<br />--- ---~,.._-----.._. r--- -,. --- --~--- - --- -------...".~--.-..'~-..---..------.-.l._ W--A
<br />regulations. Ihe undersigned asSUles responsibility for COIpliance with any applicable deed restrictioos. . ,.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIler has hired a contractor or contractors to undertake work, they JaY be required to be licensed in acc:orcJance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the OIlIer and contractor laY be
<br />cited for a .isdl!lN!allOr violation under state 1al. If the owner or intended contractor are uncertain as to what licensing
<br />requir8l8l1ts JaY apply for the intended work, they are advised to contact the City of Zepllyrbil1a Building DepartleDt, (813)
<br />788-6611. '
<br />
<br />Furthenore, if the owner bas hired a contractor or contractors, he is advised to bave the contIactor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign u the cootractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wi8lles you to sign
<br />as contractor that JaY be an indication that he 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 CONNBCTION 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 IFlorida's Construction Lien Law -BoIeoImer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant il 8OIeOD8 other than the
<br />'owner', I certify that I bave obtained a copy of the above described docuIent and premse in good faith to deliver it to the
<br />'ownerl prior to co.enCl!leDt.
<br />
<br />E. CONTRACTOR' SlOWER'S AFFIDAVIT
<br />I certify that all the intonation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable lawl regulating construction, loning, and land develO(lleDt.
<br />
<br />Application is hereby _de to obtain a perlit to do work and installation as indicated. I certify that. DO work or
<br />installation baa CDleDced prior to ilsuance of a perlit and that all JOrk will be perfOIJed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOpll8llt regulations in the jurisdiction. .1 also
<br />certifr that I understand that the regulations of other gOY8IDI8Dtal agencies IIr applr to the inteDl1ed work, and that It is
<br />If responsibility to identifr what actions I lUSt take to be in COIpliance. Such agencies include butU8 . DOt lilitecl to:
<br />t Departlent of BnviIOlllleDtal Regulation - Cypress Barbeads, Wetland Areas and BnviIOlllleDtallr SeDsiUY8~,
<br />lIater/lfastewater Ireatlent
<br />I Southwest Florida lIater Hanagl!leDt District - Wells, Cypress Baybea4a, lIetland Areas, Altering Watercourses
<br />I lray Corps of Engineers - Seawalls, Docks, lavigable lIaterways
<br />I Departlent of Health i Rehabilitative Services, BnvirOJlleDtal Health Unit - lIells, lIastewater Ireatlent, septic lanks
<br />I US BnviIOlllll!lltal Protection Agency - I8bestos abatl!leDt :' .,
<br />I also carUfr that, if fillllterial is to be used in Flood Zone III or II, etc. I, it is understood that a drainage plan
<br />addressing a lCOIpeII8ating vol.1 lill be suhlitted wbich is prepared br a profeaaiODal engineer registered in the State of
<br />Florida prior to petlit issuance. '
<br />
<br />A perlit issued sball be construed to be a license to proceed with the work and not as authoritr to violate, cancel alter, or
<br />Set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frCII thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Bvery pemit i88ued shall hecCIIe invalid
<br />unless the IIOrk authoriledby such perlit is co.enced within sillODths of issuance, or if work authoriJed by the perIlt is
<br />suspended or abandoned for a period of IiI IODths after the tiIIe the work is C08eIlced. One 90 day atenaiOll of tille, IIr be
<br />allowed for the perlit with fee charge of $15.00. Ibe atensioD shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sillODth period, or the project lill be cODBidered abandoned.
<br />IIA1U1ING TO ODIR: YOOR FIIWRI !O RBCORD IIOl'ICB OF aIIIIICBIlIIIlIIY RBSULI IN YOOR PIYIIG .IIIICB POI .IIIPIIJVIIIIftS TO YOUR
<br />PROPBR'lY. IF YOU UIIJID TO OB!IIJI FIIWICIIG, COISOLI WIIB YOUR LIIIDIR OR 1I1ftOR11Y BIFORB IICORDIIG YOOI JOIIC! OF
<br />aIIMINCBIIBII!. JOBS UlDIR. '2,500 II VALUB DO 101 RBBD TO RICORD lID POSI I'IOIICB OF ClIIIDCBIIIIfI.
<br />
<br />SIGJlAfUBB: (IfDR OR IGIII
<br />
<br />SIGD'fURB: COUBICfOJI
<br />
<br />srAII OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAD OF FLORIDA
<br />coum OF
<br />The foregoing instl'Wlent was acknowledged
<br />before me this, , 19 by
<br />
<br />who is personally know.n to as or who has
<br />produced
<br />as identifica~ion,~d;who did/did not
<br />take an oath.
<br />
<br />who is personally know.n to me or who, has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Hue, Typed, Printed or StiUDPed)
<br />HOTARY PUBLIC
<br />
<br />, (Signature)
<br />
<br />(Hue Typed, Printed or Stuped). -,
<br />HOTARY PUBLIC I
<br />
<br />'\ .~
<br />
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