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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A" NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pertit lay be subject to "deed restrictions" wbich tay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 lisdel8anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to peraitting 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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the
<br />.owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcelent.
<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, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a pertit to do wort and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a pertit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agencies tay apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lust take to be in cotpliance. Such agencies include but are not lilited to:
<br />· Departtent of Environaental Regulation - Cypress Baybeads, lIetland Areas and Envirolllentally Sensitive Lands,
<br />lIater/llastewater 'Ireattent
<br />· Southwest Florida Water Hanagelent District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
<br />· Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, lIastewater 'Ireattent, Septic Tanks
<br />· US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill taterial is to be used in Flood ZOne "A. or "A, etc. ., it is understood that a drainage plan
<br />addressing a .cQlPeDsating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit 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 pertit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless tbe work authorized by such pertit is cOllenced within sillOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of sillOntbs after the tite the work is COlleDCed. One 90 day 81tension of tile, tay be
<br />allowed for the pertit with fee charge of $15.00. 'Ibe 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six aonth period, or the project will be considered abandoned.
<br />WARlfIHG '1'0 0IIlfER: YOUR FAILURE TO RECORD A NOTICE OF COHHEJICEJlElft' HAY RESULT IN YOUR PAYING DICE FOR IHPROVEHElft'S '10 YOUR
<br />PROPERTY. IF YOU Ilft'EIID TO OmAIN FlIIAICING, CONSULT 1I1'IH YOUR LINDER OR D AftORIfEY BEFORE RECORDUm YOUR NOTICE OF
<br />COMHENCEHElft'. JOBS UNDER $2,500 IN VALUE 00 NOT HEED '10 RECORD AIID POST A "NOTICE OF COHMENCEIIEN'I".
<br />
<br />SIGNATURE: OWIIER OR AGE1ft'
<br />
<br />SIGHA'IURE: COlft'RAC'IOR
<br />
<br />STATE OF FLORIDA
<br />COUlft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArE OF FLORIDA
<br />COUlft'Y 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 />NOTARY PUBLIC
<br />
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