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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perlit JaY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
<br />regulations. !he undersigned assUJeS responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIlIer bas bired a contractor or contractors to undertake work, they JaY 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 owner and contractor lilY be
<br />cited for a lisdl!leaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents lilY apply for the intendedllOrk, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIlIer bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for which they will be responsible. If JOU, as the OIlIer sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible' for the IIOrt. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting 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 'Plorida's Construction Lien Law - BoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJel' Affairs. If the applicant is 8OI8ODe other than the
<br />RmmerU, I certify that I have obtained a copy of the above described dOCUJeDt and pr(llise in good faith to deliver it to the
<br />"owner" prior to COlleDCl!leJlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIliltion in this application is accurate and that all work lIill be done in cOlpliance lIith all
<br />applicable la1l8 regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no IOrt or
<br />installation bas ~ced prior to issuance of a pend t and that all IIOrk lIill be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDl8l1tal agencies lilY apply to the intended IIOrt, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COJpliance. Such agencies include but are not U..ited to:
<br />* DepartJent of EnviIOlllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlelltally Sensitive Lands,
<br />Water /Wastewater freat:Jent
<br />t Southwest Florida Water ManageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Departlent of Health & Rehabilitative Services, BnvirODlelltal Health Unit - Wells, Wastewater rrea1:lent, Septic rants
<br />t US EnviIOlll8J1tal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone "II or "A,etc.', it is understood that a drainage plan
<br />addressing a lCOJpeDSating volUJe' lIill be subUttedllbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />I perlit issued shall be construed to be a license to proceedllith the IOrt 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 fIOl thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becaIe invalid
<br />unless the wrt authoriled by such perlit is ~cedllithin sillOllths of issuance, or if wrk authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the 1IOIk is ~ced. One 90 day 81tension of tile, lilY be
<br />allowed for the perlit lIith fee charge of $15.00. 'lbe 81tension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each ail IODth period, or the project lIi11 be considered abandoned.
<br />WARRING 'fO OWNER: YOUR FIILURE fO RECORD I IOIICE OP C(JIMDCEIlBtf1' MAY RESULf II YOUR PAYING 'fWICE FOR IMPIlOVIMII!S fO YOUR
<br />PROPERfi. IF YOU III'l'BtfD 'fO OMIIJI FIIlAlCIIG, COISOLr WID YOUR LBJIDBR OR 11 1'f'fORIBY BEFORE RECORDIIG YOUR JIO'fICE OF
<br />COMMEtfCBMBHf. ODS URDB $2,500 II VALUE 00 101 IBID !O RECORD AtfD POS! A 'IOIICE OF COMMEtfCBMBHf'.
<br />
<br />
<br />ruJ-!. r. ~~u 1(; l ,.$71->1/ {lc?)Jf,-,-
<br />SIGlAIURB: "
<br />
<br />SI
<br />
<br />srAfB OF FLORIDA D" r '
<br />coum OF ~ ~V
<br />The foregoing instrum~~was a~owledged
<br />before me this ~ -__ 19~by
<br />I
<br />~erbRfl Ereim€1l-
<br />who is personally known to me or who has
<br />pro ced ~ ~
<br />as i tification an bo di~d n~
<br />t e oath.YIt , 1
<br />
<br />( ature)
<br />m, l'e ~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SUfi OF FLORIDA?
<br />COOllY OF r1Sd 0
<br />The foregoing inst~kt was ac~owledged
<br />before me this 30'f:!l ~' 19 CfS by
<br />
<br />~ Ixtt STeVe... I
<br />who is personally known to me or who has
<br />produced
<br />as "dentification and who di~~
<br />ta an oath nt, , .
<br />
<br />( " gnature)
<br />I
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />~'$.~~f~~. DANA M. GIElLA
<br />~:(A"');~ MY COMMISSION # CC301855 EXPIRES
<br />,~*~.; July 14, 1997
<br />.., I~,tjf:~\\\"" BONDED THRU TROY FAIN INSURANCE. Ire.
<br />
<br />,.'"f':~~~i
<br />
<br />DANA M. GIELLA
<br />,,!:' ':/,:SSION # CC301855 EXPIRES
<br />July 14. 1997
<br />',0 "'iRU TROY FAIN INSURANCE,INC.
<br />
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