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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this peIlit lay be subject to 'deed restrictions" wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUleS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIDer bas bired a contractor or contractors to undertake IIOrk, 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 owner and contractor lilY be
<br />cited for a lisdelleanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing
<br />requirl!lents lilY apply for the intendedllOrk, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />. 788-6611.
<br />
<br />FurtheIlOre, if the OIIDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich 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 wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIlitting 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is soaeone other than the
<br />"mmer", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"mmer" prior to COIIeDCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perli t and that all work will be perfoIlecl to leet standards of all laws
<br />regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI'Jlllental agencies lilY apply to the intendedllOrk, and that it is
<br />If responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not laited to:
<br />t Departlent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water/Wastewater 'freatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic 'fanks
<br />t US EnviIOllleDtal Protection Agency - Asbestos abatelll!Dt
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or MA,etc.", it is understood that a drainage plan
<br />addressing a uCOIpeIlSating volue" will be subaitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit 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. Every petlit issued shall beCOle invalid
<br />unless the IIOrk authorized by such peIlit is COIIeDced within Sil IOnths of issuance, or if IIOrk authorized by the peIlit is
<br />suspended or abandoned for a period of Sil IODtbs after the tile the IIOrk is co.enced. One 90 day eltension of tiR, lilY be
<br />allowed for the perlit with fee charge of $15.00. fbe eltension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each Sil IODth period, or the project will be considered abandoned.
<br />"WING 'f0 OIlIER: YOUR FAILURE 'f0 RECORD A NorlCE OF COMMDCEIlBIft' MAY RESUL'f IN YOUR PAYING 'NICE FOR IMPROVEIIEJI'J'S 'f0 YOUR
<br />PROPERlY. IF YOU IIl'fElfD 'fO OBtAIN FllIIHCING, COIISUL'f WID YOUR LBIIDER OR All Af'fORIIY BEFORE RECORDING YOUR MorICi OF
<br />COMMENCIMEIft'. JOBS UNDER $2,500 IN VALUE 00 NO! NEED fO RECORD AND POS'f A "NotICE OF COMMENCEIIEM'l".
<br />
<br />SIGHA'fURll: COH'fRAC'f()R
<br />
<br />SIGJilfURE: (llJlER OR AGENT
<br />
<br />STATB 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 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 oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oil-tho
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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