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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this perlit aay be subject to 'deed restrictions' wbieb lay be IDre restrictive than City
<br />regulations. Ibe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIIIer bas bired a contractor or contractors to undertake work, they lay be required to be llcensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the cnmer and contractor II' be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to that lic8D8iog
<br />reguirl!lents IIY apply for the intended IIOrk, they are advised to contact the City of ZepbJrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlDre, if the OIIIIer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sectionsw of this application for wbicb 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 tbe work. If the contractor 1I1sbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and Is not entitled to penitting 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 .ith a COllY of 'Florida's Construction Lien Lall - lkIIeoImer'l Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and (:onsUIeI Affairs. If the applicant is sOftOlle other than the
<br />'mmer', I certify that I bave obtained a copy of the above dl'.8cribed docuIent and prmlise in good faith to deliver it to the
<br />'mmer' prior to COIII!IlCI!IeRt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort lIill be done in COIpliance with all
<br />applicable laws regulating construction, lOlling, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation al indicated. I certify that no IIOrt or
<br />installation has ~ced prior to issuance of a perlit and tbat all IOrt will be perforJed to leet ltandards of all Inl
<br />regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYernteIltal agencies IIY apply to the intendec1l1Ort, and that it is
<br />IY responsibility to identify wbat actions I lust tate to be in eotpliance. Sueb agencies include but are not Iilited to:
<br />t Departlent of InvlrODleRtal Regulation - Cypress Baybeads, lIetland Areas and InviroRlentally Sensitive Lands,
<br />Water/Vastewater IzeatleRt
<br />t Southwest Florida Water Managetent District - Wells, Cypresl Bayheaas, Wetland Ireas, Altering Watercourses
<br />t Irl' Corps of Bngineers - Seawalls, Docks, lavigable WateIlays
<br />~ Departlent of Health , Rehabilitati,e Services, Bnvirontental Health Unit - Wells, Wastewater Ireatlent, Septic lanls
<br />t US InvlronteDtal ProtectiOn Agency - Asbestos abatetent
<br />I a180 certify that, if fill laterial is to be used in Flood lone 'AW or 'A,etc.', it i8 underltood that a drainage pllD
<br />addressing a 'ClIIpeD8ating volutew wlll be subtitted whieb il prepared by a professional engineer registerec1ln the State of
<br />Florida prior to perlit iS8uance. .
<br />
<br />A perl it issued sball be construed to be a license to proceed with the IIOrt and not as authority to dolate, caJlce1 alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perllt issued shall becaIe invalid
<br />unless the IOrt authorhed by sucb perlit is COll8llCed within sillDDths of issuance, or if wort autboriled bJ the penit is
<br />suspended or abandoned for a period of sillDDths after the tile the IIOrt is ~ced. One 90 day eltension of tile, IIY be
<br />allOtled for the perllt with fee charge of U5.00. Ibe 81tension shall be requested in wrlting to the Building Official. An
<br />approved inspection lUSt be logged during each sillDDth period, or the project will be considered abandoned.
<br />WARNING TO onD: YOOR FIILORI 10 RlCORD I 10TlCH OF aJIMBIC1lll1ff lilY RlSULI II YOUR PlYING "'ICH POR DIPROYIIIIIIS 10 YOUR
<br />PROPERTY. IF YOU II1BND 10 OBlll" FIIWICIIG, COMSULI IIfH yooR LDDER OR AI IDORIIY BIFORB RICORDIIG YOUR JOIICH 0
<br />ClItMIIClHENt. JOBS UNDIR '2,500 II VALU! DO 1011110 10 RICORO AID POSf I '''0I1CH OF C(JOIIICIIWII'
<br />
<br />
<br />Slf!:r!i.~
<br />
<br />
<br />SlATE OF FLORID~
<br />count or l' /tf; C Q
<br />The foregoing instrument was acknowledged
<br />before me this~~~ , 19 qr-by
<br />
<br />rl.-DLJ D A, M~OL-5
<br />who is personally known to me oc who has
<br />~ -
<br />as identification and who didjdid not
<br />take an ~~~ 11. ~
<br />(Signature) ~ J.1 /
<br />L I JJ f),q -LJ , . ,/i7""
<br />(Name ,Typed, Printed or stamped)
<br />NOTARY PUBLIC
<br />
<br />SIAII OF FLOUDA /
<br />COOllY or ?()\ \~
<br />The foregoing instrument was acknowledged
<br />before me this 3-d - .' 19 9'::) by
<br />
<br />K(~ ~~+
<br />who is pjlrsonally ~wn tp~ or who bas
<br />produced
<br />as identification and ~bo~/did not
<br />ta an Oil
<br />
<br />~~'t~,~ LINDA D. BOAN
<br />~'~~r~J "
<br />~*: :~ M'{ COMMISSION , cc 209593 EXPIRES
<br />t".". ~7i June 15 1116
<br />~?';;..~~,,- IlONllEll TIfW TROY FAN. -......... INC
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<br />f My ComlR Explrn \ ~
<br />: ..pt 15 1991: :
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