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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to .deed restrictions" wbich tay be lOre restrictive than City
<br />regulations. 'I'be undersigned assUles 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 tay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I 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 than the contractor, are responsible for tbe work. 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, bave been provided with a copy of IFlorida's Construction Lien Law - HOteOIfJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and consuaer Affairs. If the applicant is sOteOne other than the
<br />.owner", I certify that I bave obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COJJenced prior to issuance of a pertit and that all work 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 governaental agencies tay apply to the intended IOrt, and that it is
<br />IY responsib,ility to identify wbat actions I lust take to be in cotpliance. Such agencies include but are not litited to:
<br />* DepartJent of Environaental Requlation - Cypress Baybeads, Wetland Areas and Invironaentally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* Departlent of Health & ~ehabilitative Services; Environaental Health Unit - Wells, Wastewater Treattent, Septic 'I'anks
<br />* US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZOne IA" or "A, etc. " , it is understood that a drainage plan
<br />addressing a .cOlpensating volUte. will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perlit. issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOle invalid
<br />unless the work authorized by such perait is cOlleIlCed 1dthin sillOnths of issuance, or if wort authorized by the perait is
<br />suspended or abandoned for a period of sillOntbs after the Ute the work is co.enced. One 90 day extension of tite, tay be
<br />allowed for the pert~~with fee charge of $15.00. The extension shall 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 />WARKIHG '1'0 OWKER: YOUR FAILURE TO RECORD A NO'I'ICE OF cOIIMDClMBMI MAY RESUL'I' IN YOUR PAYIKG !VICE FOR IMPROVEIIIMIS TO YOUR
<br />PROPERTY. IF YOU IMlBHD '1'0 OB'I'AIK FIKAHCIKG, COKSULT WI'l'H YOUR LIIIDER OR AK A'l"l'ORDY BEFORE RECORDING YOUR NO'I'ICE OF
<br />cOMHEKcEHBlft'. JOBS UKDER $2,500 IK VALUE DO KO'I' fflED TO RECORD AND POST A 'KO'I'ICE OF COHHDCEMm".
<br />
<br />c~.~ I~
<br />SIGNAtURE: OWIIER OR AGIK'l'
<br />
<br />SIGKATURE: cOK'l'RACIOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />----.-
<br />
<br />S'I'ATE OF FLORIDA
<br />cOUlft'Y 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 o~tb.
<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 />
<br />,
<br />
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