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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pmit lar be subject to 'deed restrictions' wbich lar be lOre restrictive than Citr
<br />regulatiOllS. !he undersigned as8Ulle& respcll8ibility for CCIIpliance with any applicable deed restrictiOllS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIler bas hired a contractor or contractors to undertake IOrt, they Illr be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lall, both the lJIIIler and contractor IIf be
<br />cited for a IiscleManor violation under state lall. If the 0IfIlBl' or intencled contractor are uncertain as to wbat licensing
<br />requirBlBllts laY apply for the intenclecllOrt,tbey are advised to contact the City of Zepbyrbills Builcling Departlent, (813)
<br />788-6611.
<br />
<br />Furtbe[lOre, if the 0IfIlBl' bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiOllS of the
<br />IContractor SectiOllSI of this applicatioo for Dich they will be responsible. If JOU, as the OIIler sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the IOrt. 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 pmitting 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 IFlorida's COnstruction Lien Law - lDeoImer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and ConsUIBI Affairs. If the applicant is 8OIl!OIl8 other than the
<br />lOIII1erl, I certify that I bave obtained a copy of the above described doc:uIent and pICllise in good faith to deliver it to the
<br />lOIII1erl prior to cc.encelBDt.
<br />
<br />E. CONTRACTOR' S/OWNER I S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable liDIS regulating construction, loning, and land develo(ll8llt.
<br />
<br />Application is berebr Iacle to obtain a perlit to do IIOrt and installation as indicated. I certifr that no wort or
<br />installation bas CDleDced prior to issuance of a perlit and that all wort will be perfoIJecl to _t standards of all lalls
<br />regulating construction, City coeles, loning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is
<br />Ii responsibility to identifr 1Ibat actions I lUSt tate to be in COIpliance. Such agencies include but are not lillitecl to:
<br />I Departlent of EnviIOllll!lltal Regulation - Cypress Baybeacls, lIetland Areas and EnvlrOllllBlltally Sensitive Lands,
<br />Vater /IIasteuter !reatlent
<br />I Southwest Florida lIater HanagBl8llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I DepartJent of Health i Rehabilitative Senices, BnvirODlental Health Unit - lIells, lIastewater freatlent, Septic fants
<br />I US BnvirOllllBlltal Protection Agency - Asbestos abatuent
<br />I also certify that, if fllllllterial is to be used in Flood ZOne IAI or II, etc. I, it is unclerstoocl that a drainage plan
<br />addressing a Icmpensating volael will be sDitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the IOrk and not as autboritr to violate, cancel alter, or
<br />set aside any provisions of the technical coeles, nor shall issuance of a perlit prevent the'Building Official fIOl thereafter
<br />requiring a correction of mors in plans, construction, or violations of any coele. Ivery perlit issued shall becme invalid
<br />unless the wort authoriled by such perlit is ~ced within sillODtbs of issuance, or if wort authorbed by the pemit is
<br />suspended or abandoned for a perioc1 of sil IODtbs after the tUB the .vort is co.enced. One 90 clay Bltension of tile, laY be
<br />allowed for the pemit with fee charge of $15.00. !be Bltension shall be requested in writing to the Building Official. An
<br />approved inspection .lUSt be logged during each sillODth perioc1, or the project will be considered abandoned.
<br />IIARMING fa 000: YOOR FAILURI fa RECORD A mICE OF CCIIIIDCIIID! MAY RlSULf IN YOUR PAYING nICE FOR IMPROVIIIIIrS fa YOUR
<br />PHOPIm'. IF YOU II!IIID ro OB!1II FIlWICING, COISOLf Iun YOOR LIIDIR OR D IJ"fORIIY BIPORB RICORDUG YOUR IIOrICI OF
<br />aJIIIICIIIBII!. JOBS DIDO $2,500 IN VALUB DO lOr lIED ro RICORD AID POSt A 'larICE OF CCIIIIBIfCBIIII..
<br />
<br />~JC#
<br />SIGIA'IURI: (MIJR OR AGBIft .
<br />
<br />CRJ
<br />
<br />~~
<br />
<br />SUR OF FLORID!
<br />COUJrY OF Pet4 ~D
<br />The foregoing instl'Ullent was acknOWledged
<br />before me this I!J~ 19....2...Z.. by
<br />J
<br />(iolleeiJ ('/J-f~e..
<br />who is personally known to me or who has
<br />produced ( P.r2 rS6 {)A Ily K'no w;;J
<br />~tificatiOD and who did/~
<br />t e,aJ' oatb~
<br />aYJ.~. .
<br />(~ature)
<br />te.le~n f-). Si,' P pc R-t
<br />(Rame Typed, Print8ci or Stuped)
<br />ROTARY PUBLIC
<br />CARLEEN A. ST1PPERT
<br />Notary Public. State 01 Rorida
<br />My Comm. Exp. Sept. 6. 1999
<br />Comm. No. CC 4935.9Q
<br />
<br />StAR OF FLORIDA
<br />coum OF Pinellas
<br />The foregoing instI'Wlellt was acknowledged
<br />before me this June 18th., 19-22..-.. by
<br />
<br />Charles Edward Adair
<br />who is personally known to me >>xxJdlDxluul
<br />pX'lHillJ..Qdx N / A
<br />as i entif.'catiQn and who didJUjX~
<br />ta 0 -
<br />
<br />
<br />
<br />( ignature)
<br />Lisa G. Big n
<br />(Ra.e Typed, Printed or Sta.ped)
<br />ROTARY PUBLIC
<br />
<br />l\""
<br />..'l' ...
<br />o (.,
<br />z .
<br />.'-
<br />
<br />USA o. BlGU~......... .
<br />NotarY PublIc. State of rlUlNG
<br />My Comm. ~920, 1998
<br />Bonded ~.1IOrllIng Co~ lnc.
<br />---~..__.~_._.
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