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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perlit lay be subject to "deed restrictions I wbieb laY be lOre restrictive than City
<br />regulations. Ibe undersigned assUIeB responsibility for lDIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors ' to undertake wort, they laY 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 uy be
<br />cited for a lisdBleanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to COIltact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurthertOre, if the owner bas bired a contractor or contractors, be is advised tobave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 "Florida's Construction Lien Law - ~er's Protection
<br />Guide" prepared by the Floricla DepartJent of Agriculture and ConsUlleI' Affairs. If the applicant is 8OJIl!ODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUIent and praise in good faith to deliver it to the
<br />Howner" prior to COIIeDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all work will-be done in COIIPliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a pertit to do work and installation as indicated~ I certify that no work or.
<br />installation bas cmlenCed prior to issuance ofa perIIit and that all wort will beperfoI'led to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and landdeveloplBnt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies uy apply to the intended IOfl, and that it is
<br />If responsibility to identify uat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lillited to:
<br />I DepartJent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water/Wastewater !reattent
<br />I Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas,lltering Watercourses
<br />I Arty Corps of Engineers - Seawalls, Docks, Ifavigable Watenays
<br />I Departlent of Health i Rehabilitative Services, InvirODlBlltal Health Unit - Wells, Wastewater !reatJent, Septic !ants
<br />I US InviIOl1lental Protection Agency - Asbestos abatelent
<br />I also certify that, if fUllaterial is to be used in Flood ZOne "I" or "I, etc. ", it is understood that a drainage plan
<br />addressing a "COIpenSating volute" will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A p~it 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 cndes, nor sball issuance of a pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery, perUt issued shall becme invalid
<br />unless the wort authoriled by sueb perlit is COII8Ilced within sillODths of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of sillODthsafter the tile the 10ft is ~ced. One 90 day atension of tile, uy be
<br />allowed for the pertit with fee ebarge of $15.00. !be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />WARllIlfG 'fO (JfIfER: YOOR FAILURE 'fO RECORD IIO!ICE OF CCJIIIDCIIIBIfI MAY RISUL! IIf YOUR PIYlIG !IIICE FORIIIPROVIIIBI!S 'fO YOUR
<br />PHOPIIm'. IF YOU II'fIID '10 0BI11If FIIBCIIG, COBSOL! WID YOOR LBIIDIR OR IIlftORDY BIFORI BICORDIIG YOUR JIOl'ICB OF
<br />~ D . 0 II III 00 IllIIDO to IIICORD lID ~~
<br />
<br />
<br />
<br />SI SIGlA!URI: R
<br />
<br />
<br />SUR OF FLORIDA L//,d Q A
<br />coum OF r Ir~()
<br />The foregoing i~trument was a~owledged
<br />before me this )/9 , 19~y
<br />, ,
<br />
<br />S!A!E OF FLORID! ..."l
<br />coum OF ~/l-M. U
<br />The foregoing inst~ent was ac~owledged
<br />before me this ~ ,/y , 19 9 ~ by
<br />
<br />who is personally ~OWD to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tak~r~~
<br />(~a ure U
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />11 :"'~~
<br />* Explres May. 24. 1999
<br />* Bonded by HAl
<br />~ ~ 800-422-1586
<br />"''t OF ,... f)<Ii'
<br />
<br />who is p-ersonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~oatb.. ~
<br />~~~ , ,
<br />(S. a ure)C~ .
<br />\
<br />(Name Typed, print"~(lt~~
<br />NOTARY PUBLIC .* ~May.24.1999
<br />* Bonded by HAl
<br />~ ~ 800-422-1586
<br />'t OF ,...~
<br />
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