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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that tbis perlit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. 'I'be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe 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 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 what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if tbe 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 tbe contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Zepbyrbills.
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<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 - HOJeOIIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is scmeone other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUlent and prOJise in good faith to deliver it to the
<br />"owner II prior to couencl!lellt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe inforJation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to lIl!et 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 goveDlleDtal agenCies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirOllleIltal Health Unit - Wells, Wastewater 'I'reatlent, Septic '1anks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc. I, it is understood that a drainage plan
<br />addressing a .cOJpensating VOlUleR will be sublitted wbicb 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 sball is~uance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. '1he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARRING 'f0 OWNER: YOUR FAILURE '10 RECORD A NO'l'ICB OF COIIMEKCEHBN'I HAY RESUL'I IN YOUR PAY 'IN FOR IMPROVEHBII'l'S '1'0 YOUR
<br />PROPERTY. IF YOU IN'lEND '1'0 OB'lAIN FIIWICING, CONSUL'I' WI'I'H YOUR LENDER OR AN AT'l'ORHBY YOUR NO'l'ICB OF
<br />COMHENCEHBN'I. JOBS UKDER $2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A INO'l'ICE 0 C
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<br />SIGNAtURE: OWIIER OR AGEN'I
<br />
<br />
<br />SIGIA'I'URE:
<br />
<br />STATE OF FLORIDA
<br />COUKTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum 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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