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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be underslgnec1 under8taDds that Ws penit .y be subject to 'deed restricti0D8' "bieb .y be .re restrictive than City
<br />regulati0D8. !be UDdersigud iI88UIe8 respODSibility for cmpliance "itb anf applicable deed restricticlJs.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES ..
<br />If the 0I0I8l bas bired a contractor or contractors to unc1ertUe vork, they .y be required to be liceD88cl in acc:orcJanci' "itb
<br />state and local regulati0D8. If the contractor is not licensed as required by law, botb the 0IIDl!f and contractor.f be,
<br />cited for a lisdeleanor violation under state law. If the OlDer or Intended contractor are uncertain as to "bat liceuing
<br />requireRDts .y apply for the intended vork, they are advised to contact tbe City of Zepbyrbills BuildiDg Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the 0I0I8l bas bired a contractor or contractors, be is advised to bave tbe coatractor(8) 8ign portions of the
<br />'Contractor Secti0D8' of Ws application for whieb tber "ill be responsible. If you, as tbe OIIIler sign as the CDltractor,
<br />you are indicating that JOU, ratber than the contractor, are responsible for the vork. If the CDltraCtor "la.bes you to 8ign
<br />as contractor that .y be an indication that be is not properly licensecl and is not entitled to pemitting privileges in the
<br />City of Zepbyrbllls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED)
<br />I certify that I, the applicant, bave been provided "itb a copy of 'Plorida's CODStruction Lien Law - .......s Protection
<br />Guide' prepared by the Plorida DepartJent of Agriculture and CoIl8Ull!f Affairs. If the applicant i8 8CII8OI1e otber than the
<br />'OlDer', I certify that I bave obtained a copy of the above described docuJent and prcmse in good faitb to deliver it to the
<br />'OlDer' prior to, cc.enC8lll!l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the infonation in tbis application is accurate and tbat all vork "ill be clone in cmpliance "itb all
<br />applicable 1_ regulating construction, lOlling, and land devel~t.
<br />
<br />Application is bereby llade to obtain a perlit to do vork and installation as indicated. I certify tbat 110 vorl or
<br />installation bas CDIeDC8d prior to i88uance of a perlit and that all vorl "ill be perforJed to ..t staDl1ard8 of all 1Da
<br />regulating construction, City codes, soning regulations, and land develO(lll!llt regulations in the juriB41ctiCll. I also
<br />certify that I understand that the regulations of otber gOYerDI8Iltal agencies .y apply to the intm1ed vorl, and that it is
<br />If responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are DOt lutted to:
<br />t DepartJent of InvlroDlleDtal Regulation - Cypress Bayheads, WeUand Areas and InfiroDlleDtallf Sensitive LaDda,
<br />later/lastewater !reablent
<br />I Soutbvest Plorida later Jlanaq8leDt District - lells, Cypress Baybeade, letland Areas, Altering Watercourses
<br />I ArJy Corps of Ingineers - Seawalls, Docts, lavigable latmafs
<br />I Departlent of Bea1tb & Rehabilitative Senices, InvirODl8lltal Bealtb Unit - Iella, lfaatellater !reatlent, Septic lants
<br />I US InviroDleDtal Protection Agency - I8best08 abatuent
<br />I also certify that, if fill .teriaI is to be used in Flood Zone 'A' or 'A, etc. " It Is understood tbat a drainage plan
<br />addressing a 'CCIIpeD8ating volUJe' will be sulaitted "bieb Is prepared br a professional engineer registered intbe State of
<br />Florida prior to penlt i88uance. . ,
<br />
<br />A pmit issued sball be construed to be a license to proceed witb the vorl and not as autboritf to violate, caac:e1 alter, or
<br />set aside any provisiOl18 of the technical codes, nor shall i88uance of a pmit prevent the Building Official fa tbereafter
<br />requiring a couectiCll of errors in plans,' COD8Uuction, or violatiOl18 of anf coele. hery perlit .1881l8l1 aball becme iD'falld
<br />unless the IOrl autborlled by such pmit is co.eoced .itbin su IOIltbs of issuance" or if IOrl autborl_ by the perllt Is
<br />suspended or abandoned for a period of sillOlltbs after the tile the vorl is ~ced. ODe 90 day uteDsion of tile, ., be
<br />allowed for the pmit witb fee cbarge of '15.00. !be utension sball be Iel@Uted in lIiting to the BuiWng Official. An
<br />approved inspection lUSt be logged during eaeb sil IOIltb period, or the project will be considered abandoned.
<br />ImIRG ro (JfIIR: YOUR PULURlIO BICORD A IOI'Ia OF CCllllllCllllllIIIY RESULr II YOUR PIYUG !ilIa POI IIIPROVIIIlI!8 ro YOOR
<br />PROPIR!Y. IF YOU IIIIIID ro oorIU PIIIICIIG, COISULr lira YOUR LDDIR 01 D IftORIIY IIB10IIB IIICOIDIlIG YOUIlO'fla OF '!.'
<br />aJlMUCEIID!. JOBS DIDO '2,500 II VILUI DO 10'1 OED ro RECORD DO POS! A 'RO'IICE OP CCIIIIIICIIIIII'.
<br />
<br />SIGJIA_: (IIJIJII 0I1G1111
<br />
<br />SIW_: COJmlACfOR
<br />
<br />srArl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />sIAn OF FLORIDA
<br />coom OF
<br />The foregoing instI'Ullellt was acknowledged
<br />before .e this , 19_ by
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to _ or who has
<br />produced
<br />as identification and who did/did not
<br />take an OiJth.
<br />
<br />(Signature)
<br />(Bame Typed, Printed or Stuped)
<br />ROTARY' PUBLIC
<br />
<br />(Signature)
<br />
<br />(Ra.e Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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