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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />lie WId~lgoed uoderstaois that thl. ""'"t .., be .ubject to 'deed r..tricti.... obicb ..y be lOre restrictive tbao City
<br />regul.t,.... 'be under.llOed ....... responsibility for eoopliao" with aoy applicahl. deed r..trictl....
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If th. -. has bired · OOlltractor or COIItractors to uodertale _, tbey ..y be regulred to be IiCOOlled in -.. with
<br />.~.t. aod loc~ regulati~. If th. OOIItractor i. Dot IiCOllBed .. _ by I.., both the -., aod COIltractor ..y be
<br />CIted for a ',.d_ ..olahoo WIder .tate law. If th. -., or inteoded COIItractor are oocertaio .. to ""'t IiCOllBing
<br />requJ'-ts ..y apply for th. 10tODded 1IDr1, lbey are advl.ed to COIItact the City of %epbyrblll. BuIlding I!el>artwent (813)
<br />788-6611. ,
<br />
<br />Fortberwore, if tile _r has bired a COIItractor or OOlltractors, b. I. advised to bave the COIItractor(.) .i!ID portl... of tile
<br />'c..tractor Secti.... of thl. applicati.. for obicb tbey will be res_lbl.. If yoo, .. tile lIIIIIer .I!ID .. the cootractor
<br />yoo are iDdlcatioq that YOO. ratller tbao tile COIItractor, are resPODBill. for tile "'d. If the OOlltractor wlsbes yoo to .Ig.
<br />.. COIItractor that ..y be ao iodicati.. that be I. DOt properly IiCOOlled aod I. DOt entitled to ""'"ttiDg prlrilBgOD in lb.
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW CCllAPTER 713. FLORIDA STATUTES. AS AMENDED)
<br />I certifY that I, tIo appllcoot, 10.. been provided with a copy of 'Florlda'. COnstructioo Lien Law _ DDoeowser'. Protectioo
<br />Gold.' prepared by th. Florida /lepartwent of Jgricultore iOId C_ utairs. If tIo applicoot I. ...... otller tbao tIo
<br />'-". I certifY that I love obtained a copy of tIo above described docuweot aod Prowise in !IOOcI f.lth to deliver It to the
<br />"owner" prior to coaenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that allth. inf01lliltloo io thl. applicatioo I. ilC<Urate aDd that all "'rl will be dooe 10 COIpllaoc. with all
<br />applicable laws regulating construction, loning, and land developJIent.
<br />
<br />Ipplicati.. I. bereby 1Od. to obtalo a POlllit to do "'d aod Ioslallatioo .. indicated. I certifY that .. IIDrI or
<br />IOBtallati.. has COIOOoced prior to I....... of a ,"""it and that all IIDrI will be perf,""", to ...t .laodards of all I...
<br />requJatiDg constructl.., City cod.., ..,iog reguJ.ti.... aod Iaoi d'veIGpoeot regu]ati... in the jorlsdicti... I also
<br />certify that I Wlder.taod that th. requJ.t1... of otller _I agenci.. .., .pply to tIo inteoded _, aod that it i.
<br />BY responsibility to Identify what .cti... I ...t tal. to be iD eoopli..... Socb agenci.. Include lot are DOt lilited to:
<br />· Delorblest of ERvI,,",,"laI ~Iati.. - Cypress Baybeois. Wetlaod Ireas and IDvI,,",,"tally Sensitive lands,
<br />Nater/Nastewater 'freablent
<br />· Sootbrest Florida Kater ~t Di.trlct - Well., ClPress BaYbeadB, Metlaod Ireas, Ilt.rloq Natercourses
<br />t Amy Corps of Engineers - Seawalls, Docls, Navigable Naterways
<br />· De artoeot of Heallb & 1eIoblllt.tlve Services BDrI......laI Health Dolt _ loll., iOsteoat.r 'reablest, Septic ,....
<br />t US Envir_ental Protection Agency - Asbestos abatl!lent
<br />I a1.. certify that, if fill ..teri.1 ill to be used io Flood lODe '1' or '1, .tc. " it I. ooder.tood that . dram. plaD
<br />addressiog a '-tiDg vol.... llill be -itted wblcb I. Prepared by a professlooaJ eoqi_ regl.tered iD lb. Stat. of
<br />Florida prior to perlit issuance.
<br />
<br />A ,"""It issued .b.1I be constrned to be a Ii..... to P""oed with the IIDrI aod not .. aotborlty to .Iolate, caocel alter, or
<br />set asld. aoy P...I.I... of tIo teclolcal ooies, DOr sbaJl i....... of . peralt P.....t tIo Building Official frow thereafter
<br />reguJrlng · correctl.. of errors ID plaus, cons!ructi.., or .Ioloti... of aoy COde. Every ""'"t Issued sbaJl becooe lovalld
<br />llllIess tIo IIDrI autbori.ed by sucb peBIt ill _ced wlthio .1. ...tbs of 188_, or If ",rl aotborised by the _it I.
<br />BDBpeDded or abaodooed for · period of .ilI IOOtbs after !be tJwe tIo IIDrI iJJ _cod. ODe 9ll day OIteosi.. of tJwe, ..y be
<br />all_ for tIo '"""It with fee cbarge of $15.00. lbe OIwl.. sbaJl be _ted ID orlliDq to lbe Iluilding Offlcl.l. 10
<br />- Iospecti.. ...t be logged dDrlog eacb .Ix IOOth period, or the project will be considered abaoclooed.
<br />IIAllIIIIlG 10 0IIlIEIl: YIIOB FIIWlIE 10 BBClllUJ I IDI'ICB Of CfIIlDCBJlm IIAY 1IBSllL' II YOIlII PlliIG MCB FOIl ilIPIlOiIrIluJs 10 YIIOB
<br />PIilIl'EiIn'. IF YlIU IJfIOOlIO IllIl'III FI1IDCIIG, CDlSDL' rim YIIOB LBIOQ 011 III .IlfQIm iIEFOIIB BBClllUJIIG YOIlIIIDI'ICB Of
<br />C . JOBS UNDER $2,500 IN VALlIE 00 NOf IlEED 'fO RECORD AND POS'f A 'NOfICE COHHDCEHm'.
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<br />S'fATE OF FLORIDA
<br />coom OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />S'fA'fE OF FLORIDA
<br />coom 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 />NOTARY PUBLIC
<br />
<br />[Name Typed, Printed or Stamped)
<br />IOTARY PUBLIC
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