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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be .ure restrictive than City
<br />regulations. The undersigned ass lilies responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OU RESPONSIBILI'l'IES
<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 the contractor is not )icensed as required by law, ~tb the owner'andcontractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply (or the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.. .- . . ' .
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections" of tbis application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />(or..!
<br />,
<br />
<br />D. ~ONSTRucrl'ION LIEN fA\W (CHAPTER 713, FLOIUDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer'8 Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consllller Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deUver it to the
<br />"owner" prior to co..encelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate 'and that 'all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />1\
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to l8et standards of all 1818
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I al80
<br />certify that I understand that the regulations of otber governaental agencies lay apply to the intended wort, and that it i8
<br />Iy responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />I Departlent of BnviroDlental Regulation - Cypress B8yheads, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Vater Hanagelent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb , Rehabilitative Services, Environlental Health Unit - VeIls, Vastewater Ireatlent, Septic lanks
<br />t US InviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />
<br />. A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tecbnical codes, nor sball is~u~nce of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Ivery petlit issued sball beCOle invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOntbs of issuance, or if wort authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work Is cOllenced, One 90 day 81tension of tile, Jay be
<br />allowed for tbe perlit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building OffIcial. An
<br />approved inspection .ust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RBSULT IN YOUR PAYING nUCE FOR IHPROVBIIBIIS 10 YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIIf FIIfANCING, CONSULT WITH YOUR LINDIlR OR AN AnORRBY BIFORK RICORDIIfG YOUR NOTICE OF
<br />COKHENCEHENT. JOBS UNDER $2,5 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMKNCKKKNI".
<br />
<br />
<br />~~?--
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PAS (' D
<br />The foregoing instrument was acknowledged
<br />before me this U, ~ ~ , 19-.!1-Z by
<br />
<br />N8-SoN RYMAtJ
<br />who is personally known to me ~r Wh6 hft8
<br />preduGod
<br />&s ideRtificaliun-and who ~/did not
<br />
<br />take ~h....J& ~.~
<br />(Signature) .
<br />KATflL~) J: Zl3Al>w;J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASC 0
<br />The foregoing instrument was acknowledged
<br />before me this &- at) , 19 97 by
<br />
<br />N ELSnt-...\ ~~NJ.\tJ
<br />who is personally known to me or ..ho baa
<br />p!'6dt1ced
<br />as ideRti~i~ati8A and who ~/did not
<br />
<br />take ~ n.&""
<br />(SigDa Dre) . ~~T.P.::/::/ d
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~'\"g6(,.t' KATHLEEN J BROWfII
<br />'" ~ My Col11l'ltlPlon CC449029
<br />*~. ~ ExpireS Apr. 02, 199a
<br />
<br />~'" f\,'.J'
<br />
<br />,.,.\~. PillJ(
<br />..,"'....C~,.t'
<br />
<br />~fI:
<br />
<br />"'" Of f\,O'tl
<br />
<br />KATH~ J BROWl'
<br />MYCo~CC4'"
<br />ElCplr- Apr. 02, 1_
<br />
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