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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perait lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' 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 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 DFlorida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture . and Conslller Affairs. If the applicant is sOleDne other tban the
<br />Downer", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenCelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe inforliltion in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perait and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not 11lited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, BnvirDDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US BnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a 'cOlpensating volllle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall 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 perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOla invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, laY be
<br />allowed for the perait with fee charge of $15.00. The utension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWlfBR: YOUR FAILURE TO RBCORD A NOTICE OF COMMENCBIlBIf MAY RESULT IN YOUR PAYING twiCE FOR IMPROVBMDl'S TO YOUR
<br />PROPBRTY. IF YOU Ilf'IEND TO OBTAIN FlIfANCING, CONSULT WITH YOUR LINDER OR AN AnORHBY BBFORE RECORDING YOUR NOTICE OF
<br />COMMlNCBMEIf. JOBS UNDBR $2,500 IN VALUE 00 NOT NEBD TO RECORD AND POST A "NOTICE OF COHMD NT".
<br />
<br />
<br />~ft~~
<br />
<br />
<br />STATE OF FLORIDA~
<br />COUlf'lY OF . ra.s c ~
<br />The foregoing in~rument was acknowledged
<br />before me thiskl /q , 19~ by
<br />- (
<br />
<br />~YlI/\/1 LS. LI;~~^-
<br />who is personally known to 9r WBe lliUl
<br />prgduGed.
<br />as identification
<br />t an oath
<br />
<br />STATE OF FLORID~~~~
<br />COUlf'lY OF LV
<br />The foregoing instrument was acknowledged
<br />before me this !rl - /Jf , 19 f b by
<br />.
<br />
<br />o
<br />.
<br />
<br />
<br />
<br />who i~~to me or who has
<br />produc
<br />as identification and who did/did not
<br />take an o~th.~ .Q J11~
<br />
<br />(Signature) ;v. ~ A}f /
<br />~~\c . ~ody
<br />(Name Typed, Printe or Stamped) I
<br />NOTARY PUBLIC
<br />
<br />
<br />(Name T
<br />NOTARY P
<br />
<br />J
<br />Notary PutlIC. State d F/oIlda
<br />Mv corrvn. &p..Mw 6. lW1
<br />No. cc 29231)7
<br />
<br />."\\.\I:;'t',,, Nancy A u....d.,
<br />~,!!,..~~ . ntVV\I1
<br />,:.~:*; /oM COMMISSION' CC534806 EXPIRES
<br />-.\\ :"i February 21 2000
<br />=!r,Rf.,: ~ 8ONOEOTHRUnIO'( FAIN INSURANCE, INC
<br />
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