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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' which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP 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 witb
<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 lisdeJeanor 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 />FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb 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 the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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 Departlent of Agriculture and ConsUJeI Affairs. If the applicant is sOl8One other tban the
<br />Downer II , I certify that I have obtained a copy of the above described docUJellt and prOlise in good faith to deliver it to the
<br />Howner' prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the 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 bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water{liastewater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health i Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic Tanks
<br />* US EnvirDDleDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc.., it is understood that a drainage plan
<br />addressing a DCOlpensating volUle' will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A perlit 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 shall issuance of a perlit prevent the Building Official frCl 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 such pertit is COlll!llced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tiae the work is COIIenced. One 90 day l!Itension of tile, lay be
<br />allowed for the pertit with fee charge of $15.00. The l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARJIIHG fO omR: YOUR FAILURE TO RECORD A HorIC! OF COMMEKClllEH! HAY RESULT IH YOUR PAYDlG !VIC! FOR IHPROVBHmS TO YOUR
<br />PROPER'fY. IF YOU mm TO OBrADl FIXAHCIHG, COISULT wIn YOUR LlJlDER OR All ArroJIJIBY BEFORE RECORDIHG YOUR HorICH OF
<br />ClIlIIIIICBIIII, 0 UIIDIII 2, 0 III VILIlII 00 IIOf IIIID 10 ~ ~ ClJIIIIlIICBIlI'.
<br />
<br />
<br />
<br />SIGlfA!URE: COlli R
<br />
<br />STATE OF FLORIDA ()
<br />COumOF r~
<br />The foregoing inst~ent was a~~owledqed
<br />before me this 1. Jc:>?-S;' ,19 by
<br />
<br />~al~:kn~ vho has
<br />
<br />produced
<br />as ident' ication and who dil/did not
<br />take a .,,1;j......
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<br />
<br />STATE OF FLORIDA H
<br />courn OF ~~
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />
<br />who is personally
<br />produced
<br />as identification and who
<br />take ~J4.D
<br />
<br />(S gnature)
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<br />
<br />(Si
<br />
<br />
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~."~ PIII(
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<br />
<br />-r"e OF f\.fIl~
<br />
<br />BOBBlE J BURKE
<br />MyC~~nCC~71
<br />Expires Mar. 31, 2000
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<br />:\.'" PilI
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<br />-r,.~ OF f\.fIl"~
<br />
<br />BOBsIE J BURKE
<br />My Cornmlnion 00543871
<br />E:lq)Ir.. Mar. 31, 2000
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