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,<~,~.;"~-:,,-~,..~~,,....>- .. ? . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit lilY be subject to 'deed restrictions' lhich lilY be lOre restrictive than .city regwations. !be undersigned asSUlllS respousibility for CCIIpliance lith any applicable deed restrictions. J.- B. UNLICENSED ~CTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors ~ to undertake work, they lilY be reguired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by la1r, both the 0IIDeI and contractor lilY be cited for a lisdelleaDOr violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents lily apply for the intended IOrk, they are advised to coa.t.act the City of Zepbyrbills Building DepartJent, (813) 788-6611. ~" . '- . . Furfberlore, if the o.mel bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for Ibich they lill be responsible. If JOUr as the OIIJler sign as the contractor, you are inclicating that you, rather than the contractor, are responsible for the IOrk. If the contractor lishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN' LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicantr have been provided lith a copy of 'Plorida's construction Lien Law - lkIIeolmer's Protection Guide' prepared by the Flori4a DepartJent of Agriculture and ConsUJel' Affairs. If the applicant is 8QIl!ODa other than the 'owner'r I certify that I bave obtained a copy of the above described docuJent and pICEse in good faith to deliver it to the 'owner' prior to COlleDCl!IeDt. E. CONTRACTOR'SIOWNER'S AFFIDAVIT . I 'certi!y that all the inforlation in this application is accurate and that alllOrt lill-be done in ClJlpliance lith all applicable Ian regulating construction, JODing, and land deve1op1eDt. Application is hereby Jade to obtain a perlit to do IOrt and installation as indicated. I certify that DO IOrt or installation bas cmleDced prior to issuance of a perlit and that all IOrt lill be perfOlled to _t standards of all laws regulating constructionr City codesr loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYeIIIII8Jltal agenCies lilY apply to the intendecJ IOltr and that it is IIY respousibility to identify lbat actions I lUSt tate to be in COJpliance. Such agencies include but are not lilited to: .. DepartJent of EnviIOlllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnnroDleDtally Sensitive Landa, Water /Wastewater !reat:lent .. Soutbwest Plorida Water HanageJellt District - Wellsr Cypress Baybeadsr Wetland Areas, Altering Watercourses .. ArIy Corps of Bngineers - Sealallsr Docks, Hangable Watenays .. DepartJent of Health i Rebabilitative Services, BnviIODl8lltal Health unit - Wellsr Mastewater !reatJentr Septic ,ants .. US Bnvil'Ol1l8Dtal Protection Agency - Asbestos abatl!l8Jlt I also certify thatr if fill Iilterial is to be used in Flood ZoDe 'A' or 'Aretc.', it is understood that a drainage plan addressing a 'COIpeII8ating voJUJe' lill be subJittedlhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A ~it issued shall be construed to be a license to proceed lith the IOrk and not as autbority to violate, cancel alterr or set aside any provisions of the technical codesr nor shall issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued aba11 hecme invalid unless the IOrt autboriled by such perlit is C088I1cec111ithin slllODtbs of issuance, or if trOrt authoriled by the perlit is suspended or abandoned for a period of slllODtbs after the tile the IOlt is C088I1ced. One 90 day atension of u., Jay be allowed for the perlit lith fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project lill be considered abanc1onec1. WWIIIG !O lMfER: YOUR FAILURE !O RECORD A IfO'I'ICE OF aJIIIDCIIIIIft' lilY RBSUL'f IH YOOR PAYIHS DICE FORIIIPROVIIIIIlS '10 YOOR PROPEm. IF YOU IJI'fIIfD '10 081111 PIIWICIIG, COIfSUL'f 11Im YOUR LBIfDIR OR 1If AnoRIIY BB10RB BICOIIDIHG YOUR DICE OP aIIHI . JOBS UlfDIR.,2 ,500 IIf LUB 00 IO! IfDD !O RECORD un POS! I ' OF C<IIIDCIIIIII!f. St'A!1 OF FLORIDA ~ sun: OF FLORIDA