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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this petlit laY be subject to IIdeed restrictionsll wbich laY be lOre restrictive than City
<br />regulations. Ibe undersigned asSUle& responsibility for COIpliance 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 work, they laY be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a .isdeJeanor violation under state lall. If the mmer or intended contractor are uncertain as to what licensing
<br />requirl!lents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IIContractor Sections II of this application for wbich they lIill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 IIFlorida's Construction Lien Law - BoIeowner's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOJleODe other than the
<br />lIownerll, I certify that I have obtained a copy of the above described docUleDt and pIOlise in good faith to deliver it to the
<br />.ollnerll prior to COllBDCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable lawa regulating construction, loning, and land developleJlt.
<br />
<br />Application is bereby lade to obtain a perIIit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a petlit and that all work will be perfoIll!d to Jeet standards of all Ian
<br />regulating construction, City codes, loning regulations, and land developJel1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify lIbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirODlelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirollJellWly Sensitive Lands,
<br />Water IWastewater freatlent
<br />t Southwest Florida Water Managl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seallalls, Docks, Havigable Waterways
<br />t Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatl!lent
<br />I also certify that, if filllaterial is to be used in Flood Zone IIAII or IIA,etc.lI, it is understood that a drainage plan
<br />addressing a llCOJpeJ1Sating vol_II will be subJlitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A peIlit issued shall 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 shall issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoe invalid
<br />unless the work authoriled by such petlit is COII8IlCed within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is co.enced. One 90 day eltension of tile, laY be
<br />allowed for the petlit with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARHIHG fO owm: YOUR FAILURE fO RICORD A HO'l'lCE OF C(ltMDCEIlDf MAY RESULf IH YOUR PAYING niCE FOR IMPROVEMII1'S fO YOUR
<br />PROPERn'. IF YOO IJl'D1lD fO OB'l'ADI FIIWICING, CONSOLf WlfB YOUR LlllDIR OR U AnoBDY BEFORE RICORDING YOUR IIO'flCE OF
<br />
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<br />
<br />SfAfE OF FLORIDA f)
<br />coum OF , 1f:5C2J
<br />The foregoing instrument was acknowledged
<br />before me this ~ II , 19 C;b by
<br />
<br />SfAfE OF FLORIDA 'It:?
<br />coum OF rl1-8' Co
<br />The foregoing inst~t was acknowledged
<br />before me this ~ ' 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as ident1fiCati~. d Wh.O did/did not
<br />take an oath. ~ ~
<br />
<br />(Signature) (/. 0 ary u he asco o.
<br />My Commission Expires May 13. 1995
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as 1dentif1~~~. ho did/did not
<br />take an oat ~ ~
<br />
<br />(Signature)
<br />~~Co.FL
<br />(Name ,TwAd ~~ld~S
<br />NOTARY puttf,
<br />
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