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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this perait lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. !be undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired 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 contractor laY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat 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 />Furtheraore, 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 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWJler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOleODe other than the
<br />.owner", I certify that I bave obtained a copy of the above described docUll!Jlt and pr~ise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />,
<br />
<br />Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a peIlit and that all work will be perfoIJed to teet 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 goverDlental agenCies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDleRtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan
<br />addressing a "c~pensating voluae" 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 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such petlit is COIIeDCed within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c..mced. One 90 day extension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARMING fO OWNER: YOUR FAILURE fO RECORD A NO'I'ICE OF COMMINCEMBIft' MAY RESULf IN YOUR PAYING filCE FOR IMPROVIMElIl'S TO YOUR
<br />PROPERlY. IF YOU IIft'BMD fO OBfAIN FlHAMCING, CONSULf WIfH YOUR LENDER OR AM AffOJlRBY BEFORE RECORDING YOUR JlO'I'ICE OF
<br />COMMBJlCBMEJIf. JOBS UNDER $ N VALUE NO'I' HEED 1'0 RECORD AND POST A "NO'I' E OF N "
<br />/'
<br />
<br />
<br />
<br />e
<br />
<br />known to me or who has
<br />13-...5>-0-/' 6- -0
<br />d who did/did not
<br />
<br />SfAfE OF FLO~A
<br />COUHTY OF QSt.-Q
<br />The foregoing ins~.ent was acknowledged
<br />before me this 1\ , 19~ by
<br />
<br />~\'cl-u~\ ~ ~~
<br />who 1S Dersonally known to me or who has
<br />produced np.
<br />as identification and who did/did not
<br />
<br />ta~~~
<br />~ ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STAfE OF FLO.JqDA
<br />COUIft'Y OF \-Q!b QD
<br />The foregoing i~rum. ent was acknowledged
<br />before me this . \\. , 19q1 by
<br />
<br />
<br />(Signature)
<br />
<br /><:..
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />,:...,,-::"!J.'f~~f, SHARON L. BARBER
<br />~l:~""";'
<br />[*: . :;~ f.l{ COMMISSION 1# CC443613 EXPIRES
<br />~'..w March i. 1999
<br />"!,~iir::f..~" BONDED THRU TROY FAIN INSURANCE. INC
<br />
<br />~~~~ Nancy A. Moody
<br />f,,: ~~ ~ COMMISSION fI CC534806 "Xf'
<br />~ jj February 21.2000
<br />"': .' BONDED lHRU TROY FMf INSURI,:iC;
<br />
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