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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that this pel'lit JaY be subject to Ideed restrictions" wbich lily be lOre restrictive than City
<br />regulations. 'I'be undersigned assUles responsibility for COIpliance with any applicable ueed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they uy 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheI'lOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbich 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 perlitting 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 IFlorida's Construction Lien Law - HOEOlfDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIN!ODe other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownerl prior to couencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
<br />installation has c~ced prior to issuance of a pel'lit and that all work will be perfoI'led to Het standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lllelltal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not luited to:
<br />Ii Departlent of EnvirollleDtal Regulation - Cypress Bayheads, lIetland Areas and EnvirollleDtally Sensitive Lands,
<br />lIater/Vastewater 'I'reatlent
<br />Ii Southwest Florida Water Hanag8leDt District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
<br />t AI'IY Corps of Engineers - Seawalls, Docks, Navigable lIaterways
<br />Ii Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater 'I'reat:lent, Septic 'l'anks
<br />Ii US EnvirODlental Protection Agency - Asbestos abatelent -
<br />I also certify that, if fill uterial is to be used in Flood Zone IAI or "A, etc. ", it is understood that a drainage plan
<br />addressing a "co.peDsating volUll!. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pel'lit issuance.
<br />
<br />A PeI1lit 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 pel'lit prevent the Building Official flOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beC(lle invalid
<br />unless the work authorized by sucb pel'lit is cOllellced within sil IOnths of issuance, or if work authorized by the pel'lit is
<br />suspended or abandoned for a period ofsil IOnths after the u.e the work is CQ8eDced. One 90 day eltension of tile, lily be
<br />allowed for the pel'lit with fee charge of $15.00. 'l'be eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />WARNING fa 0VlfBR: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF CCIIMDCBMm MAY RESUL'I' IN YOUR PAYING DICE FOR IMPROVIIIBD'S '1'0 YOUR
<br />PROPER'I'Y. IF YOU IIlmD '1'0 OB!'AIN FIMJNCING, CONSUL'I' IIID YOOR LllfDO OR AN AftORRBY BEFORE RiCORDING YOUR MOrICI OF
<br />COMMBNCBMm. JOBS UNDO $2,500 IN VALUE 00 NO'I' NEID 10 RECORD AND POSI A "NO'I'ICB OF Cmoo:NCEMm'".
<br />
<br />
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<br />
<br />~~:v O~/L'~~~ CO
<br />
<br />The foregoing instrument was acknowledged
<br />before me this ze (b-03J<.., 199 L~ by
<br />
<br />~\i<l tUEf_L..'f
<br />~ho is personally known to me or who has
<br />proauced
<br />as identification and who did/did not
<br />take an ttth. . n ~ \/1
<br />... / /J..;'Jr ()Y 6r('1!:L
<br />(Signafu ) , .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SIAIE OF FLO.
<br />coum OF 4/ASc:...o
<br />J
<br />The foregoing instrument was acknowledged
<br />before me this 28 Ot::lQ5{:~ 19!1..-1.- by
<br />
<br />ioet'-fC\' A K8 LH '
<br />w 0 _.is.. personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~L 4rrJTJo '
<br />(Signature) I
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />~
<br />
<br />DAVID RONDA
<br />BrA.,. ~ R.CltlDo\
<br />c-.~ 1Mai27, JlIlIO
<br />-~104a2
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