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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. rile undersigned understands that this pertit lay be subject to 'deed restrictions" wbich lay be lOre restrictive tban City
<br />regulations. 'be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, 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 wbicb they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that 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 that I, the applicant, bave been provided with a copy of "Plorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is lDeOJle other than the
<br />Downer", I certify that I bave obtained a copy of the above described docUll!Jlt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is berehy lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pertit and that all work will be perfoCJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lilY apply to the intended work, and that it is
<br />Iy responsibility to identify wbat actions I lust take to be in colpliance. Such agencies include but are not liJited to:
<br />t DepartJent of EnviroDJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater 'reatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'reatJent, Septic ,ants
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Plood ZOne "A' or "A,etc.D, it is understood that a drainage plan
<br />addressing a "cOlpensating valUle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with 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 pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work autborized by such per.it is COlleDced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is cOlEDced. One 90 day eJtension of tile, lily be
<br />allowed for the pertjt with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODtb period, or the project will be considered abandoned.
<br />WARlfING fO OIfNER: YOUR FAILURE fO RECORD A NOfICE OF COMHENCBHENf HAY RESULf IN YOUR PAYING 'fIIICE FOR IHPROVBMBNfS
<br />PROPERlY. IF YOU IIft'BHD TO OBt'AIN PIIWlCING, CONSULT WUH YOUR LODER OR AN AffOBNBY BEFORE RECORDING YOUR OF
<br />COMHENCBHBHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AND POSf A "NOTICE OF COHHBNCBHBHT".
<br />
<br />SIGNAtURE: OIfNER OR AGE1ft'
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<br />
<br />SfAfE OF FLORIDA
<br />COUlft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />Sf ATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me qr 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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