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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat tbis perJit lay be subject to "deed restrictions" .bieb laY be lOre restrictive tban City
<br />regulations. tbe undersigned assUJes responsibility for cOlpliance .itb any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance .itb
<br />state and local regulations. If tbe contractor is not licensed as required by la., botb tbe owner and contractor lilY be
<br />cited for a lisdeteanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />"Contractor Sections" of tbis application for .bieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perJitting privileges in tbe
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, tbe applicant, bave been provided .itb a copy of "Florida's Construction Lien Law - HOIe01fDer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is scmeone otber than tbe
<br />uowner", I certify tbat I bave obtained a copy of tbe above described dOCUlll!Jlt and prOlise in good faitb to deliver it to tbe
<br />"owner" prior to coaencelent.
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<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfoIJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in tb~ jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber goverDIeDtal agencies laY apply to tbe intended work, and tbat it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Soutbwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb & Rebabilitative Services, EnvirDDleDtal Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirDDleDtal Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a uCOlpensating volllle" will be sublitted whicb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perJit. issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every PeIllit issued shall beCOle invalid
<br />unless tbe work authorized by sueb perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after tbe tile tbe work is cODellced. One 90 day extension of tile, laY be
<br />allowed for the perJit witb fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or tbe project will be considered abandoned.
<br />WARMING TO OWlfER: YOUR FAILURE TO RECORD A NOfICE OF COMMDCEJlENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIMIIft'S TO YOUR
<br />PROPERTY. IF YOU INTKlfD TO OBtAIN FIHAHCING, COMSULT WITH YOUR LEMDER OR AH AftOIlHEY BEFORE RECORDIHG YOUR NOfICE OF
<br />COMMEMCEMENT. JOBS UlmER $2,500 IN VALUE DO MOf MEED TO RECORD AHD POST A "MOfICE OF COMMEHCEJlENT".
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<br />SIGNATURE: OWHER OR AGENT
<br />
<br />SIGHATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<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
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