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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this pmit lily be subject to 'deed restrictions' ,bich laY be lOre restrictive than City
<br />regulations. lbe undersigned asSUJeS responsibility for cmpliance ,ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors'to undertake IOrt, they lily be required to be licWlecl Ii accordance with
<br />state and local. regulations. If the contractor is not licWleel as required by lill, both the 0IID8t and oontractor iay be
<br />cited for a lisdl!lM!aDor violation under state lill. If the OlDer or intended contractor are uncertain as to wbat licensing
<br />reguirl!leDu lilY apply for the intended wort, they are advised to coa.tact the City of Zepbyrhilll Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe OlDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they ,ill be responsible. If JOU, as the OlDer lign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the IOrt. If the contractor wiahes you to sign
<br />as contractor that lily be an indication that be is not properly licWled and is not entitled to pmitting 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 ,ith a copy of 'Plorida's Construction Lien LaI - lkIIeoImer'l, Protection
<br />Guide' prepared by the Flori4a Departlent of Agriculture and Cons.-r Affairs. If the applicant il 8CIIl!ODe other tban the
<br />'OlDer', I certify that I bave obtained a copy of the above described c10cUIIent and prellile in good faith to deliver it to the
<br />'owner' prior to co.enceJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the intonation in this application is accurate and that alllOrt ,ill-be done in COIpliance lith all
<br />applicable 1_ regulating construction, loning, and land develoJIIeDt.
<br />
<br />Application is bereby lade to obtain a petlit to do IOrt and installation as indicated. I certify that no IOrt or
<br />installation has CDleDced prior to issuance of a perIIit and that all wort ,ill be perfollecl to _t standards of all laI8
<br />regulating construction, City codes, loning regulations, and lanel developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lily apply to the intencJec1lOlt, and that it is
<br />If responsibility to identify wbat actions I lUSt tate to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of InviroDleDtal Regulation - Cypress Baybeada, Wetland Areas and BnviroDElWly SWlitive Lands,
<br />Water/lfaste1fater lreatlent
<br />t Soutblest Florida Water IlanageJel1t District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, lavigable Watenrays
<br />t Departlent of Health' Rehabilitative Services, InviroDleDW Health Unit - Wells, Wastewater JreatleDt, Septic lanks
<br />t US InviI'Ol1ll!lltal Protection Agency - Asbestos abateJellt
<br />I also certify that, if filllilterial is to be used in Flood Zone HA' or HA,etc.', it is understood that a drainage plan -
<br />addressing a 'ClIIPeD8ating vol_' ,ill be SoMitted ,hich is prepared by a professional engineer registered in the State of
<br />Florida prior to pellit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pmit prevent the Building Official ftOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pelIit issued aball beccIIe invalid
<br />unless the IOrt authorized by such pellit is ~cecl within sillODths of issuance, or if IOrt authorized by the perlit is
<br />suspended or abandoned for a period of sillODtba after the tile the IOlt is ~cecl. One 90 day atension of tile, lilY be
<br />allGled for the perlit with fee charge of $15.00. !be BltWlion shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each IiI IODth period, or the project ,ill be considered abanc1onec1.
<br />WARRING JO (JRIR: YOOR FAlLURlIO RECORD A DICE OF aIIIIIRCIIIIJf! MAY RESUL! II YOUR PAYIIG !IIICE FOR ,IIIPROVIIID!S JO YOOft
<br />PROPERlY. IF YOO DmD JO OB!W FIJllRCING, CORSUL! WID YOOR LIIDIR OR II AnomY BIFORIIIICORDING YOOI DICE OF
<br />aIIMI UlmER '2,500 II VIL 101 RIID 10 RECORD AND POS! A -JfOl'ICE 0 CBIIIJf!' . 'I
<br />
<br />
<br />
<br />SIAD OF FLORIDA ~
<br />coum OF As ~ 0
<br />The foregoing instrument was acknowledged
<br />before me thiS'Ctt'\-0 i7 , 19~ by
<br />
<br />k L("Y- CLV1 a... l-cvn -eA.{
<br />
<br />who is personally known to me or who has
<br />produced K (\0 w n
<br />as identi' tion and who did/did not
<br />t an oath.
<br />
<br />SIAD OF FLORIDA t2J
<br />coum OF S c.. ()
<br />The foregoing instrument was acknowledged
<br />before me this Yl c \). ~"7 , 19 u... by
<br />
<br />lu.rc:vn~ 1.'X,~ ~
<br />
<br />who is personally known to lie or who has
<br />produced K () ^ uJ f\
<br />as i ti' ation and who did/did not
<br />a an
<br />
<br />
<br />
<br />".~~:'r~', LINDA JEANNmE NEWSOME
<br />!~ . "r. MY COMMISSION' CC 482467
<br />EXPIRES: July 20. 1999
<br />IlondId Thru NolIry PublIc Underwriters
<br />
<br />~,~\';A\' LINDA JEANNmE NEWSOME
<br />:.: :.: MY COMMISSION' CC 482467
<br />. : EXPIRES: July 20. 1999
<br />BondlId l1IIu NoIIIy PuIlI1c lk1dlIIwrIlIlII
<br />
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