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<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />I A.' NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit laY be subject to 'deed restrictions' wbieb laY be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS ANDCQNTRACTOR 'imSPONSIBILlrIES . .
<br />If the OImer bas bired a contractor or contractors to ~dertake 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 lisdelleallor violation under state law. If the owner or i~tended contractor aJ;'e un~ertain as to wbat licensing
<br />requirelellts lilY apply for the intended work, they are advised to contact the City)o' Zepbyrbills Bliilding il!partlent, (813)
<br />788-6611.
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<br />Fu~tber.ore, if tl.~ ~~r bas-'hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />'Contractor Sections' of this application for vhieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 'Florida's Construction Lien Lav - HOIeOIDer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture.and ConsUler Affairs. If the applicant is sOleone otber than the
<br />'ownern, I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner' prior to COIIenceJll!llt.
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<br />E. CONTRACTOR'S/OWN~a.'S' AFFID~VIT ..
<br />I certify that all't6e' infoIlition in'this application 'is abcurate and tbat all wort viII be done in cOJpliance with all
<br />applicable laws regulating construction, loninq, and laDd,developent. . -.
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<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a peIli t and that all 1IOrk will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of Envirolllel1tal Regulation - Cypress Baybeads, lIetland Areas and Envirolll8l1tally Sensitive Lands,
<br />Water/llastewater Treatlent '
<br />t Southwest Florida lIater Hanaqelellt District - lIells, Cypress Baybeads, lIetland Areas, 'Altering lIatercourses
<br />t AIIY Corps of Enqineers - Seawalls, Docks, Navigable lIaterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODleDtal Protection Aqency - Asbestos abat8leDt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'CQlp8DSating volUle' viII be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
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<br />A p&lit issued sball be construed to be a license to proceed vith the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
<br />unless the 1fork authoriled by sueb peIlit is COIIenced 1fithin slxlOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillODths after the tile the vork is co.enced. One 90 day extension of tile, lilY be
<br />allowed for the perlit vith fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project 1fill be considered abandoned.
<br />VARlUMG TO <*BiR: YOUR FAILURE'IQ BCORD A IOl'ICE OF aJIHDCEIIIIl'f HAY RESULT III YOUR PAYING !VICE FOR IHPROVEMmS TO YOUR
<br />PROPBRfY. IF YOU IImID 'I'O'OB!lIM FIDlCIIG, -coISULT VIm YOUR LBMDBR OR 111 AnORDY BEFORE RECORDING YOUR IfOTICE OF
<br />COMHEIICmmJfto. JOBS UlDlRt2',5110 IN VALUE DO NOT KDD '1'0 RECORD AND POST A 'NOTICE OF C(JIHDCEHD'l".
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<br />SIGJIA!URK: OIftIBR OR AGm
<br />
<br />STATE OF FLORIDA
<br />COUlft'Y OF
<br />The foregoing'.ill;st~t walf'acknd1fledged
<br />before .e thiS' - , 19_ by
<br />'I,'
<br />
<br />STATI 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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