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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ybe undersigned understands tbat this pertit .ay be subject to "deed restrictions" wbich .ay be lOre restrictive than City
<br />regulations. Ybe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey .ay 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 contractor lilY be
<br />cited for a .isdeteanor violatien under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requiretents .ay 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 hired 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 tbat you, rather than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<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 ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided witb a copy of .Florida's Construction Lien Law - HOIIl!OlfI1er's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOJeOne other than the
<br />.owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOIlenCetent.
<br />
<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance witb all
<br />applicable laws regulating construction, zoning, and land developteDt.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pertit and that all work will be perfolled to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDllental agencies tay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in co.pliance. Such agencies include but are not lilited to:
<br />* Oepartlent of EnviroRlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a "cOIpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball is~uance of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tiae the work is cOllenced. One 90 day l!Itension of tiae, lilY be
<br />allowed for the pertit with fee charge of $15.00. Yhe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARHING TO OWNER: YOUR FAILURE YO RECORD A NOTICE OF COMMEffCEMEIft' MAY RESUL'1' IN YOUR PAYING 'lVICE FOR IMPROVEMEITS '1'0 YOUR
<br />PROPERlY. IF YOU IIft'Erm TO OBYAIM FIKAlfCING, CONSULT WIYH YOUR LErmER OR AI A'1''fORm BEFO HE ING YOUR NOTICE OF
<br />COMMENCEMRN'l'. JOBS UMDER '2,500 IN VALUE DO NOT NEED 1'0 RECORD AID POSY A "NOTICE OF C "
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<br />SIGNATURE: OWNER OR AGE1ft'
<br />
<br />SIGNATURE: C
<br />
<br />
<br />SYATE OF FLORIDA
<br />COUN'l'Y OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y 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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