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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait JaY be subject to Ideed restrictions" which JaY be lOre restrictive than c-1ty
<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 hired 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 O1fJler and contractor laY be
<br />cited for a lisdeteanor violation under state law. If the O1fJler or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />nContractor Sections I of this application for which they will be responsible. If you, as the O1fJler 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 he 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, have been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartMent of Agriculture and Consuaer Affairs. If the applicant is sOlSOne other than the
<br />'01fJlerR, I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"01fJler" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe 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 hereby lade to obtain a perait 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 perforted to leet 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 governaental agencies JaY apply to the intended work, and that it is
<br />IY responsibJlity to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not litited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
<br />t DepartJent of Health & Rehabilitative Services; EnvirODJental Health Unit - Wells, Wastewater freattent, Septic ,ants
<br />t US EnvirODJental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A, etc. " it is understood that a drainage plan
<br />addressing a 'cotpeDsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait. issuance.
<br />
<br />A pertit 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 sball issuance of a perait prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by sucb perait is COIIeIlced within six IOnths of issuance, or if work 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 tite, lay be
<br />allowed for tbe pera~t with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. An
<br />approved inspectiODlUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARlfING '1'0 OWNER: YOUR FAILURE fO RECORD A IfOfICE OF COHMEIfCEllKlf'l' MAY RESUL! IN YOUR PAYING nICE FOR IHPROVEIIBIft'S !O YOUR
<br />PROPERn. IF YOU IJft'EIfD !O OBlAllf FlIfAlfCING, COIfSUL! WIrH YOUR LIlfDER OR All AnomY BEFORE RECORDllfG YOUR DICE OF
<br />COMMENCEHEM!. JOBS UNDER $2,500 IIf VALUE DO If Of NEED '1'0 RECORD AIfD POST A "NOfICE OF COMMEHCEIIKIf'I'".
<br />
<br />SIGJlAtURE: OWNER OR ACEM!
<br />
<br />SI GJlA'fURE: COM!IIAC'I'OR
<br />
<br />S'I'A!E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />---.,.-
<br />
<br />STATE OF FLORIDA
<br />COUNn' 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
<br />
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