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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />"be undersigned understands that this perait lilY be subject to Ideed restrictions I wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUJes responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lilY 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 mmer and contractor lilY be
<br />cited for a lisdeJeallOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheflOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wiabes you to sign
<br />as contractor that lilY 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 IFlorida's construction Lien Law - BoIeowner's Protection
<br />GuideN prepared by the Florida DepartJent of Agriculture and COnsUller Affairs. If the applicant is sOftOne other than the
<br />NOIfDerN, I certify that I bave obtained a copy of the above described dOCUlent and pI'Olise in good faith to deliver it to the
<br />NOIfDerN prior to COIIl!JlCl!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlBDt.
<br />
<br />Application is bereby lade to obtain a peIlit to do wort and installation as indicated. I certify that no wort or
<br />installation bas ~ed prior to issuance of a pmit and that all work will be perfoIled to lleet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lUSt tate to be in cmpliance. Sueb agencies include but are not luited to:
<br />t Departlent of InvirollleDtal Regulation - Cypress Baybeads, IIetland Areas and Bnvirolllentally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water Hanagl!lBDt District - IIells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health &: Rehabilitative Senices, InvirOJllBDtal Health Unit - Wells, Wastewater !reatlent, Septic !ants
<br />t US InviIODleDtal Protection Agency - Asbestos abatelellt
<br />I also certify that, if fill IilteriaI is to be used in Flood ZOne IAI or NA,etc.l, it is understood that a drainage plan
<br />addressing a lCOIpeDSating vol_B will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perait issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beccIIe invalid
<br />unless the work authoriled by sueb perait is COIIl!Jlced within sillOnths of issuance, or if wort authoriled by the peIlit is
<br />suspended or abandoned for a period of sil IODths after the tile the vork is co.enced. One 90 day atension of tile, lily be
<br />allowed for the pmit 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 sillODth period, or the project will be considered abandoned.
<br />WmUG !O OVID: YOUR FAlLURE !O RICORD A IO!ICI OF CfIIIDCIIIDl' lilY RESUL! II YOUR PAYUG !IIICI FOR IMPROVIMII!S !O YOUR
<br />PROPBR'IY. IF YOU IJIUID !O OB!AIJI F1I11CIIG, COISUL! IflD YOUR LllDBR OR IIAnORDY BIFORE RECORDIIG YOUR IOIICI OF
<br />CfJIHDCBHm. JOBS UHDIR '2,500 II VALUE DO 1O'f tfDD !O RECORD lID POS! A INO'fICI OF crJIIIBlfClllll!-.
<br />
<br />
<br />~~~ ~~
<br />
<br />SIAIE OF ~
<br />coum OF "IY S eo
<br />The foregoing instrument was acknowledged
<br />before me this .:rUNe. r:1f:, , 19..2L by
<br />
<br />
<br />~son~~%r who has
<br />produced
<br />as identification and who did/did not
<br />tall: an oath.
<br />
<br />SIAIE OF FLORI~
<br />COOIlIY OF 11 S t!-o
<br />The foregoing instrument was acknowledged
<br />before me this .:::r~IV~ ~6 , 19..2L. by
<br />
<br />
<br />ho is erso lly known to m or who has
<br />pr ced
<br />as identification and who did/did not
<br />
<br />take~~ 4. ~
<br />(s~at e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 19!5
<br />CC 446560
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC 446560
<br />
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