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<br />" CONDITIONS OF PERMIT AFFIDAVIT
<br />A.NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perait JaY be subject to "deed restrictions. lfbieb lay be lOre restrictive than City
<br />regulations. fbe undersigned assUJes responsibility for cOlpliance 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 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for wbieb 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 wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he 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, have been provided with a copy of .Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is SOftOIle other than the
<br />"owner", I certify that I bave obtained a copy of the above described docOlent and prolise in good faith to deliver it to the
<br />"owner" prior to COlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perait to do wort and installation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perait and that all wort will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOVerntental agencies Jay apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lUst tate to be in cOlpliance. Sucb agencies include but are not luited to:
<br />t Departtent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater freattent
<br />t Soutbwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health' Rebabilitative Services, Environaental Health Unit - lIells, Wastewater Treatlent, Septic fants
<br />t US Environaental Protection Agency - Asbestos abatetent
<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 .cQlpensating vol Ole" will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe 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 fral thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless tbe wort authorized by such perait is COllellced within sillOnths of issuance, or if wort authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tite the work is COllenced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WARNING TO amR: YOUR FAILURE TO RECORD A NOTICE OF COMMBHCEHEHI MAY RESULT IN Y PAYING TWICE FOR IMPROVEMmS TO YOUR
<br />PROPERTY. IF YOU IHmD TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDEII OR AX Ana BEFORE RECORDING YOUR NOTICE OF
<br />COMHENCEMEHl.1 JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "HOTI OF COMMBHC HI'.
<br />
<br />
<br />
<br />SIGIIAJW~~......s ~~tc. uP.
<br />T ~-<;S=
<br />STATE OF Ft _~ ~
<br />coum OF _~ -Lgv
<br />The foregOing instrument was acknowledged
<br />before, ..e thiB')prrJ ~;l' 193fL by
<br />
<br />L{JL()~JV(f- f. 1--: __ N~
<br />who is personally known to me o.r~J ~ bas'
<br />pee dlMl.d
<br />
<br />
<br />C.hlAlI
<br />
<br />
<br />. /did not
<br />----.m ( ,~L;J rntllv
<br />
<br />~L"" l
<br />STATE OF ~
<br />COfJHTY OF 6 c.v;' /t Yle. ++
<br />The foregOing inst~ent was aCknowledged
<br />before me this 5 Z-Z- , 19~ by
<br />
<br />PCt.VI DC.. We^-. +~
<br />who is personally known tD me or who has
<br />produced 0" v'i. r '') L. ce
<br />as identification who d' /did not
<br />take an 0 tho \.,
<br />
<br />My CommIssion Expires March 25, 1997
<br />
<br />.~
<br />( Signatur~J
<br />H{(IY e ,', A, eser
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ,,_..... ~
<br />NaiIIry PublIc, FuIan _..,. ..-.ow-
<br />My Commllelon ExpnI AwguIt 8. 1_
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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