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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this penit IlaY be subject to 'deed restrictions' Ibich IlaY be lOre restrictive than City
<br />regulations. 'be undersigned assUIeB respcmsibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer lias lIired a contractor or contractors to undertake IOrk, tIIey lilY be required to be liceD8ed In accordance litll
<br />state and local regulations. If tile contractor is not licensed as reguired by law, both the 0IIDer and contractor liar be
<br />cited for a lisdeJeanOr violation under state lal. If the OlDer or intended contractor are uncertain as to "bat licensing
<br />requirl!lents lilY apply for the intended IOrk, they are advised to contact the City of Zepbyrbills BuilcUng DeparbleDt, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the OIfIler bas lIired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections' of this application for IlIiell they will be responsible. If you, as the OIfIler sign as the contractor,
<br />you are inc1icating that JOU, rather than the contractor, are respcmsible for the wort. If the contractor "iaJIes fOU to sign
<br />as contractor that IlaY be an Indication that lie 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 lith a copy of 'Florida's COnstruction Lien Law - 1kIIeoImer'. Protection
<br />Guide. prepared by the Florida DepartMnt of Agriculture and ConsDel' Affairs. If the applicant is 8OIeOI18 otller than tile
<br />.00000er", I certify that I bave obtained a copy of tile above described docUIent and prcmse in good faith to deliver it to tile
<br />'OIfI1er' prior to co.enCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlliltion in this application is accurate and that all IOrt lill be done in COIpliance lith all
<br />applicable lalS regulating construction, loning, and land develoJIIeDt.
<br />
<br />Application is hereby lIilde to obtain a penit to do wort and insWlation as inc1icated. I certify that no wort or
<br />installation bas CDlenced prior to iSBuance of a penit and that all IOrt lill be perfoned to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdicUCIl. I also
<br />certify that I understand that the regulations of otller gGYerDlenul agencies IlaY apply to the intended 1Ol'1, and that it is
<br />Ii responsibility to identify lbat actions I lUSt take to be In COIpliance. Such agencies include but are not luited to:
<br />· DepartJent of BnvirOllle1ltal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlenWly Sensitive Lands,
<br />Water/Vastewater 'lreatlent
<br />· Southwest Florida Water ManagMeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· Any Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />· DepartJent of Health' Rebabilitative Senites, BnvirOlllelltal Health Unit - Wells, Wastewater 'lreaUent, Septic ,ants
<br />· US BnviIOlllll!lltal Protection Agency - Asbestos abatl!ll!llt
<br />I also certify that, if filllilterial is to be used in Flood loDe 'A' or .A,etc.', it is understood that a drainage plan
<br />addressing a 'apensating volUJe' will be sw.itted IlIiell is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit iSBuaDce.
<br />
<br />A penit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall iSBuance of a penit prevent tile Building Official frm! thereafter
<br />requiring a correction of errors in plans,. construction, or violatiODB of any code. Ivery penit iSBued aball becme invalid
<br />unless the wort authoriled by such penit is co.enced lithin sil IODtbs of issuance, or if IOrt autboriled by the penit is
<br />suspended or abandoned for a period of sil IODtbs after the tiIIe the IOrt is ~ced. One 90 day utension of tile, IlaY be
<br />allGled for the penit lith fee charge of '15.00. 'lbe utension shall be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project lill be considered abandoned.
<br />WARRING '10 0IfIIR: YOOR FAILURE '10 RECORD A lorICK OF aJIIIBICBIIBIf' MlY RlSULI 11 YOOR PlYING "'ICK POI lJIPROVIIIIIIS '10 YOOK
<br />PROPERlY. IF YOO IIfIJID 10 0Bf1IJl FIJIICIIG, COISUL'l WID YOOR LIIDBR 01 II IIIORIIY BI10HB RICOBDIIG YOUR DICK OF
<br />aJlMUCIIIBII'l. JOBS URDU '2,500 111 VlLUlIlO 101 ED '10 RECORD lID POSI A 'RorICK OF aIIIIDCIIIDI'.
<br />
<br />SIGlfAIURIl: OOIR OR IGDI
<br />
<br />SIGllIURIl: COIIDIC'lOJI
<br />
<br />SrA'll OF FLORIDA
<br />coum OF
<br />The foregoing inst~ent was acknowledged
<br />before me this , 19____ by
<br />
<br />S'lAR OF FLORIDA
<br />coum OF
<br />The foregoing instl'Wlent 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 oiJth.
<br />
<br />(Signature)
<br />
<br />(Name .Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Na.e Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
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