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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this penlit la' be subject to 'deed restrictions I wbich la' be lOre restrictive than Cit,
<br />regulaticms. !be undersigned asSUIeB responsibility for co.pliance with an, applicable deed restricticms.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, the, u, 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 mmer and mntractor la' be
<br />cited for a .isdeleanor violation under state law. If the ower or intended contractor are uncertain as to wbat licensing
<br />requiruents laY apply for the intendeclllOrk, they are advised to contact the Cit, of Zepbyrbills Building Departlent, (813)
<br />.788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Secticmsl of this application for wbieb the, will be responsible. If JOU, as the lJIIIler sign as the contractor,
<br />,ou are indicating that JOU, rather than the contractor, are responsible for the IIOrt. 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 perlitting privileges in the
<br />City of Zepb,rbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certif, that I, the applicant, bave been provided with a cop, of 'Florida's Construction Lien Law - lReoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlll!I' Affairs. If the applicant is 8OIeOIl8 other than the
<br />"lJIIIler', I certify that I bave obtained a copy of the above described cloc1JIent and prCllise in good faith to deliver it to the
<br />"mmer" prior to COIIeDC8ll8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certif, that all the inforlation in this ~pplication is accurate and that all wort will be done in cOlpliance with all
<br />applicable IDS regulating construction, IOning, and land developlent.
<br />
<br />Application is bereb, lade to obtain a penlit ~ do wort and installation as indicated. I certif, that no IIOIt or
<br />installation bas ~ced prior to issuance of a penit and that all IIOrt will be perfotlecl to _et staDdarc1s of all 1_
<br />regulating construction, Cit, codes, loning regulations, and land developll8llt regulations in the juriscliction. I also
<br />certif, that I understand that the regulations of other goveIDl8lltal agencies .y apply to the intenc1ed1lOI1, and that it is
<br />If responsibilit, to identif, wbat actions I lUSt tate to be in COIpliance. Such agencies inclucle but are not lilited to:
<br />t Departlent of BnvirODlelltal Regulation - Cypress Ba,beac1s, Wetland Areas and EnviroDlelltally Sensitive Lands,
<br />Water /Wastewater Treat:lent
<br />t Soutbvest Florida Water ManageHllt District - Wells, Cypress BaybeadB, Wetland Areas, Altering Watercourses
<br />t AIIJ Corps of Engineers - Seawalls, Doels, lIatigable Waterwa,s
<br />t Departlent of Health' ReJlabilitative Senices, Envirouental Health Unit - Wells, Wastewater Treat:lent, Septic TanD
<br />t US Invirouental Protection Agency - Asbestos abatuent
<br />I also certif, that, if fllllaterial is to be used in Flood Zone "AI or "A,etc. I, it is understood that a drainage plan
<br />addressing 8 "COI(MlIISating volUll!" will be saitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />
<br />A per.it issued shall be construed to be a license to proceed with the IIOrt and not as autllorit, to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a penlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iverr perlit issued sball becaIe invalid
<br />unless the IIOrt authoriled b, such penlit is ~ced within sil IODthS of issuance, or if work autlloriled by the peIlit is
<br />suspended or abandoned for a period of sil IODtbs after the tHe the IIOrt is co.encecl. One 90 da, atension of tile, ., be
<br />allOlled for the peIlit with, fee charge of $15.00. Tbe eltension sball be requested in writing to the Builcling Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project ,ill be considered abandoned.
<br />IfARRIIG 'fO ODBR: YOUR FAILE 'fO RECORD I IIO'fICE OF aIlIDCBIIBlIl' MAY RESULT III YOOR PAYING 'fIIICE FOR IMPROVBIIBI'fS TO YOOR
<br />PROPBR'lY. IF YOU II'fBIID 'fO OBIIII FIUllCIIG, COISULI WITH YOUR LBIIDIR OR U AnoRIBY BIfOIIB RBCORDIIG YOUR IO'fICE or
<br />CIIIm. m / IBV 110 IOlI11D to 1lIIOIIIl1ID. POST ~"I ': ICU, OFF m _'~ __
<br />
<br />ULU ~8~
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<br />"
<br />
<br />snlB OF FLORIDA ~
<br />coum OF ~SG C!)
<br />The foregoing inst~ent was acknowledged
<br />before lie this Oe,r<f , 195..i.. by
<br />
<br />~~ &-C;Wwt:;t ""
<br />wbo i perSLjilY known to lie or wbo has
<br />produced -(" .
<br />as identification and wbo did/did not
<br />take an 0
<br />
<br />S'fAD OF FLORIDA jJ
<br />CoumOF "~
<br />The foregoing instrum~ was acknowledged
<br />before me this Ocr , 19 f {P by
<br />
<br />~, 6-~h~r I
<br />wbo is per~llY~kn~ to me or wbo bas
<br />produced c- '-
<br />as identific .on and w 0 did/did not
<br />take an 0
<br />
<br />
<br />
<br />(Si
<br />
<br />~r
<br />tamped )
<br />AT D KREITZ"",
<br />E';:'lYWnieeiefl CC33136a
<br />D....~~ . Nov. fe. '887
<br />-b)i'ANB
<br />800-812-587.
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