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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. "OTICE OF DBEDRESTRICTIONS
<br />Ibe uiuii~rsignec1 UDderataDc1a that Ws penit EJ be subject to 'deed restrictiODS'wch lilY be lOre restrictive than City
<br />regulatiODS. !lie 1IDl1eraigaed i88UIe8 -respoaaibUity for cmpliaDce with any applicable deed restrictiooa.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the illllDe1' baa bireet. COIltractor' or contractors to unclertake work, they lilY, be required to be liClllled in accordance with
<br />state a11d local regu1atiOlUl. If the' CODt:nctor is not licenaed as required by law, both the.. aDd COAtractDr lily-be
<br />cited fllr a aiscleleanor riolation UDder state law. If the owner or intended contractor are 'UJicertai.D as to .t lic8D8ing
<br />requirelleDu 'Iilf apply for the inteDded .rt, they are advised to contact. the Cit! of Zepbnbills BuildiDg Departlent, (813)
<br />788-6611. ' .
<br />
<br />Furtber1lOre, if the owner baa bired a contractor or contractors, be is advised to ba" the contractor(s) sign portiODS of the '
<br />'Contractor SectiODS' of this application for wch they will be respooaible. If fOU, as the OImer sign as the CODtractor,
<br />you are iD4icatiDg that, fOIl, Ilk than tIM! contractor, are responsible for the work. If the contractor wiahea You' to ' sign
<br />as cootractor that Iill be an indication that be is not properly 1icenaed and is DOt entiUed to peraitting privilegea in the
<br />City of Zepbyrbilla. .
<br />
<br />C. ~rRAHSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBNDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'P1orilla's Construction Lien Law - JIoIeol(rIllr's Protection
<br />Guide' prepared by the Florida IlepartIent of Igriculture aud CODauaer Affairs. If the applicant is aoaeona other than the
<br />'OlOler', 1 certify that I bave obtaiDed a copy of the above described docuIeIlt aud plOIiae in good faith to deliver it to the
<br />'owner' prior to COIiIenceaent. .
<br />
<br />E. ~ONTRACTOR'S/OWHER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate aud that all work will be doDe in i:oapliance with' all
<br />applicable laws regulating ccmatruction" JODing, aDd laud developl8Dt.
<br />. ..,
<br />
<br />Application il bere.by aade toobtaill a pmit to, cJQ work aud installation as indicated. I certify that 110 work or
<br />installation baa COMeUcea prior to issuance of a: perait and that all wrk willlle perfOIJed to I&8t stilDdards of all lavs
<br />regulating ccmatruction, City codea, 'lOlling ..regulatiOl8, and land uvelOPEDt regulatiODS in the jurisdiction. I also'
<br />certify that I UDderataDd that the regulatiOOs of other gGferDlleBtal agencies Iilr applr to theinteDded work, and that it is
<br />.Y responsibility to identify .t actiOll8 llU8t take to be in coapliance. Such agencies include but are not lilited to:
<br />t Deparuent of IIlvirOllleDtal Requlation - Cypress Blybeada, IIetland Areas aDd IIlviroDaentally Sensitive LiIDda,
<br />. ' Mater/llasteMater freataeDt
<br />t Southwest Florida Mater JlanaCJ8leDt District - IIells, Cypress Baybea4a, IIeUand Areas, Altering IIatercourses
<br />t AIly Corps of Ingineers - Seaalls, Docks, livigable Materways
<br />t ~tleDt of Health , lebabilitative Senicea. InviIOllleDtal Health Unit - Wells, IIastewater freataeDt, Septic I_
<br />t US KnvirOllleDW Protection Agency - Isbeatoa abate8ent, '
<br />I also certify that, iff1l1lilterial is to be used in Flood ZODe 'I' or 'I,ete.', it is Wlderstoocl that a drainage plan
<br />addreaaing a 'COIp8Daating volue' will be sublitted which Is prepared br a professional engineer registered in the State of
<br />Florida prior to penit issuance. .
<br />
<br />A ~lt isaued &ball be COII8true4 to be a license to proceed with the lIOfk aDd not as autbority to ,iolate, cancel alter, or
<br />set aside any provisiODS of the techD1cal coclea, nor aba11 issuance of a perait prevent the Building Official frCII ~eafter
<br />requiring a correction of errors ill pliIDB, cooatruction, or violatiOll8 of any code. Ivery penit issued.sball becaIe invalid
<br />unless the lIOrk autbori-.4 by such penit is cownced witbill sillODtbs of iaauance, or ifMOlk autboriled by the perait is
<br />suspended or aba_eel for a period of WlODths after the tiIIe the 1lotk is ~nceil. ODe 90 day 81teDaion of We, lilY be
<br />allowed for the perait witb fee cbarge of '15.00. !be 81tension sball be requested in writing to the Building Official. An
<br />approvl!d inspection I118t be logged during each wlODtb period, or the project will be ccmaidered abandoned.
<br />WAJUlIJf(: TO (MCIR: YOUR PIlLIJRK TO BICORD I lorla OF aJIHIIICIlIIBIIllAY RBSULI II YOUR PlYING ftlla POi IHPIlOVKHII!S TO YOUR
<br />PROpmnrJ. IF YOU mIlD TO 0Bf1Il PIJWCIJIG, CONSOLI WIIH yOOft LIIIDD OR IJI InoRJIIYBIFOBI RICORDIJfG YOUR Korla OF
<br />COHHIK(:HHIIft'. JOBS UJlDIR $2,500 II VlLua DO lor DID TO RICORD IJID POSI I 'Iorla OF allHElfCBKBJlf'.
<br />
<br />n~E~ nJ~L
<br />
<br />Sflll OF PLORIDI ~
<br />coum OP fl5t! t9
<br />The 1'oregoiDg instrument was acknowledged
<br />before me this AJl:JlI ':;7, 19~by
<br />--A.t-!J't:::-f2 r' S I J.-I M,S .
<br />who is personally known to .e 81' wile. has
<br />pl'odilAced.
<br />_ idleBti.i.atioa- andwbo 4Htdid not
<br />take aDoa~~{J 6~
<br />(SigDlature), ;/
<br />_ . K Am LEEiJ v: 131< f)KJJJ .
<br />(Namel Typed, PJ'iDted 'orStaIIped)
<br />~tY PUBLIC"
<br />
<br />,. (.,
<br />
<br />SIIR OF FLORIDA
<br />COUII'lY OF Pit -.5 C" U
<br />The foregoing instrument was acknowledged
<br />before me this Up';' ~7' 19 "'H' by
<br />.
<br />
<br />J/t-I3i:::..7<"/', S/UUS
<br />who is personally known to me, 8r wile has
<br />. px:edtlced-
<br />~8 i4..tifieati8B and wbo-did/did not
<br />
<br />take an OiJth. ~~-rJ O. ~&~zJ^-
<br />
<br />(Signature) , /
<br />k' JJ 17-1 Let=: LJ oJ: 23 ,(J nuJ 1-../
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />~.....y PI/#.
<br />~n(~
<br />~.:
<br />
<br />.,~~ OF f\O~
<br />
<br />KATHLEEN J BROWN
<br />My Commission OC449029
<br />EXpires ArK, 02, 1999
<br />Bonded by NFNU
<br />800-224-6368
<br />
<br />~..."y PI/#.
<br />~6(~
<br />~.~
<br />.,~ ~~
<br />, OF f\O
<br />
<br />KATHLEEN J ~WN
<br />My CommInIon CC449029
<br />Exp/teitApr.02,1999
<br />Bonded by NFNU
<br />800.224-6368
<br />
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