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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit laY be subject to -deed restrictions. which lay be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake wort, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for whicb they..will be responsible. .,If.you-, as the- owner 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 laY be an indication that be is not properly licensed and is not entitled to pemitting 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, have been provided with a copy of -Florida's Construction Lien Law _ HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a peIlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agencies lay apply to the intended work, and that it is
<br />IY responSibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODlental Health Onit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or "A,etc.., it is understood that a drainage plan
<br />addressing a .cQlpensating volUleD will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A peIlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every PQIJit issued shall beCOle invalid
<br />unless the work authorized by such peIlit is COIIenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the wort is COIIenced. One 90 day extension of tile, laY be
<br />allowed for the peIlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARNING TO MER: YOUR FAILURE TO RECORD A HOTICE OF COMHBlfCRMENT HAY RESULT IX YOUR PAYIHG flfICE FOR IMPROVEllElft'S TO YOUR
<br />PROPERTY. IF YOU INTRlfD TO OBTAIH FIHAHCING, COHSULT WITH YOUR LODBR OR All Al"fOlIm' BBFORE RECORDIHG YOUR HOTICE OF
<br />COMMBHCEHEHT. JOBS ONDER $2,500 IN VALUE 00 HOT HIED TO RECORD AJID POST A RHOTICE OF COIIHBHCBHBNf".
<br />
<br />SIGJlAfURB: OIIlfER OR AGBNT
<br />
<br />SIGJlATURE: CONTRACTOR
<br />
<br />STATB OF FLORIDA
<br />coom OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STA'lB OF FLORIDA
<br />COUH'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an Oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />(Hame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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