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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this pemit JaY be subject to 'deed restrictions' wbieb lay be lOre restrictive than 'City
<br />regulations. tbe undersigned asSUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake IfOrt, they JaY 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 OIIDer and contractor lilY be
<br />cited for a lisd8l8anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrt. 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 perJitting 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 with a copy of 'Florida's Construction Lien Law _ BcIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is sOleOne other than the
<br />'01fDer", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIIenC8l8llt.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all IfOrt will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developllent.
<br />
<br />Application is hereby Jade to obtain a pertit ,to do work and installation as indicated. I certify that no work or
<br />installation haa cc.lenced prior to issuance of a perJit and that all IfOrk lill be perfoIled to leet 8taDdards of all lillf8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies laY apply to the intended IfOrk, and that it is
<br />.y responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are notliJited to:
<br />t DepartJent of Knvirolllelltal Regulation - Cypress BaybeacJs, lIetland Areas and EnvirollleDtally Sensitive Lands,
<br />lIater/llastewater Ireatlent
<br />t Southwest Florida lIater Hanagl!lel1t District - lIeIls, Cypress BaybeacJs, lIetland Areas, Altering Watercourses
<br />t AI'If Corps of Engineers - Seawalls, Docks, lIavigable lIatenays
<br />t DepartJent of Health i Rebabilitative Services, EnvirODlental Health Unit - lIeIls, lIastewater Ireablent, Septic lanb
<br />t US EnviIODJental Protection Agency - Asbestos abat8lent
<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 volOl8" will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A p8IIit issued sbaH be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every p8IIit issued shall beCClle invalid
<br />unless the Nort authorized by such per.it is cOlleDced within sil IOnths of issuance, or if work authorized by the peIJit is
<br />suspended or abandoned for a periOd of sillOntbs after the tile the work is cOllBllCed. One 90 day utension of tile, laY be
<br />allowed for the p8IIit with fee ebarge of $15.00. Ihe utension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />IIARMING TO OIIIIER: YOUR FAILURE 10 RECORD A 1I0rICK OF C(JlHDCKMEHr HAY RESULI III YOUR PAYIIIG NICE FOR IHPROVEIIDIS 10 YOUR
<br />PROPBRrY. IF YOU IJllEID 10 OBrlIX FIJlABCIIlG, COIlSULI WUB YOUR LEDER OR IJl AflORRIY BEFORI RlCORDIIlG YOUR 1l0rICI OF
<br />COHHEIICKHEH'l. JOBS UHDER $2,500 III VALUE 00 1101 liKED 10 RICaRD IJlD POST A -HOlICK OF COHHEIICEHENr".
<br />
<br />
<br />4f~~;
<br />(<.-:1IGllfURB: _ ,-~~GINI ._.//. '.
<br />
<br />Sl~~~\ k:!J.
<br />
<br />SIAII OF FLORIDA
<br />COOllY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />Sf AlE 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 lie or who has
<br />produced
<br />as identification and who did/did not
<br />take an oQ.th.
<br />
<br />(Signature)
<br />
<br />(Name bJ>ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />...
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