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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit lilY be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. the undersigned assW1e8 responsibility for apliance with any applicable deed restrictiOll8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the CNDer has hired a contractor or contractors to undertake work, tIiey lilY be required to be licensed in accordance with
<br />state and local regulati0D.8. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisdl!leaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguir8leDts lilY apply for the intended work, they are advised to contact the City of Zepbfl'hills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .
<br />'Contractor Sections' of this application for which they ,ill be respol18ible. If you, as the OIfDer sign as the contractor,
<br />you are indicating that, you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and Is not entitled to perJittiDg privileges in the
<br />City of Zephyrbilla.
<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 CODstruCtiOll Lien Law - lbIeoImer'a ProtectiOll
<br />Guide' p.repared by the Florida Departlent of Agriculture and ConsUller Affairs. If the applicant ia 8OIeODe other than the
<br />'ower', I certify that I bave obtained a copy of the above described docuIeDt and prOliae in good faith to deliver it to the
<br />lowner' prior to co.enClllent. '
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIliltion in this applicatiOll is accurate and that all work ,ill be done in CCIIpliance ,ith all
<br />applicable laws regulating construction, loning, and land developl8Dt.
<br />
<br />ApplicatiOll is hereby lade to obtain a pmit to do work and insWlation as indicated. I certify that no work or
<br />insWlation has ~ed prior to issuance of a pmit and that all work ,ill be perfOIll!d to _t standards of all laws
<br />regulating construction, City codes, lOlling regulatiOll8, and land develOpl8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gove11llleDW agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIPliance. Such agencies include but are not lilited to:
<br />I Departlent of InvirOlll8lltal Regulation - Cypress Baybeads, "eUand Areas and BnviIOJll8llWly Sensitive Landa,
<br />"ater/llastewater !reableDt
<br />I Southwest Florida "ater Managelel1t District - "ells, Cypress Baybeads, "etland Areas, Altering "atercourses
<br />I Il'IJ COIPS of Enqineers - Seawalls, Docks, lIavigable Waterways
<br />I Departlent of Health i Rehabilitative Senices, InvirODl8lltal Health Unit - "ells, "astewater freatlent, Septic fanka
<br />I US Invirouental Protection Agency - Asbestos abate.ent
<br />I also certify that, if filllilterial is to be used in Flood Zone 'A' or 'I,etc.', it is understood that a drainage plan
<br />addressing a 'COIpensatiDg vo1_' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Plorida prior to perait issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fIOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall beCClle invalid
<br />Wlless the work authoriled by such perlit is ~ced within sillODthe of issuance, or if work authoriled by the perlit is
<br />suspendt!d or abandoned for a period of SUlODths after the u.e the work is co.enced. ODe 90 day eltension of u.e, lilY be
<br />allowed for the perait with fee charge of $15.00. !he eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sUlODth period, or the project will be considered abandoDed.
<br />'WUIING to (JRfD: YOUR FAILORI to RlCORD I 1I011C1 OF aJIMDCBIIIII'I MAY RESULf III YOUR P1YIIfG NICE FOR DIPROVIIIII!S to YOUR
<br />PROPiR'IY. IF YOU IIfIJlD to OBfAII FlIl.UCIIIG, COJISOLf "lIB YOUR LDDBI OJ lJf A!'fORDY BEFORI RBCORDIJIG YOUR JIO!ICE OF
<br />COMMIIfClHD!. JOBS UJlDIR '2,500 IN V&LOB DO 1101 DID to RICOIID lJfD POSf I 'NOIICE OF COIMDCIIIEII!..
<br />
<br />
<br />~" ~
<br />SIGllATORI: OJ - SIGIIlfORl: BAC'IOR
<br />
<br />S!lR OF FLORIIJl .
<br />coum OF -1::f.sc.o
<br />The foregoing instrument was acknowledged
<br />before me this ~"Pn>'H&J( ~ 1 g..!i...5. by
<br />I
<br />ALBa<..r .5/HMS
<br />who is personally know.n to me a~ .h_ h_M
<br />p~a"'e_
<br />as identification and who did/did not
<br />take an Oij.th.~.-e~ ~,~ ./
<br />
<br />(Signature) C/
<br />i:ItTI-Il-EE\J d. .:FS 1?07.J. ),J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SfArE OF FLORIDA
<br />coum OP -Pfts c-o
<br />The foregoing instrument was acknowledged
<br />before me this .!S::PreM.BQ(.t()-9..SbY
<br />
<br />A L..IJ ERr ..s I /vi M.s
<br />who is personally known to me 0- '-- . tUUI
<br />Bl'-fll_ad
<br />~ idea~ifia_l18n and who~/did not
<br />take an oath~ ~
<br />c:ce P..( L.-J g. rn ...l7t-J
<br />(Signature) ~ :BRt. ~' J
<br />K A T1I u.?-e:.A.J~. 0 N
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"-,,IlV PI/It
<br />..'" b. <"",
<br />
<br />~.~
<br />
<br />",., Off\.O~
<br />
<br />KATHLEEN J BROWN
<br />My Comm_1on CC448029
<br />Expires ArK, 02. 1999
<br />Bonded by NFNU
<br />800-224-6368
<br />
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<br />Ko\'f~1=N ,J EIf!lOWN
<br />_ QctfIvl,I~,Il\~ OC449029
<br />ElIpIrw Apr. 02. Ul99
<br />Bcmded by NFNU
<br />800-224-6368
<br />
<br />~~:06-""
<br />
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