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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands tbat this penit JaY be subject to .deed restrictions. wbich JaY be lOre restrictive than City
<br />regulations. tbe undersigned assUIeB 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, 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 JaY be
<br />cited for a .isdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrbi~ls Building DepartJent, (813)
<br />188-6611.'
<br />
<br />Furthenore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicatinq tbat you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that 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 that I, the applicant, bave been provided with a copy of .Plorida's Construction Lien Law - HoIemmer's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is sOIeone other than the
<br />.owner., I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good .faith to deliver it to the
<br />lownerl prior to COlleDCeJent.
<br />
<br />E. CONTRACTOR.S/OWER'S AFFIDAVIT
<br />I certify tbat all the inforJation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do wort and installation as indicated. I certify that DO wort or
<br />installation bas CDIeJ1ced prior to issuance of a perli t and that all wort will be perforled to Ieet 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 JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnvirOllleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands,
<br />Water/Wastewater treatlent
<br />* Southwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY COIPS of Engineers - Seawalls, Docks, Havigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater treatJent, Septic tanks
<br />* US InvirODJeDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood ZOoe IAI or IA,etc'I' it is understood that a drainage plan
<br />addressing a .cOlpensating volUJeI will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. '
<br />
<br />A penit issued shall 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 sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOJe invalid
<br />unless the work authorized by such peIlit is OOII8Jlced within sillODtbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is COllleJlced. One 90 day eatension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. tbe eatension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />WAlUlIMG TO 0II1fER: YOUR FAILURE TO RECORD A HOfICE OF COHIlDCEIlIIIt' MAY RESULT 1M YOUR PAYIMG !VICE FOR IHPROVBIIDl'S 'f0 YOUR
<br />PROPBRtY. IF YOU IBBID TO OBtlIJf inwC"IKG,. COHSULt WItH YOOR LBIIDBR OR All AnOJUlBY BEFORE RBCORDIHG YOUR HOfICB OF
<br />_. JlIIS I/IDIJI 12,5110 II V ~ ~ lOr IIIID 10 RICOIIlIHD POSt' I'~. ,
<br />
<br />
<br />
<br />SIGlfAtURB: COBRA R
<br />
<br />
<br />StAtE OF FLORIDA
<br />coum OF {//1S C-o
<br />The foregoing instrument was acknowledged
<br />before me this (llu..y .24 , 19.i)..G by
<br />
<br />41-l3a.r :5'/I--IS
<br />who is personally known to mesr wag bae
<br />"8I1u;8.
<br />8S, id.....l.i.!.i\;Cll.i.OIl and who -4M-/did not
<br />
<br />take~L. ,~tJ>
<br />
<br />{Sign;g~~e:EAl: 2,~:N
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />J'''g''{I'4'. KATHLEEN J BROWN
<br />~ My OofM'lIsslon CC449029
<br />*~,* ......Apr.oa,l999
<br />
<br />~,., O. ...~
<br />
<br />StATE OF PLORIDA
<br />coum OF P Asc 0
<br />The foregoing instrument was acknowledged
<br />before me this V7J..J-Y ,-29, 19 '1 ~~ by
<br />
<br />A L'REA?r S / 14..5
<br />who is personally known to me 8~ hS& has
<br />p~9'11lieect
<br />- ~8 illeuUfi_...lien and who '1IWjdid not
<br />
<br />take an ~~-<'...-- J. '13tc-r, /'r-
<br />
<br />(Signature). /../ ,_
<br />K' Ani ~~ AI ~T -B/2cJc -LfA!
<br />(Hame'Typed, Printed or Stallped)
<br />NOTARY PUBLIC
<br />
<br />",,1 PI/#.
<br />~"n~1o KATHLEENJBROWN
<br />II My ComrnieSion CC449029
<br />* ' * expw.M Apr. 02. 1~
<br />~ ~~
<br />",., OF ,\.f)(f'
<br />
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