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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />NOTICE OF DEED RESTRICTIONS
<br />Ie undersigned understands that this penit lilY be subject to 'deed restrictiOll8' wbich lilY be lOre restrictive than City
<br />,egulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictiOll8.
<br />
<br />B. UNLICENSED CONTRACTORS ANDCONTRACTORRESPONSIBILIT~ES
<br />If the OIRler bas bired a contractor or contractors to undertake 1IOrk~ tbey' lilY be required to be licensed in accordance with
<br />state and local regulations. If the.amtractor is not licensed as required by lil1l, both the 0IIDl!I and contractor lilY be
<br />cited for a li8deleanor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing
<br />requireJeDts lilY apply for the intended IIOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OIRler bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portioua of the
<br />'Contractor SectiOllS' of this application for wbich they will be responsible. If JOU, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor ,isbes you to sign
<br />as contractor that lilY be an ~dication that be is not properly licensed and is not entitled to perIltting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI~ CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tbe applicant, bave been provided with a copy of 'Plorida's construction Lien Lil1I - lIo8eolmer'a Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUIIeI Affairs. If the applicant is SOEODa other than tbe
<br />'mmer', I certify that I bave obtained a copy of tbe above described docUElt and pro.ise in good faith to deliver it to the
<br />'olll1er" prior to C~CeleDt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT, , .
<br />I certify that all the infOIlation in this application' is accurate and tbat all IIOrk' will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby Jade to obtain a perut to do work and installation as indicated. I certify that no IOrk or
<br />installation bas ~ced prior to issuance of a penit and tbat all IIOrk will be perfoIJed to leet standards of all lil1Is
<br />regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiOllS of other goverDleDtal agencies lily apply to the intended IOrk, and that it is
<br />Iy responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not liaited to:
<br />I Departlent of EnvirOlllBl1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllellta1ly Sensitive Lands,
<br />Water /Wastnater 'I'reatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />I AIly COlpS of Engineers - Seawalls, Docks, lavigable Watenays
<br />t Depart:lent of Health i Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastnater 'I'reatlent, Septic 'I'anks
<br />I US EnviIODleDtal Protection Agency - Asbestos abatl!leDt '
<br />I also certify that, if fill Iilterial is to be used in Plood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COJP8DSating vol_' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. .
<br />
<br />A perlit issued sball be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perIlt prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perIlt isaued sba11 beC(118 invalid
<br />unless the IOrk authoriled by such penit is c~ced within slllOntbs of issuance, or if IOrk authoriled by the perlit ia
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOIk is ~ced. One 90 da, atension of tile, lilY be
<br />allowed for the penit with fee charge of $15.00. 'I'be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project .ill be considered abandoned.
<br />WARRING 'f0 omR: YOOR FAILURB 'f0 RlCORD A lorlCE OF C(IIIDCBIIBH'f MAY RlSUL'f II YOOR PAYING !IIICE FOR DIPROVIIIBI'fS TO YOUR
<br />PROPBR'lY. IF YOU IJI'IBIID '1'0 08'1'1111 pIlWtCIlG, COIISULT 111'1'8 YOOR LBlfDO OR II AftORDY BBPORB RBCORDIIIG YOUR IIOIICI OF
<br />ClJIMIICIIIBII!. JOBS OlDER '2,500 11 VALUE DO lor IIDD 'f0 RICORD AID POST A 'lorlCl OF C(IIIDCBMBJIII.
<br />
<br />~~~~-
<br />
<br />
<br />SIATI OF FLORIDA a
<br />coumOF /9Sto
<br />The foregoing instrument was acknowledged
<br />before me this 7-/3 ,19 911' by,
<br />
<br />STAIB OF PLORIDAQ .
<br />coum OFr~{J p
<br />The foregoing instru88Dt was acknowledged
<br />before me this 7-/3 , 19 9.5"" by
<br />
<br />w~ i"; personally known t~r who has
<br />produced ' '
<br />as identificati.on and who di~ QOt-J
<br />take~f>~ff '
<br />
<br />(Signf{Jr~ I
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />4iPo 18 oersDDaIfy known to myor who has
<br />produced .
<br />as identification and who di~
<br />
<br />~~rI
<br />(Signa ure)
<br />
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />
<br />ROBERT C. lOCI<
<br />y Comm [lCp. 2-27-96
<br />onded By Service Ins Ct
<br />~. ~ .,' 1 r.~ .~c.n".
<br />
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