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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait uy be subject to "deed restrictions" wbich uy be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for capliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the Dlmer bas bired a contractor or contractors to undertake work, they DY 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 0IIJIeI and contractor uy be
<br />cited for a lisdeleaJlOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!l8Dts uy apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />PurtheIlOre, if the Dlmer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are inc1icating that you, rather than the contractor, are responsible for the wort. If the contractor wiabes you to sign
<br />as contractor that uy be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbil1s.
<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 - lkIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOI8OJla other than the
<br />"owner", I certify that I have obtained a copy of the above described docIJIent and pmlise in good faith to deliver it to the
<br />Rowner" prior to COlll8DCl!lleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all work win be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas CDlenced prior to issuance of a perai t and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agencies uy apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of BnviroDlel1tal Regulation - Cypress Baybeads, Wetland Areas and Bnvirollllentally Sensitive Lands,
<br />WaterjVastewater 'I'real:lent
<br />t Southwest Florida Water Managell8llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Bngineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Health & Rehabilitative Smices, BnvirODll!l1tal Health Unit - Wells, Wastewater 'I'reatlent, Septic !ws
<br />t US BnvirODlental Protection Agency - Asbestos abateJlellt
<br />I also certify that, if fill uterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a "COIpeDSating VolUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~it 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 perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becaIe invalid
<br />unless the work authorized by such perlit is ~ced "ithin sillODtbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is coamced. One 90 day utension of tile, uy be
<br />allowed for the perlit "ith fee charge of $15.00. '1'be utension shall be requested in "riting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or the project will be considered abancloned.
<br />WARRING '1'0 (JflfER: YOOR FAILURE '1'0 RECORD A IO'I'ICE OF COIMDCBIIIlf'l MAY RBSUL'I' II YOOR PAYIIG '!'IIICE FOR DIPROVBIIBlf!S '1'0 YOUR
<br />PROPER'1'Y. IF YOU IJI'1'DD '1'0 0B'1'111 FlIIAlfCIIG, COlfSULY WID YOOR LlllDER OR lJI A'1"1'ORIBY BBFORB RECORDIIG YOUR IO'I'ICE OF
<br />COMMEIfClMD'l. JOBS URDER $2,500 II VALUB 00 10'1' mD '1'0 RECORD AID posy A "IO'I'ICE OF ClJlMBICIMD'l".
<br />
<br />SIGlfAfURI: OOIR OR AGII'1'
<br />
<br />SIGllAfURI: comAC'lOR
<br />
<br />SYAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SUR OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who bas
<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 o~th.
<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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