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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this peIlit laY be subject to Ideed restrictionsH wbicb 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 bas hired a contractor or contractors to undertake lork, tbey 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sectionsl of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If tbe 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 uFlorida's Construction Lien Law - HOII!OlfDer's Protection
<br />GuideH prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOne other than the
<br />"ownerH, I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownerl prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.lent.
<br />
<br />Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a peIlit and that all work will be perfoIJed 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 goverDlental agencies laY 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 lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />* Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* Departlent of Health & qebabilitative Services; EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ranks
<br />* US EnviIODleDtal Protection Agency - Asbestos abat8leDt
<br />I also certify that, if fill laterial is to be used in Flood Zone HAl or HA,etc.H, it is understood that a drainage plan
<br />addressing a uCOlpensating volDle" lill be snblitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit. issuance.
<br />
<br />A peIlit 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if lork authorized by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is c-.mced. One 90 day extension of tile, laY be
<br />allowed for the peIl~.twith fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARlfIKG TO 0IfHER: YOUR FAILURE TO RECORD A KOTICE OF C<IlHEIICEHEIfT HAY RESULT IN YOUR PAYING !WICE FOR IHPROVEHDl'S TO YOUR
<br />PROPERTY. IF YOU IN'lBND !O OB!!IN FINANCING, CONSUL! WITH YOUR LINDER OR AN AftORREY BEFORE RECORDIlfG YOUR NOTICE OF
<br />COHMEIfCEHENT. JOBS UNDER .., IK VALUE DO NOT NEED I'O RECORD AND POST A 'NO'rICE OF COHMENCEIIBNt".
<br />
<br />
<br />
<br />~~:y O~F FLO~ r::x:, r
<br />The foregOing instrument was acknowledged
<br />before me this ~/llo , 19$ by
<br />
<br />who is p~~;;n~~~~~~ to me or who has
<br />produced f. "1:> I L
<br />as identification and who did/did not
<br />take an oath ,0" ~/.,/)
<br />;;;r /{.:t ..u7Y),~~'fc
<br />(Signat e f
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA L}" '
<br />COUNTY OF 12. '-' ( -r
<br />The foregoing iD~~iikent was aCknowledged
<br />before me this ~ "_, 19~ by
<br />
<br />::JDhn (Y) I (/5
<br />who is personally known to me or who has
<br />prOduced----- .., --.-
<br />as identification and who did/did not
<br />take an o*a._t r~ ~ 4.'/'.;(//,1 .
<br />~07( t;'..l/l/dwc
<br />(Signatufe
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,,"1111,
<br />.l~'\if\-:r't:~ SHARON L. BARBER
<br />~*(~1:j MY COMMISSION (J CC443613 EXPIRES
<br />~~.. March i, 1999
<br />" "jff.j\i". BONDED THRU TROY FAIN INSURANCE, INC.
<br />
<br />.,\~!/'M:J.". SHARON L BARBER
<br />..~r;..~~ .
<br />f::lJ:~ MY COMMISSION (J CC443613 EXPIRES
<br />~:.. .:..j Man:h 1,1999
<br />~f/";~ . BONDED THRU TROY FAIN INSURANCe,INC.
<br />f"'"
<br />
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