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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that this penit _y be subject to ldeed restricti0ll81 wbich _y be .ore restricUve than City
<br />regulatiOll8. !he undersigned ass.. responsibility. for cmpliance with aDy applicable deed restrlctiCll8.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer lias bired a contractor or contractors ~to unclertale work, they laY be .l8QlIlred to be liceased la acc:orc1aDce with
<br />state and local regulatiOll8. If the contractor is Dot licensed as reQUired by law, both the 0IIDel' and.CDIltractor MY be
<br />cited for a Iisc1eleanor violation under state law. If the 0III8J: or Intended contractor are uncertain. as to at liC8D8ing
<br />requir8lellU -y apply for the intended work, they are advised to ccmtact the City of ZepbJrbills BuilcUng OepartIent, (813)
<br />788-6611.. . .
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<br />FurtherJore, if the OIDU bas bired. a contractor or contractors, be is acJvisecl to Eve the contractor(s) sign port1au of the
<br />lContractor Secti0ll81 of this applicatim for Idtich they will be responsible. If you, as the OIDU sign as the cmtractor,
<br />you are iDtllcating that you, rather than the contractor, are responsible for the work. If the contractor liabes fOIl to sign
<br />as contractor that laY be an indication that be is Dot properly lic8D8ed anc1 is not entitled to perlitUng privilegu in the
<br />City of zepJaJrbills. . I
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN' LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, Ilave been provided with a copy of 'Plorida's COnstructim Lien Law - lIcNoImer's,Protectim
<br />Guide' prepared by the Plorida Departlent of Agriculture and COIIBUIU Affairs. If the applicant i8 .... other than the
<br />'OIDer', I certify that Illave obtained a copy of the above described docuIent anc1 premse in good faith to.' c1eliver it to the
<br />1000erl prior to ~CIIIIlt.
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<br />E. CONTRACTOR' S/OWNER 'S AFFIDAVIT
<br />I certify that all the infOIliltion in this applicatim is accurate and that all IIOrt lIill -be done in cmp1iance lith all
<br />applicable 1_ regulating COD8truction, loning, and land. develOlE1t.
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<br />Application i8 Ilereby IIacle to obtain a perlit to do IIOrl and installation as indicated. I certifr that DO IIOlt or
<br />installation bas ~ced prior to i88uance of a perlit and that allllOIt will be perf OIled to _t ltaDdards of alllaa
<br />regulating COD8truCtion, City codes, IODing regulatiOll8, anc11and c1evelo..-nt regulatiOll8 in the juriadicUm. lalso
<br />certify that I under8tand that the regulations of other govemlllDtal agencies laY apply to the inteDl1ed 1IOl1, and that it is
<br />If responsibility to identify what actiOll8 I .l\l8t tate to be in COIpliance. Such agencies include bat are DOt lUited to:
<br />I Departlent of Invil'ODll!lltal Regulation- Cypress Baylleads, lIetland Areas andlDvil'ODll!lltally SensiUve Lands,
<br />lIater/lfaste1fater 'I'reatlent
<br />I Soutbllest Florida lIater 1laDag8I8Dt Diltrict - lIe11s, Cypress BayJaeaas, IfeUand Areas, Altering llatercourses
<br />I IrIy Corps of Ingineers - Seawalls, Docks, latigable lfatmays
<br />t DePaIf;Jlent of Health , BeIlabilitative Smices. IDvirODllllW Health Unit - Vells, lfastenter 'I'rea_t, Septic'l'aab
<br />I US Invi1'OllllBlltal Protectiml!lenCJ - I8best08 abat8lellt
<br />I also certify that, if fllllaterial is to be used in Plood ZOne 'A' or lA, etc. I, it is unc1entooc1 that. a drainage pllD - -
<br />addressing a IImp8D8aUng vol.' will be sw.ittedldtich is prepared by a professional engineer registered in the State of
<br />Plorida prior to penit issuance. .
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<br />A ~it issued sIlall be construed to be a license to proceed with the IIOr1 anc1 not as authority to violate,caDCIl,alter, or
<br />set aside any provisiOll8 of the teclm.lcal codes, nor sIlall i88UaDC1 of a perlit prevent the Building Offielal fIlII tbereafter
<br />requiring a correcticm of errors in plans, COII8tructicm, or violaUOII8 of aDI code. Ivery ptrIit issued..1Iaa1l ~ lDvUid
<br />unless tIlellOlt authoriJed bl IUc:Il pmit is c:c.enced ,ithin IUlODthe of i88l1aDCe,. or if 1IOl1 autbor1Jed br the perlit II .
<br />8uspended or abandoDed for a period of lillODthe after the tile the 1IOI1 is ~.' (g 90 day atensiCll of tile, ., be
<br />allOled for the perlit with fee charge of '15.00. 'I'he atenslon sIlall be requested in Kiting to the Buil4ing Official. In
<br />approved inspecticm .l\l8t be logged during each sillODth periocl, or the project will be conaic1ered u-Illloaed. .
<br />IfARIIIIG '1'0 CIfIIR: YOOR PlIWRI '1'0 BICORD I DICK OF aJIIDCIIIIIl' lilY RISOLr III fOUl PAYIIG DICK g .IIIPIIJVIIIII'I '1'0 fOUl
<br />PROPIB'I'Y. IP YOU U'I'IIID '1'0 OB'I'W PIJIIICUG, . COISUL'I' 1fI'I'B YOUB LIIIDIR OR III 1'l"l'ORlBY BIPOII RlCDlDIIG YOUI aorlCK or
<br />aJIIDCIIIIIr. JOBS _ 'Z,500 II VILUI 00 10'1' DID '1'0 RICOIID IIfD POS'I' A 'DICK OF CCJIIDCIlIIIII'. .
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<br />SIGJII!UBI: OOIIR OR IGD!
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<br />S'I'A'I'I 0' PLORIDI
<br />coum OP
<br />The foregoing in.strtm8Jlt, lIIas acknOWledged
<br />before IDe this ,. 19_ by.
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<br />S'I'A'I'I OP PLOiIDl . .
<br />coum OP
<br />The foregoing iD8tl'1m8Dt was acJmowledged
<br />before me this , 19 I)y
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<br />. ):I.,~.
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<br />who is personally mown to _ or who bas
<br />produced
<br />as identification and who did/did Dot.
<br />take an O$th. .
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<br />(Signature)
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<br />(Hi1118 Typed, Printed or Stuped)
<br />HOTARY PUBLIC
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<br />who is personally known to .e or who has
<br />produced
<br />8S identification and who did/did not
<br />take an oath.
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<br />(Signature)
<br />
<br />(Hue Typed, Printed or Stamped)
<br />HOTARY PUBLIC
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