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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" wbich laY be lOre restrictive than Cit,
<br />regulations. !he undersigned asSllleS responsibilit, for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC~OR RESPONSIBILITIES
<br />If the' OIfIIer bas bired a contractor or contractors to undertake work, they.y 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 OIfIIer and contractor ., be
<br />cited for a wisdl!leanorviolation under state law. ' If the owner or intended'contractor are uncertain as to wbat licensing
<br />requireents .y apply for the intended work, they Fe advised to contact the City o( Zepbyrbills Building .Departlent, (813)
<br />. 788-6611. ' .' , , .. . ,
<br />
<br />Furthenore, if the owner bas'bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sectionsl of this application for wbich they will be responsible. .If, Y~P, as ,the mmer 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 lilY be an indication that be 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 "Florida's Construction Lien Law - HOIeOIOler's Protection
<br />Guide" prepared b, the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
<br />"mmer", I certify that I bave obtained a copy of the above described dOCUlH!llt and prOJlise in good faith to deliver it to the
<br />"mmer" prior to COllenCl!Ient.
<br />
<br />E. CONTRACTOR' SlOWER' S AFFIDAVIT . .
<br />I certif, that all the inforution in this application is accarate and that all work'will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develo~ent.
<br />
<br />Application is bereb, _de to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas C08enced prior to issuance of a perlit and that all lfOrk will be perf01'lecl to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlf!Jlt regulations in the jurisdiction. I also
<br />certif, that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended lfOrt, and that it is
<br />Ii responsibility to identif, wbat actions I lUst take to be in cOJlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Ba,beads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />WaterjVastewater Treatlent
<br />t Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Engineers - Seawalls, Docks, Xavigable Watenays
<br />t Departlent of Health , Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'freatlent, Septic Tanks
<br />t US BnvirOJllental Protection Agency - Asbestos abatuent .
<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 .cOllpeDSating volllle" will be subllitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued sball 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the work authoriled b, such perlit is COll8Jlced .ithin six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the lfOrk is coaenced. One 90 day extension of tile, laY be
<br />allowed for the perait .ith fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sixlODth period, or the project will be considered abandoned.
<br />WARlfING TO 0WlfBR: YOUR FAILURE TO RECORD A NOTICE OF COJIHDCBIID! HAY RESULT IX YOUR PAYIXG !VICE FOR IHPROVEHD'fS TO YOUR
<br />PROPEm'. IF YOO II'fIlD TO OBlAIM FlIfAIICING, COMSDL'f WI'fH YOUR LlMDIR OR AM AnORDY BEFORE RECORDIMG YOUR MOTICE OF
<br />COOIEMCEHEN'f. JOBS UMDBR $2,500 IN VALUE 00 NOT NDD 'f0 RECORD AND POS'f A t'NOTICE OF ClJOIBNCEHENT".
<br />
<br />
<br />~--~p
<br />
<br />SI : OWNER OR AGm
<br />
<br />e--tJ~~
<br />SIGNATURE: 0111' 'fOR
<br />
<br />S'fA'fE OF FLORIDA . .~
<br />COUll1'Y OF \" ~ ~ 'So c u
<br />The foregoing 1n trument was acknowledged
<br />before me this , 19ct' by
<br />
<br />dlJ '"" ~.......
<br />who is pers~. ~wn tp me or who has
<br />produced ~J"~ Ll'-C't'--').....
<br />as identification and who did/did not
<br />take an oat~h.. __ ......---.>
<br />~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY iL:Li"AM- E. tict-JATT
<br />NOTARY PUBLIC, STATE OF FU:'I:W)'
<br />MY COMM. EXP. FEB 8. 199~'
<br />COMM. # CC 437695
<br />
<br />
<br />S'fAT! OF FLORIDAC,
<br />coum OF Y ~~ CJ.:o
<br />The foregoing instrument was acknowledged
<br />before me this ('~ ~ , 19 <t, by
<br />
<br />\-u~" L~'-' \:t-e
<br />who is per.sona~known t-o me or who has
<br />produced '\- L .,J \,... """ Uc <" ~ '--
<br />as identification and who did/did not
<br />take ~'
<br />
<br />(Signature)
<br />
<br />(Name T'oecr;-wlf~~jfc!-:qt('I~itamped)
<br />NOTARY PUBLIC, STATE or: h
<br />MYCOMM.EXP,FEB 8i9:"
<br />COMM. # CC 437695
<br />
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