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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perait lay be subject to Ideed restrictions I wbich lay be lOre restrictive than City
<br />regulatiOns. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. .UNLICB~ED CONTRACTORS AND CONTRACTORRESPONSIBILITIEs:.' ,.
<br />If the Owner bas""hlted a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<br />state and, lQC~l: regul~tions. .If, th~ cyntra,ctQr i~:not l~~ed ~; r.equirad by law, both the mmet" and contractor lilY be
<br />cited for a lisdeleanor violation under state'lav.' 'If the oWner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for tbe intended vork, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-66U.
<br />
<br />.
<br />. , ~ .
<br />FtIrtherlOre, if tbeovoer'bas 'blredil contractor or contractors, be is illlvised to bave the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for wbicb theY.1dp be responsible. If you, as,tbe,OIf!1er si91l''ilS, 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 peraitt14g 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affifirs. If the applicant is sOll!One other tban the
<br />Immer", I certify that I bave obtained a copy of the above described doCUient and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT.
<br />I certify that all the ihfarlatton iit this application is' accurate 'and that ail wrkwlUbe done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent., ,
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />inst~ation bas cOllenced prior to issuance of a perait and that all vork will be perfoIJed to leet standards of all laws
<br />regul~ting construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />cert fy that I understand tbat the regulations of other goveIDlelltal agenCies lilY apply to the intended vork, and that it is
<br />IY responsib~lity to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & ~ebabilitative Services; EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic Tanks
<br />t US Envirolllental Protection Agency - Asbestos abateaent -.
<br />I also certify that, if fill Iilterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOlpensating VOlUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of.
<br />Florida ~rior to perlit, issuance. -
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent ~e Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ever; perait issued sball becOlle 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 IOnths after the till! the work is cOllenced. One 90 day extension of tile, lilY be
<br />allowed for the pera,~with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO 0IfNBR: YOUR FAILURE TO RECORD A NOTICE OF COHMEIICHHEN'I' HAY RESULT IN YOUR PAYING !VICE FOR IMPROVIMBIIS TO YOUR
<br />PROPERTY. IF YOU IH!END TO OB'lAIN FIIIAIICIIIG, COIfSULT WI!H YOUR LINDER OR All AnORIIY BEFORE RECORDIIIG YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AJID POST A "NOTICE OF COMHENCmmrrr".
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<br />SIGNATURE: COH!RACTOR
<br />
<br />SIGHATURI: OVIIER OR AGHlf'f
<br />
<br />STATE OF FLORIDA
<br />COUrrry OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />-...-
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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