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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit lay be subject to Ideed restrictions I wbich laY be lOre restrictive than City
<br />regulations. The undersigned assUJes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeI'lOre, if the owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />IContractor Sections" of this application for wbich 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 wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOlsone other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUleIlt and pnmise in good faith to deliver it to the
<br />"owner" prior to cOlll!Ilcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develo.-ent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perlit and that all work will be perforaed 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 goverDJental 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. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnvironJeDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Soutbwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood ZOne IAI or "A, etc. II, it is understood that a drainage plan
<br />addressing a uc~pensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work autborized by such perlit is cOlleJlced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IODtbs after the tile the work is coaenced. One 90 day extension of tile, laY be
<br />allowed for the perlit 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 six IODth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMDCEMEIft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBHBIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'END TO OBTAIN FlMAIICING, COIfSULT WITH YOUR LlHDER OR All A BEFORE RECORDING YOUR NOTICE OF
<br />COMMBIfCEMBNT. OBS UNDER $2,500 IIf VALUE DO IfOT NEED 1'0 RECORD AND PO A "N E OF COHMDCEMBIft'".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing i
<br />before me this NOli. ~ 7 , 19Q.5' by
<br />-Personally Known"
<br />
<br />~
<br />
<br />KATHY C. MONTIETH
<br />Notary Public. State of FlorIda
<br />My Comm. Exp. Jon. 3. 1999
<br />431 1
<br />
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y OF
<br />The foregoing
<br />before me this N~II. ;;l7
<br />
<br />~
<br />
<br />KATHY C, MONTlETH
<br />Notary Public. state of FlorIda
<br />My Comm, Exp, Jon. 3. 1999
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