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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit laY be subject to 'deed restrictions' wbich laY be lOre restrictive tban City
<br />regulations. fbe undersigned assUleS responsibility for cOlpliance 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 work, 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 laY be
<br />cited for a lisdell!anor 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 contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IIContractor 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 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 'Plorida's Construction Lien Law - HOI8OV:Der's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is BOIeOI1e other than the
<br />lIowner", I certify that I bave obtained a copy of the above described dOCUllf!Dt and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCelBJlt.
<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, loning, and land developent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlBl1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDVerDIeDtal agenCies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in colpliance. Such agencies include but are not lilited to:
<br />. Departlent of EnvirolllBlltal Regulation - Cypress Baybeads, Vetland Areas and Envirolllentally Sensitive Lands,
<br />Vater/Wastewater Treatlent
<br />. Southwest Florida Vater HanageleDt District - Vells, Cypress Baybeads, Wetland Areas, Altering Vatercourses
<br />. AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />. Departlent of Health , Rehabilitative Services, BnvirODlBDtal Health Unit - VeIls, Wastewater Treatlent, Septic Tanks
<br />. US Envirollllental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone WA' or "A,etc.l, it is understood that a drainage plan
<br />addressing a 'co.pensating wIllie' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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 perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authoriled by such perlit is COII8Ilced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />VARtfIMG TO OlItfBR: YOUR FAILURE TO RECORD A MOfICE OF COIMIlCEllBIft MAY RESULT II YOUR PAYIMG TWICE FOR IHPROVBHBtfTS TO YOUR
<br />PROPER'fY. IF YOU IlftltfD TO OBlAIM FlIAtfCIIG, COIISUL!f VUH YOUR LBllDIR OR Atf AnoRRBY BEFORE RECORDIMG YOUR MO'IICE OF
<br />COMHB . JOBS UllDIR $2,500 1M VALUE 00 MOf tfEBD fO RECORD AtfD POST A 'MOflCE OF COHHBtfCEHBtf'l".
<br />
<br />
<br />!l~q~~
<br />
<br />STA'I'E OF FLORIDA /)
<br />coum OF r a..4..e.O
<br />The foregoing instrument was acknowledged
<br />before me this "if III ~ 19~ by
<br />I
<br />W. A. Ale,umfA,~14J
<br />who is eersonally known to me.. or who has
<br />produced
<br />as identification and who did/did not
<br />take an 04th. 1_ m~
<br />
<br />(Si~~
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STA'I'B OF FLORIDA /J
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />before me this g III ~ 19.!JL by
<br />I
<br />fed Ntvl ct ~ (Y) \/f rS
<br />who is personal Iv knownl +0 mA or who has
<br />produced
<br />as identification and who did/did not
<br />take an O~h. /f_ LfYl~
<br />
<br />(signcale(1 -r
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />....~~y PU8 OFFICIAL NOTARY SEAl.
<br />o <'"" MARY \!. MOORay
<br />~ . ~ COMMISSION NUMII!A
<br />~ J. <(' CC4S3742
<br />'Y~ o~ MY ccmMiSSION EXP.
<br />OFf\.: JULY :25.1999
<br />
<br />~ U. I RY SEAL
<br />0" ~~ MARY E MOORBY
<br />: . ~ COMMISSION NUMBER
<br />~ <(' CC483742
<br />'Y~ ~ MY COMMISSION UP.
<br />OFf\.O JULY 25 1800
<br />
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