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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this perlit lilY be subject to Ideed restrictions I wbieb lily be lOre restrictive tban City
<br />regulations. !heundersigned asBUJes responsibility for capliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be
<br />cited for a lisdeJeanOr violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lilY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departllent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
<br />IContractor Sectionsl of this application for 1Ibieb tbey will be responsible. If you, as tbe OIIIler sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to pertitting privileges in tbe
<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 tbat I, the applicant, bave been provided witb a copy of IPlorida's construction Lien Law - lbIeoImer's Protection
<br />Guidel prepared by tbe Florida Departlent of Agriculture and ConsUIeI Affairs. If tbe applicant i8 ~ other than the
<br />lOIIIlerl, I certify that I bave obtained a copy of the above described c10cUIent and pIOlise in good faith to deliver it to tbe
<br />lownerl prior to co.enCl!l8l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in tbis application is accurate and that all work will be done in COIIpliance witb all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cmlenced prior to issuance of a pertit and that all work will be perfoIJed to Jeet standards of all 1_
<br />regulating construction, City codes, loning regulations, and land develO(ll8llt regulations in the jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber goveIDllental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />I DepartJent of EnvirOllJelltal Regulation - Cypress Baybeads, Wetland Areas and bvirolllH!lltally Sensitive Lands,
<br />Water/Vastewater !reatlent
<br />t Soutbwest Florida Water Hanagl!lent District - Wells, Cypress Daybeac1s, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />I Departlent of Health i Rehabilitative Services, bvirODlelltal Healtb Unit - Wells, Wastewater !reatJeDt, Septic lanks
<br />I US bvirODJeJltal Protection Agency - l8bestos abatl!l8l1t
<br />I also certify that, if fill Iilterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a lCOJP8DSBting volael will be snblitted 1Ibieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe 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 tbe Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCCIIe invalid
<br />unless tbe work authoriled by sueb peIlit is COII8IlCed witbin sillOntbs of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillODtbs after tbe tile tbe work is co.enced. One 90 day 81tension of tile, lilY be
<br />allowed for tbe peIlit witb fee charge of $15.00. !be 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or tbe project will be considered abandoned.
<br />WWING ro 0IRfER: YOOR FAILURE ro RECORD A KO'IICK OF C<IIHDCEIIIKl' HlY RESULI IN YOOR PIYIKG fIIICK FOR IIIl'ROVIIID'IS ro YOUR
<br />PROPERlY. IF YOU IIUIID ro OB'I'W FIIIIKCING, COKSUL! WID YOOB LIKDIB OR II IftORRIY BBFORB RECORDING YOUR HO'IICK OP
<br />cmomKCIHBIiI'. JOBS DIlDO $2,500 IK VALUE 00 HO'I KIID ro RECORD IKD POS! A INO'IICK OF C(JOlDCEIIIK'II.
<br />
<br />SIGlllfURI: comAC'fOR
<br />
<br />SIGlAfURI: (MIBR OR AGm
<br />
<br />SfA'll OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />SIAD OF FLORIDA
<br />coum OF
<br />The foregoing instI'Wlellt 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 me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Print;ed or Stuped)
<br />NOTARY PUBLIC
<br />
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