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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this pertit laY be subject to 'deed restrictions' which laY be lOre restrictive than City
<br />regulations. !be undersigned assUleS responsibilit, for cmpliance with an, applicable deed restrictiODS.
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<br />B. UNLICENSED CONTRACTORS AND CONTR6CTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they laY be reguired to be llcensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor la' be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what llceDSing
<br />requirl!lents la' apply for the intended work, they are advised to contact the City of Zepb,rhills Building Departlent, (813)
<br />-788-6611.
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<br />FurtherJOre, if the orner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />RContractor Sections' of this applicatioo for wbich they will be responsible. If fOU, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />. as contractor that la' be an indication that be is not properl,licensed and is not entitled to pertitting privileges in the
<br />City of Zepb,rbills.
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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, bave been provided with a cop, of 'Florida's Construction Lien Law - JbIeorner's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OEI1B other than the
<br />ROIIIlerR, I certify that I have obtained a cop, of the above described docUIIent and pro.ise in good faith to deliver it to the
<br />RownerR prior to co.enCelent.
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<br />E. cOHTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in eotpliance with all
<br />applicable laws regulating construction, zoning, and land developlel1t.
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<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that DO work or
<br />installation has ~ prior to issuance of a pertit and that all work will be perfOrJed to .et standards of all lars
<br />regulating construction, Cit, codes, Boning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYerDI8Iltal agenCies la' apply to the intended IOrk, and that it is
<br />IY responsibillty to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Vetland Areas and EnvlrOlllleDtall, Sensitive Lands,
<br />Water /Wastewater Treatlent
<br />I Southwest Florida Vater lIanagllleDt District - Vells, Cypress Baybeads, Wetland Areas, Altering lfatercourses
<br />t ArQ Corps of Engineers - Seawalls, Doda, lavigable Vatenays
<br />t Departlent of Health' Rehabilitative Services, EnvirODleDtal Health unit - Wells, Wastewater freatlent, Septic fants
<br />t US EnYirODleDtal ProtectiOn Agency - Asbestos abatl!lent
<br />I also certif, that, if fill laterial is to be used in Flood ZOne 'A' or RA,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeD8ating voluteR will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correetioo of errors in plans,. construction, or violations of an, code. Ivery pertit issued shall becOIe invalid
<br />unless the wort authoriled by such pertit is co.enced tdthin sillODths of issuance, or if wort autboriled by the pertit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOrt is co.enced. One 90 da, extension of tile, la' be
<br />allOlled for the pertit with fee charge of tI5.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sixlODth period, or the project will be considered abancJoned.
<br />IfARJII.G TO OIlIER: YOUR FAILURB fO RBCORD A BOTICB OF aBlDCBIIBIf lilY RESULf II YOUR PIYIIIG DICB FOR DIPROVIIIBIIS TO YOOD
<br />PROPERTY. IF m FIJlllCIHG, COJISULf 11TH YOOR LDDIR OR II AnoRDY BIPORB RJaJRDIIG YOOD IfOTICI 01
<br />aJIHD . JOBS UlDIR $2, 00 ~~ I~EBD fO RECORD AND POSf A 'MOTICB OF CCJlMllCBIIBIf'.
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<br />. CONmC'fOR
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<br />STATB OF FLORIDA I I l
<br />coum OF l:st I ( .to eDr-oCJ6'e.i
<br />The foregoing instI'WIent was acknowledged
<br />before me this ,e, 0 c... , , 19..B. by
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<br />G'~ ~
<br />to me or who has
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<br />81'111 lII' PIlIIIIIlI ~
<br />coum OF C) ~C>~Ub'/~
<br />The foregoing i strument was aCkriowledged
<br />before me this '10 Oc::::.... , 19.3L by
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