY BIFORI RICORDIIIG YOUR IIOI'ICE OF
<br />aJlMlIICBMm. JOBS UllDIR '2,500 III VALUE 00 110'1' ifili) 'fO RECORD lIID POS! A 'IIO'I'ICE OF crJIIIDClllElftI.
<br />
<br />SIGD!URI: COH'lRAC!OR
<br />
<br />SIGDtURI: (MIll OR AGm
<br />
<br />S!AD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!AD OF FLORIDA
<br />COUNtY 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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