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<br />. CONDITIONci OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS ·
<br />The undersigned understands that this perIIit aay be subject to -deed restrictiOll8- wbich lilY be lOre restrictive thaD City'
<br />regulations. Ibe UDderaigned asaUlea responsibility for COIpliance w1th any applicable deed restrictiODl.
<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 licenaed in accorc1aDce with
<br />state and local regulatiODl. If the contractor is not licensed as rBlJUired by lalli, bOth the owner and COIltracW laY be
<br />cited for a lisdeJeaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat li~ensing
<br />reguireJeJlu laY apply for tbe intended work, tber are advised to contact the City of Zepbrrbills Building DepartleDt, (813)
<br />788-6611.
<br />
<br />PurtherJOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />-Contractor SeCtiODl- of this application for which they will be responsible. If you, aa the owner sigB as tbe contractOf,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly liC8D8ed and is not entitled to peraitting privilegeain, 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 COI18truction Lien Law - lIoIeowDer's Protection
<br />Guide- prepared by the Florida Departlent of Agriculture and ConaUllet Affairs. If the applicant is 8OIl!OD8 other than tbe
<br />-ownerM, I certify that I have obtained a copy of the above c1eacribed docuaent and ptolise in good faith to deliver it to the
<br />Mowner- prior to COIIIlIlcelll!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application il accurate and that all work will be done in COIpliance with all
<br />applicable law8 regulating construction, loning, and land developleDt.
<br />
<br />Application i8 hereby Jade to obtain a perlit to do work and inatallatioo as indicated. I certify that 110 work or '.
<br />inatallation baa c08el1Ced prior to iuUOIlce of a perIIit and that all work will be perfOIJed to .et 8tandards of aU law8
<br />regulating conatruction, City codea, loiling regulatiOll8, and land develO(lleJlt regulations in the judacliction. I also
<br />certify that I understand that the regulations of other goveI1IIIl!Iltal agencies IaJ applJ to the intended IIOfk, and that it is
<br />IY responaibilitJ to identify what actions I lust take to be in COIpliance. Such agencies include but are not liJited to:
<br />A Deparuent of Invirolllelltal Regulation - C,preai BaJbeada, Metland Areas and InvirODJeDtallf Sensitive Lands,
<br />lfaterjlfastewater !reatlent
<br />A Southwest Florida Mater Nanaguent District - llells, Cypreaa Baybead8, Metland Areas, Altering Matercourses
<br />A ArIY Corps of Engineers - Seawalls, Docb, lavigable IfaterwaY8
<br />A Departlent of Health' Rehabilitative Services, InvirODllllltal Health Unit - Mells, Mutealater Ireatlent, Septic lanks
<br />A US Invirouental Protection Agency - Aabeat08 abateJeJlt
<br />I also certify that, if fill laterial is to be used in Flood loDe -A- or MA,etc.., it is underatoad that a drainage plan
<br />addressing a 'COIp8D8ating vol..' will be sublitted which is prepared by a professional engineer regiatered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~Iit issued shall be conatrued to be a license to proceed .Ith tJae work and IIOt Ii autboritJ to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall il8uance of a perlit prevent the Building Official frOl thereafter
<br />reguiring a correction of errors in plans, construction, or violatiOlll of any code. Iveq peralt il8ued aball beCOllJ invalid
<br />unless the work autboriled by such perlit is COMePCed .ithin sillODtbs of issuance, or if IIIOrk autboriled bJ tJIe pel'Iit is
<br />suspended or abandoned for a period of aillODtbs after tJIe u.e tJIe work 1s COIIeDcecl. cme 90 day utension of tile, IaJ be
<br />allowed for the perIIit with fee charge of tI5.00. Tbe utensioo sball be requested in .dting to the Building Official. In
<br />approved inspectioo lUSt be logged during each 8il 8th period, or the project will be conaidered aballdoned.
<br />WIlliG 10 OWl: YOUR FIILUU 10 UCOID llOIICI or CC8BlfCllllllIIIY iiSULf III YOUR PIYIIG IIIICI POI 1JIPJlOVBIIIIIf8 10 YOUR
<br />PBOPDIY. IF YOU IIIIID 10 OBfIU FIIlICIIG, COISULI IUrH YOOIl LUDIR 0I1111fORDY IIICOIDIIG YOUIIIOIICI OF
<br />aJIIBIICBHDI. JOBS UlDD '2,500 II VILUI DO 110I IUD to DCOIID lID POSI.I -IOfICl OF ·
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<br />Sflrl OF rWIUDA /~
<br />coum OFY a..d-<1~,)
<br />The foregoing instrument was acknowledged
<br />before lie this.;(~"" Si:P7 , 19~ by
<br />
<br />~/l12 <;~~/-U:i;V~A..J
<br />:~o -f~_~ly 0 .e or who has
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<br />as tification and who did did not
<br />~ e an .
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<br />(S~ure)
<br />0v7?75/r ~~)F) /-hJJLJiJ
<br />(Raae Typed, Printed or Sta.ped)
<br />ROTARY PUBLIC
<br />/~llIJth. 8obb/e 8. SwItIInd
<br />~"f ~ ''f~ MY COMMISSION I CC534927 EXPIRES
<br />~~.. . = FebruaJy 22.2000
<br />..9f"r,I BONllEOTlfRU TRO'ffAlHlIISUIlAMJe, INC.
<br />
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<br />
<br />SflTI OF FLORIDA /.9.
<br />coumOF . ~ ..
<br />'l'he foregoing 1nstrument was acknowledged
<br />before me this ~)/~~~, 19~ by
<br />
<br />~l)Al K /77 192>(
<br />wbo'.,' person~lly ~ow.n to .e or who has
<br />produe,d I - /f 0
<br />as' d who d' Id Dot
<br />ta ~E~~~~~.
<br />.J.Si@ t '
<br />~ :';::r c5. ~_~~./crA/.1A (0
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />_<#<.f~, BobbIlI S. SW8dand
<br />t..(Ji.'\-1. MY COMMISSION' CC634927 EXPIRES
<br />~~..~~~;..= FebnJaIy 22, 2000
<br />-'7f..'if"r-.rt-'- BONDeD THRU TROY FAIN INSURANCE, INC,
<br />
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