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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis perIIit laY be subject to 'deed restrictiODS' wbich laY be lOre restrictive than City
<br />regulatiODS. !be undersigned assUlleS responsibility for cmpliance witb any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIJler bas bired a contractor or contractorsto undertake IIOrk, they laY be required to be licensed in accordance witb
<br />state and local. regulatiODS. If tbe contractor is not licensed as required by law, botb tbe 0IIleI and contractor laY be
<br />cited for a IisdeEanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for tbe intended work, tbey are advised to CODtact the City of Zepbyrbll1s Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlore, if the ower bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign porti0D8 of the
<br />'Contractor Sections' of tbis application for which tbey will be responsible. If JOU, as tbe ower sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work. If tbe contractor wiabes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perJitting privileges in tbe
<br />City of Zepbyrbills.
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<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 witb a copy of 'Plorida's construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Plori4a Departlent of Agriculture and ConsUIeI Affairs. If the applicant is 8CIIeOIle other than the
<br />'OIIIler', I certify that I bave obtained a copy of the above described docUIent and prolise in good faith to deliver it to the
<br />lownerl prior to co.enC8IIeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that allllOrk will-be done in COI(lliance witb all
<br />applicable laws regulating construction, lOlling, and land developunt.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no IIOrk or
<br />installation bas CDleDced prior to issuance of a perIIit and that all work will be perfoned to _t standards of all 1_
<br />regulating construction, City codes, zoning regulations, and land develOplll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlleDtal agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COJpliance. Such agencies include but are not liJited to:
<br />* Departlent of Bnvi1'Olllelltal Regulation - Cypress Baybeads, Wetland Areas and BnvirOllleDtally Sensitive Lands,
<br />Water ,Wastewater 'freatllent
<br />* Southwest Plorida Water ManageleDt District - Veils, Cypress Baybeads, Wetland Areas, Iltering Watercourses
<br />t ArIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health i Rehabilitative Services, BnvirOJlleDtal Healtb Unit - Vells, Wastewater 'freatlent, Septic I_
<br />t US Bnvil'OllEltal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fllllaterial is to be used in Flood loIle III or II, etc. I, it is understood that a drainage plan
<br />addressing a lCOIP8D8ating vol_I wll1 be sw.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perllt issuance.
<br />
<br />I ~it issued sball be construed to be a license to proceed witb the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisi0D8 of the technical codes, nor sball 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 perJit issued sball becoIe invalid
<br />unless the IIOrk authoriled by such perlit is ~ced within si1lO1ltbs of issuance, or if IIOrk authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOIltbs after the tile tbe work is ~ced. One 90 day atension of tile, laY be
<br />allOlled for tbe perIIit witb fee charge of $15.00. Ibe atension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sil atb period, or the project will be considered abandonecJ.
<br />DIlHIIG 'fO <*ID: YOUR PIlLURE 'fO RECORD IIO'fICE OP CCIIIDCIIIII'f MAY RlSOL'f II YOUR PIYIIIG 'fIIICE POR.IMPROVIIIBI'fS 'fO YOUR
<br />PROPIR'fY. IF YOO mmm 'fO 0B'f1Il FI_IIG, COISOLr VI'fB YOUR LIlIDIR OR II 1'f'fOHDY BIFORI RJaIIDIJIG YOOR DICE OP
<br />aJIMIl(CBHBII'f. JOBS OlDER $2,500 II VALUI 00 1O'f KIID 'f0 RECORD lID POS'f I 'OICE OP ClINKCIMD'fl.
<br />
<br />SIGII!URI: (MIIR OR IGIII'f
<br />
<br />jd-~
<br />SIGIII'fURI :
<br />
<br />Stili OF FLORIDA
<br />COUII'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by.
<br />
<br />SliD OP 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 oa.th.
<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 Stuped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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