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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .'
<br />!be undersigned understands that this pel'lit lay be subject to .deed restrictions" IIbich lilY be lOre restrictive than City
<br />regulations. !be undersigned assU1e8 responsibility for co.pliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSJm CONTRACTORS AND CONTRACJfOR RESPONSIB.ILITIES , ..
<br />If the OIIIler bas bired' a contracto~ or contractors to undertake IOrt, they lay be required to be licensed in accordance lith
<br />state and local regulationi. I,f the .contractor i~ not licensed as required by lal, both the OlDer and contractor lilY be
<br />cited for a lisdeaeanor violation under state lall. If the mmer or intended contractor are uncertain as to wbat licensing
<br />requiruents lilY apply for the intended IIOrt, they are advised to contact the City.of Zepbyrbills Building DepartJent, (813)
<br />. 788-6611. " 0
<br />
<br />, ,
<br />Furthel'lOre, if the OIIIler 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 IIbich they IIill be responsible. If you, 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 wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to pel'litting 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 lith a copy of .Florida's Construction Lien Lall - HoIeoIIner's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsWIeI Affairs. If the applicant is semeone other than the
<br />.000er", I certify that I bave obtained a copy of the above described dOCUll!llt and premise in good faith to deliver it to the
<br />"mmer" prior to couencuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IIOrk IIill be done in cOlpliance lith all
<br />applicable lals regulating construction, loning, ana land develo.-ent.
<br />
<br />Application is hereby Iilde to obtain a pel'lit to do IIOrt and installation as indicated. I certify that no work or
<br />installation bas cc.lenced prior to issuance of a perlit and that allllOrk "ill be perfol'll!d to leet standards of alllals
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lilY apply to the intended IOrt, and that it is
<br />If responsibility to identify "bat actions I lUst tate to be in coapliance. Such agencies include but are not lilited to:
<br />* DepartJent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllelltally Sensitive Lands,
<br />Water/Vastewater 'freatJent .
<br />* Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seallalls, Docks, lIavigable Waterways
<br />t Departlent of Health' Rebabilitative Services, EnvirODJeDtal Health Unit - WellS, Wastewater 'freatJent, Septic 'fanls
<br />* US Bnvironaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOIpeJlSating vol_" "ill be subaitted "bich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A peIlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pel'lit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pemit issued sball beCOJe invalid
<br />unless the IIOrk authoriled by sucb pel1Iit is cOll8llced "ithin Sil IOntbs of issuance, or if IIOrk authorized by the pel1Iit is
<br />suspended or abandoned for a period of sillODtbs after the tile the wort is ~ced. One 90 day extension of tile, lilY be
<br />allowed for the pemit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project "ill be considered abandoned.
<br />WARIIIIIG 'fO. OWDR: YOUR FAILURE 'f0 RECORD A 1I011C1 OF CQMMDCBMm MAY RESot'f III YOUR PAYIIIG nlCl FOR IHPROYBMmS 'f0 YOUR
<br />PROPIlm....IF YOU 1I!IID'fO 0JfI111I FIlWICIIIG, COlISUL'f WI'fH YOOR LIlIDEB OR 111 A'f'fORDY BEFORE RICORDIIIG YOOR DICE OF
<br />COHHIII OJS UlDIRo 0 III VALUE DO 1IO'f mn fO RECORD AID POSf "II01ICE OF C(JIIIBIICBMmH.
<br />
<br />
<br />
<br />SfA'fB OF FLORIDA /J.
<br />coum OF ~
<br />The foregoing instrument was a~~owledged
<br />before me this~J-], 19~ by
<br />
<br />STAfB OF FLORIDA 17.
<br />COUIIfY OF-Y/I$" e.L)
<br />The foregoing instrument was acknowledged
<br />before me this~~n, 19~ by
<br />
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