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<br />. . CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pemit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. fbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 owner and contractor lilY be
<br />cited for a lisdeieanor 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 DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" 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 the work. If the contractor wisbes you to sign
<br />as contractor that JaY 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, bave been provided with a copy of IFlorida's Construction Lien Law - HOJeOImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeone other than the
<br />"owner", I certify tbat I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develo.-ent.
<br />
<br />Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no work or
<br />installation bas COllenced prior to issuance of a pemit and that all work will be perforted to leet standards of all laws
<br />requlating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lily apply to the intended wort, and that it is
<br />If responsib,ility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* DepartJent of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Al'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Qebabilitative Services; Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvirODleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle" will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perlit. issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOJe invalid
<br />unless the work authorized by such pemit is C08eDced within six IOntbs of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c.-enced. One 90 day extension of tite, lilY be
<br />allowed for the pemlt with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OIlIER: YOUR FAILURE TO RECORD A NO'I'ICE OF C<lfHENCEMEN'f HAY RESULT IN YOUR PAYING DICE FOR IHPROVEHD'fS TO YOUR
<br />PROPERTY. IF YOU IHmm TO OBTAIN FINANCING, COIfSULT WITH YOUR LIlfDER OR All A'f'fORDY BEFORI RECORDIIfG YOUR NO'IICE OF
<br />COMHEIfCEMEN'f. JOBS UlfDER $2,500 IN VALUE DO NO'I' NEED TO RlCORD AJfD POST A IINO'I'ICE OF COMMENCEIIEJI'f".
<br />
<br />SIGJlATURE: OIfIIER OR AGENT
<br />
<br />SIGNATURE: CON'fRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19 by
<br />-,or--
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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