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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis perlit lilY be subject to Ideed restrictionsl wbich lilY be lOre restrictive than City
<br />regulations. the undersigned asSUles responsibility for 13Pliance witb 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, tbey 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 the mmer and contractor lilY be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireJeDts lilY apply for tbe intended work, they are advised to co.ntact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />IContractor Sectionsl of this application for wbich they will be responsible. If you, as the OIIIler sign as tbe contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for tbe IIOrk. If tbe contractor wishes 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 that I, tbe applicant, bave been provided .itb a copy of IFlorida's construction Lien LaI - BoIeolmer's Protection
<br />Guide' prepared by tbe Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant i8 8OIIeOIla otber than the
<br />lowner', I certify tbat I bave obtained a copy of the above described docuIent and proUse in good faitb to deliver it to the
<br />Downerl prior to co.enceJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforliltion in tbis application is accurate and that all work will be done in COIPliance witb all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do .ork and installation as indicated. I certify that no work or
<br />installation bas CDlenced prior to issuance of a perlit and that alllOrt .ill be perf ODed to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land developll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand tbat tbe regulations of other goveIDleDtal agencies lilY apply to the intended IOIt, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COJpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Vetland Areas and EnvirOlllleDtally Sensitive Lands,
<br />Vater /Wastewater IreatJent
<br />t Southwest Florida Vater ManageJeDt District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Vatercourses
<br />t ArIY Corps of Engineers - Seawalls, Docks, Kadgable Vaterways
<br />t DepartJent of Healtb i Rebabilitative Services, EnvirOJll(lJltal Healtb Unit - Vells, Vastewater Ireatlent, Septic !ants
<br />t US EnvironJental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fllllilterial is to be used in Flood Zone 'AI or 'A,etc.', it is understood that a drainage plan -
<br />addressing a lCOI(l8DSating volUlleI .ill be sublitted .bich is prepared by a professional engineer registered in the State of
<br />Florida prior to pellit issuance.
<br />
<br />A ~it issued sball be construed to be a license to proceed witb the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frol tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall becCIIe invalid
<br />unless tbe wort authoriled by such pellit is ~ced witbin sillOntbs of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOIt is ~ced. One 90 day atension of tile, lilY be
<br />allOled for tbe perlit witb fee charge of $15.00. !be atension shall be requested in .dting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or tbe project .ill be considered abandoned.
<br />VARHIKG to NIR: YOUR FAILURE 'lORICORD A KOlICH OF COIMIICBIlBHf MAY RESULI IK YOUR PAYIKG nICH FOR IIIPROVIIIBI!S 10 YOUR
<br />PROPBR'IY. IF YOU IJI!IIID to OB'fIIK FIlAlfCIKG, CONSULI VID YOOI LlllDBR OR III A'l'l'ORDY BIFORE RICORDIIG YOUR KOlICH OF
<br />crJUIDCIIIm'. JOBS UJlDBR $2,500 IK VALUlIlO KOIIfDD to RECORD lIID POS! A 'KOIICH OF ClIIIIIICBMIII'lI.
<br />
<br />SIGJIA'IURE: COJI!IIAC'IOR
<br />
<br />SIGJlAfURI: (MlIR OR AGm
<br />
<br />SIAIE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'IA!E 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 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 />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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