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<br />,". CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />file undersigned underltands that this penit lay be subject to 'deed restrictiOll8' which laY be lOre restrictive than City
<br />regu1atiOll8. Ihe undersigned asSUles responsibility for COIpUance with any applicable deed restrictiOll8.
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<br />B. UNL.ICENSED CONTRACTORS AND CONTRACTOR, RESPONSIB.IL.IT.IES \ ' :, " "
<br />If tile 0I0Ier' llasbired a contractor or contractors to undertake wort, they laY be reguired to be liceued ID acc:orc1ance witla
<br />.tate and local regu1ati0Q8. If the contractor is not licensed ,as regu.ired by law, both the 0,IIDer and contractor la' be
<br />cited for 'a lisdeteanor viola~ion under state law. ' If the Owner or Intended contractor are uncertain as to what HClD8iog
<br />requirelents lar applr for the intended wort, they are advised ~o contact,the Citr ofZephrrhiJ1s Building DePHtMnt, (813)
<br />788-6611. ' .' , " " "
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<br />, Furtbertore, if the ~er baa bired a contractor or contractors, he i. advised to bave' the contractor(s) sign portions of the
<br />"Contractor SectiOll8' of Ws applicatioo for rhichtbe, .UI be responsible: ~f you, as the JllDer up ~ the CDltractor,
<br />you are indicating that IOu, rather than the contractor, are responsible for the wort. If the contractor wi8Jaes ,OU to sign
<br />as contractor that la, be an indication that .be is not properly licensed and Is Dot entiUed to penitijng privileges in the.
<br />City of Zep.brr.biUs. ..
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AM.BHDED)
<br />I certify that I, the applicant, have been provided .ith a cop, of 'Plorida's CoDstructioo Lien Law - Bc-.er's Protection
<br />Guide" prepared bJ the Florida DepartJent of Agriculture and Consu.r Affairs. If the applicant is 80IIDDe other than the
<br />"OIlIer", I certify that I have obtained a copy of the above described docuient and prOlise ID good faith to deliver it to the
<br />"OIlIer" prior to co.enceaent.
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<br />E. CONTRACTOR' S/OWNER 's AFFIDAVIT
<br />I certify that all the Inforlation in this application is accurate and that aU wort will be done in COIpliance vltll all
<br />applicable law8 regulating COJJ8truction, laning, and land developleDt.
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<br />Application il .hereb, lade to obtain a pmit ,to do work and installation as indicated. I cerW, that DO lOll or
<br />lnstallatioollas CDl8Dcec1 prior to i88uance of a pmIt and that all 1f01'1 will he perfoued to _t ItaDdards of all laws
<br />regulating COJJ8truction, City codes, loning regulations, and land develOpleJlt reguJatiOll8 in tbe jurisc1iction. I also
<br />certify that I understand that the regulations of other gOVemtental agencies la, apply to the IDteDded wort, and that it is
<br />Iy responsibility to identify w.bat actions I lust tale to be in COIpliance. Such agencies lDc1ude but are not lilited to:
<br />· DepartJent of BnvirOllleJltal Regulation - Cypress Bafheads, lIetland Areas and BnvIrODleDta1I, Sensitive Laads,
<br />lIater/llastewater freat:lent
<br />· Southwest Plorida lIater Hanageaent District - lIells, Cypress Bafbea4a, lIetland Areas, IlteriDg lIatercourses
<br />t Art' Corps of lDtineers - Seawalls, Docb, lavIgable lIaterwafs
<br />· DepartJent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - ileUs, llaate.ater rreat:lent, Septic rants
<br />t US InvlrODllental ProtectiOn Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A' or "A, etc. " it is understood that a drainage plan
<br />addressing a "COIpeD8ating vol." will be subtitted which is prepared bJ a professional engineer registered ID tbe State of
<br />F~orida prior to peralt issuance.
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<br />A perllt issued shaJ1 be construed to be a license to proceed witll tile wrt and not as authority to violate, canceJ alter, or
<br />' set aside an, provisions of tbe technical codes, nor shaJ1 i88uance of a pmlt prevent tile BuildiDg Official fa thereafter
<br />requiring a correctioo of errors in plans" construction, or vlolatlOJl8 of aDf code. Ivery pmIt i88ued aJIa.ll hecc.e iu,a1id
<br />unless tile wrl autllorbed by such perlit is coaeuced within siJ IODths of i88U1DCe, or if IfOri authoriled bJ tile pmit is
<br />suspended or abandoned for a periOd of silJODths after tile Ute the IIOrl Is cc.eucec1. One gO da, ateaairm of tile, II' be
<br />allowed for the pelIlt witll fee charge of '15~OO. rile utension shall be requested in writing to the Building Offic:ial. An
<br />approved inspectloolU8t be logged during each sil IODth period, or tile project will be conaiderecl abandrmed.
<br />IIARJ1IBG TO 0IfIIR: YOOR FAILURI fO RICORD A RorlCE OF CCIIHIICBIIIIr lilY RlSULf II YOOR PAYIIG llllCE POI DIPROVIIIDrS fO YOUR
<br />PHaPDIY. IF YOU, mIlD fO OBfAU FIlfUCIIG, COISULr IIlfH YOUR LIIIDIR OR AI AffORDl'.8IPOII (~I1G YOUI.lJrI~ OF
<br />_. - IlIIIIII fl,SGG II VILllIDO lOr _10 _ AIIIJ IOSr I 'IDrlCl rw ~" .~
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<br />81L~d >>f.~~ ~~%4 .
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<br />SlArl OF PLOBIDI
<br />coum OF
<br />The foregOing instrwlent was acmowled,ged
<br />before lie this , 19_ by ,
<br />
<br />STAR OF FLORIDA
<br />coum OF
<br />The foregOing instrument' was acknowledged
<br />before lie this ' '" ,'19 ,o. by,
<br />
<br />who is personally kn01lD to lie or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to lie or who bas .
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />(Nue ~ed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Nue Typed, Printed or Stallped)
<br />NOTARY PUBLIC
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