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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ~ NOTICE OF DEED RESTRICTIONS
<br />. !be undersigned understands that this pertIt lilY be subject to -deed restrictions- wbich.y be IOterestrictl,e than City
<br />regulations. !be undersigned assUll!S responsibility for COIpliance vith any applicable deed restrictioos.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIII1er bas hired a contractor or contractors to undertake wort, they laY be required to he llceued in accordallce with
<br />state and local regulations. If the contractor is not licensed as required by law, both the 0IID8I and contractor 8J be
<br />cited for a lisdf!leaDOr violation under state law. If the owner or intended contractor are uncertain as to what licus1ng
<br />requireElts laY apply for the intended work, they are advised to contact the City of ZepJlyrbilla BuildJDg Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the 011I181' has hired a contractor or contractors, be is advised to hate the COJItractot(s) sign portioos of the
<br />-Contractor Sectioos- of this applicaticm for wbicb they will he responsible. If you, as the OIIDer sign ~ the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IOrt. If the contractor vi_ JOU to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to pmitting privilegu in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FE_ AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED)
<br />I certify that I, the applicant, bave been provided with a copy of -Plorida's COnstruction Lien Law - ~er's Protectioo
<br />Guide- prepared by the Florida Departlent of Agriculture and ConaUlef Affairs. If the applicant is Im80De other than the
<br />-OIIDer-, I certify that I have obtained a copy of the above described docUIent and pr..ise in good faith to deliver it to the
<br />-OIIner- prior to COMeDceIl!Dt.
<br />
<br />E. CONTRACTOR 'S/OWNER' S AFFIDAVIT ,
<br />I certify that all the inforution in this application is accurate and that all wort will he done in COIpliance .ith. all
<br />applicable laws regulating constructicm, loning, and land develOlElt.
<br />
<br />Application 18 hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />inatallation.bas CDIl!Dcecl prior to issuance of a perlit and that all wort .ill he perfoned to _t staDdard8 of all 1_
<br />regulating construction, City codes, loning regulations, and land develOlElt regulations in the jurisdictiCll. I also
<br />certify that I understand that the regulatlOllS of other gov8lDleDtal agencies laY apply to the intended worl, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies Include but are not lillited to:
<br />I Departlent. of EnvirODleDtal Regulation - Cypress laybeada, Wetland Areas and EnvIrODleDtally Sen8itive Lands,
<br />lIater/Wast8later treatleDt
<br />I SOuthvest Florida later Hanagell8l1t District - lIells, Cypress Baybea4i, lIetland Areas, Altering latercourses
<br />I IrIy Corps of InvIneers - Seawalls, Docks, NaVigable Watenays .
<br />I DelllrtleDt of Health' Rehabilitative Senices, IDvirouental Health Unit - Wells, Wastewater treatlent, Septic fanb
<br />I US IDviIODllel1tal Protection Agency - Asbestos abatl!ll8Dt
<br />I also certif, that, if filllaterial is to he used in FloodZOlle -A- or -Iretc. -, it ia understood that a drainage plan
<br />addreasing a -CQlpenSating volUl8- will be sulllitted .hich is prepared by a profeasional BDgineer registered in the State of
<br />Florida prior to pem t issuance. .
<br />
<br />I perlit issued &ball be construed to be a license to proceed .with the IOrt and not as authority to violate, cancelal1ef, or
<br />set aside an, provisions of the tecbnical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, constructiOD, or violations of any code. Ivery pmitiuued shall becme iDvalid
<br />unless the wort authoriJed by such pertit is co.enced within sillOlltbs of issuance, or if IOrtautborued by the perlit is
<br />suspended or abaDdoned for a period of sil IODths after the tDe the wort ia~. ODe 90 day atenalOll of tile, laY be
<br />allOlfed for the pertit with fee charge of tI5.00. !be extension &ball he requested in .riting to the Building Official.., In
<br />approved inspection lUSt be logged during each sil IODth period, or the project .ill be considered abandooed.,
<br />IARIIMG TO (JIIIR: YOOR FAILURE TO RECORD A DICE OF CCIIIBICIIIIII' lilY RESULt II YOUR PAYING filCE FOR IHPROVIlIIIIIS TO YU
<br />PROPIBft'. IF YOU InBJO) TO OBTAIM FIIWICIHG, COISULr WItH YOUR LBIDII OR II ImIIIY BIPORI RICORDIIG YOUR DICE OP
<br />CfIIIIIJICIMBRT. JOBS UlDBRt2,500IIf VALUE DO NOr HElD TO RBCORD UD POSt A '1Ot1CE OFCCIIIBICIIIIII'-.
<br />
<br />
<br />Sl~~ . s~y
<br />
<br />S!lfl OF FLORIDA
<br />mum OF
<br />The foregoing inst#t was a~owledged
<br />before me this!e2- 7 , 19~by
<br />
<br />StAfl OF 'LORIDI
<br />coum OF
<br />The foregoing ins~ was acJjp~ledgecr
<br />before me this Ic 7 , 19~~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />:7_~u:;' ryL~~A
<br />
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat~K ~t? ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .
<br />
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