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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. 'NOTICE OF DEED RESTRICTIONS
<br />, The undersigned understands that this perlit lar be subject to 'deed restriction8" which lar be lOre restrictive than City
<br />regulations. The under8igned aS8U1e8 responsibility for co.pliance with any applicable"deed re8trictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor Is not licensed as required by law, both the owner and' contracto~ la' be
<br />cited Cor a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what 'licensing
<br />requirelents .ay apply (or the intended work, they are advised to contact tbe City of Zepbyrhill. Building DepartJent, (813)
<br />780-6611.
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<br />Further.ore, i[ the uwner has Ilired a contractor or contractOrB, he Is advised to have the contractor(s) sign portions of the
<br />"Conlractor Sections' of thi8 applicatIon for which lhey will be re8ponslble. If JOu, a8 the owner Ilgn a8 the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication tbat be is not properly licensed and is not entitled to per.itting privileges in the
<br />CiLy of Zephyrhi1ls.
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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 that I, the applicant, bave been provided ~itb a copy of 'Plorida's Construction Lien Law - HOIeOIDer'. Protection
<br />Guide' prepared by lhe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant il 10leone other than the
<br />'owner', I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver It to the
<br />"oNner' prior to co..encetent.
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<br />E. fOl!TUAC'rOR ' S/OWNER 's AFFIDAVI'l'
<br />i cerlify that all the in(orlation in this appiication is accurate and that all work viII be done in colpliance vith all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to Issuance of a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations In the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies .ay apply to the intended worl, and that It is
<br />.y responsibility to identify what actions I lust take to be in cOlpllance. Such agencies Include but Ire not li.ited to:
<br />A Depart.ent of HnviroDlental Regulation - Cypress Baybeads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />. WaterfWastewater Jreatlent
<br />A Southwest Florida Vater Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />A Ar.y Corps of Engineers - Seawalls, Docks, lavlgable Waterways
<br />A ~~~artaent of lIealth , Rebabilitative Services, InvlrOOlental Health Unit - Wells, Wastewater Yreatlent, Septic lanks
<br />· US RnviroDlental Protection Agency - Asbestos abate.ent
<br />I also certifr that, if fIll latetial is to be used in Flood Zone 'A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'co~pensating lolUle' will be Sllblitted which is prepared by a professional engineer registered in the State of
<br />Florida prior La per.it issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the work and not a8 authority to ,101ate, cancel alter, or
<br />Get aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of anr code. Iver, perlit ilsued sball beCOle in,alid
<br />unless the work authorized by such per.it is cOllenced lithin sil IOnlhs of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the lorl is cOllenced. One 90 da, ealension of tile, Jal he
<br />allowed (or the per.it with fee charge of $15.00. the extension sball be requested in writing to the Building Official. An
<br />approved inspection 'UBt be logged during each six IOnth period, or the project lill be considered abandoned.
<br />W^RHIHG TO OlfIfER: YOUR FAILURE to RICORD A 10nCI OF COHtIERCBltBNT MT RISULT III YOUR PAYlIG filCH FOR I"PROVIKBITS TO YOUR
<br />PROPERTY. IF YOU lNTIiND TO OBrAII PIIAICIIIG, (OISUL' WnH YOUR LBIfDBR OR All AITORIfBY BIPORI RICORDIIIG TOOl IOfICI OP
<br />COHHEICKHBHT. JOBS UHDRR U,500 IN VALUI DO ROT NIID to RICORD AHD POST A 'NOTlCI OP COIIIBIClIIKIITi.
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<br />~"R~~~ SlcW~
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<br />STATE OF FLORIDA
<br />COUHTY OF Pa.Sc.o
<br />The foregoing instrument
<br />before me this " ::JAAJ
<br />
<br />was acknowledged
<br />, 19..92- by
<br />
<br />STATK OF FLORIDA
<br />COUIIY OF .J..h Lf. s 8 tJ ~o ~ J J..
<br />The foregoing instrument WBS acknowledged
<br />before me this q .::r~ , 193'2.- by
<br />
<br />h' (~ .
<br />w 0 18 P ally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />takeaalL ut
<br />(Signature) .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th. ,/ ~
<br />aJ~J:-_p ~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />o IC L NOTARY SEAL
<br />. ALLAN KELLY
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />COMMISSION NO. CC473399
<br />MY COMMISSION EXP. UNE 26,1999
<br />
<br />OFFICIAL NOT AR SEAL
<br />ALLAN KELLY
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />I COMMISSION NO. CC473399
<br />MY COMMISSION EXP. JLNE 26,1999
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