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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pel'lit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than 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 has bired a contractor or contractors to undertake work, tbey 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to bave 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 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 pertitting 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 .Florida's Construction Lien Law - HOIl!owner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If tbe applicant is sOleone other than the
<br />.owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />.owner" prior to cOllenCetent.
<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 developlent.
<br />
<br />Application is bereby 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 pel'lit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in colpliance. Sueb agencies include but are not liJited to:
<br />t DepartJent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Vastewater TreatJent
<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 DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic 'anks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone .An or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating voluten will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pel'lit 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 sball issuance of a pel'lit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOJe invalid
<br />unless tbe work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the pel'lit is
<br />suspend8\. or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tile, JaY be
<br />allowed ~e pel'lit with fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARJlING TO OIflfER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIft' MAY RESULT IN YOUR PAYING "'ICE FOR IHPROVEIIEIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'END TO OBtAIN FINANCING, CONSULT wlm YOUR LENDER OR AN A~BE RE RECORDING YOUR HO'I'ICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO! NEED fO RECORD AND POST A "NOTI F H .
<br />
<br />
<br />X ' ~
<br />SIGHA'URE: OIflfER OR AGE1ft' I HATURE: CO1ft' , e..
<br />
<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 />STATE OF FLORI,D4
<br />COUlffY OF va 5 c.f)
<br />The foregOing instrument was acknowledged
<br />before me this mOzj 29 , 19~ by
<br />
<br />ft7, 'tf,a eA h' Ke
<br />,ho is' personal It known to mQ or who has
<br />produced IJ _,~
<br />as identification and who did/did not
<br />
<br />take ~~~~~
<br />(Sig~ture)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'"'''~:f:''''''' SHARON L. BARBER
<br />l!'~~:r. MY COMMISSION' CC443613 EXPIRES
<br />~~.~j March i, 1999
<br />"'!.~[;,;~cr.:., BONDED THRU TROY FAIN INSURANCE, INC.
<br />"UIl'"
<br />
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