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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this perait lay be subject to 'deed restrictions' "bich lay be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for co.pliance "ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake "ork, they laY be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor lilY be
<br />cited for a liscleJeaDor violation under state la". If the owner or intended contractor are uncertain as to "bat licensing
<br />requireents lilY apply for the intended work, they are advised to contact the City of Zepbyrhi11s Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner 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 "hich they "ill be responsible. If you, as the OIIIler sign as the cootractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that lilY 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, bave been provided with a copy of 'Floridals Construction Lien Law - lDeoImer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsUlet Affairs. If the applicant is 8OI8OD8 other than the
<br />Immer', I certify that I have obtained a copy of the above described c10cUleDt and prOlise in good faith to deliver it to the
<br />lOIIIlerl prior to COIIeDceent.
<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 COIpliance with all
<br />applicable laws regulating construction, loning, and land deve1opunt.
<br />
<br />Application is bereby Iilde to obtain a perait ,to do "ort and installation as indicated. I certify that DO IOrt or
<br />installation baa CDleDced prior to issuance of a perait and that alllOrt will be perforJed to leet staDdards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdicUlHl. I also
<br />certify that I understand that the regulations of other goveIDlleDtal agenCies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify "hat actions I lUSt take to be in co.pliance. Such agencies include but are not lutted to:
<br />t Departlent of Bnvirolll8l1tal Regulation - Cypress Baybeads, Wetland Ireas and InvirollleJltally Sensitive Landa,
<br />Water/llastewater 'freatlent
<br />t Southwest Florida !fater HanageJel1t District - lIells, Cypress Baybeads, lIetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Sea"a11s, Dods, lIavigable lIaterways
<br />t DepartJent of Health i Rehabilitative Services, BnvirODlental Health Unit - lIells, lIastewater 'freatlent, Septic !ants
<br />t US BnvirOOleDtal Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fIll IIterial is to be used in Flood ZOne 'A' or 'I,etc.', it is understood that a drainage plan
<br />addressing a lCOIpensating volllle' "ill be sublitted wbich is prepared by a professional engineer registered In tJIe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />, set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official f. thereafter
<br />requiring a correction of errors in plans,' construction, or violations of any code. Ivery perait issued shall hecme invalid
<br />unless the wort autborbed by such perait is COII8Ilced within slllODths of issuance, or if wort autboriJed by the perait is
<br />suspended or abandoned for a periOd of slllOntbs after the tile the IOrt is coaencecl. One 90 day utension of tile, lilY be
<br />allOlfed for the perlit with fee charge of $15.00. !be Bltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project lill be considered abandoned.
<br />IIARJ1IIfG TO OVIfER: YOUR FAILURE 'f0 RECORD I 1I00rICE OF COtHBICBHIHI HAY RESULT III YOUR PAYIIIG DICE FOR lHPROVIIImS TO YOUR
<br />PROPBm. IF YOU IJIDIfD 'f0 OBrAlIf FIIIAIICIIIG, COIISUL'f lUlU YOUR LlllDBR OR AM AftORIBY BEFORE RECORDllIG YOUR IOTICE OF
<br />cmtHBICBHIHI. JOBS UWER '2,500 III VALUE 00 NOT NIED TO RECORD AIfD POST A 'IIOTICB OF CCJlHBICBHIHI'.
<br />
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<br />SIGJIA'fURE: COlli 0
<br />
<br />STArE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by'
<br />
<br />STArB OF FLORIDA
<br />coum 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 know.n to me or who has
<br />produced '
<br />as identification and who did/did not
<br />take an oct.th.
<br />
<br />(Signature)
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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