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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis perlit lay be subject to "deed restrictions" which lay be lOre restrictive tban City
<br />regulations. !he undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, tbey .ay be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor JaY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireleDts lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtbeClOre, if tbe owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe
<br />"Contractor Sections" of tbis application for wbich tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes yoo to sign
<br />as contractor tbat Jay be an indication tbat be is not properly licensed and is not entitled to perlitting 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 tbat I, tbe applicant, bave been provided witb a copy of .Florida's Construction Lien Law _ BoIeov.ner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture . and ConsUJer Affairs. If the applicant is SOftQne otber than tbe
<br />"owner", I certify tbat I bave obtained a copy of tbe above described docUleDt and pro.ise in good faitb to deliver it to tbe
<br />"owner" prior to cOllencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developllent,
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also
<br />certify tbat I understand that tbe regulations of otber goveI1llental agencies Jay apply to tbe intended work, and tbat it is
<br />Iy responsihility to identify wbat actions I lUst take to be in COIpliance. Sucb agencies include bot are not li.ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Vastewater rreatlent
<br />t Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater rreatlent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "cQlpensating volUle" will be sublitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent tbe Building Official fro. tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless tbe work autborized by such per.it is cDllenced witbin six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after tbe tile tbe work is c~ced. One 90 day l!Itension of tile, lay be
<br />allowed for tbe perlit witb fee charge of $15.00. The l!Itension sball be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARHING TO 0IiN1R: YOUR FAILURE TO RECORD A NOTICE OF COHHERCENIIfT MAY RESULT IN YOUR PAYIIG TWICE FOR I.MPROVIMmS TO YOUR
<br />PROPERTY. IF YOU IH'lEIiD TO OBrAIH FIIlAHCIHG, COISULT WITH YOUR LIIiDIR OR AH Anomy BEFORE RlCORDIIG YOUR NOTICE OF
<br />COHHENCKHEH'l. JOBS UIiDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCm:H'l".
<br />
<br />SIGJfATURE: OWNER OR AGEH'l
<br />
<br />SIGIArURE: COH'lRACTOR
<br />
<br />srATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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