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<br />CONDl'l'lONS OF PEUMI'l' AFFIDAVI'l'
<br />^. - NOTICE OF DEED UES'l'RIC'l'IONS
<br />TIle undersigned underatands tiiati:iiIspel.iC.ayliesubject to "deed restrictions" wllich lay be lOre restrictive than City
<br />regulations. Tile undersigned assll1es responsibility Cor co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONl'UAC'1'OHS AND CON'l'JIAC'1'OH UESPONSIBILI'l'IES
<br />If UIII owner has hired a contractor ofCOni.[actolRtouildertale work, tiley lay be required to be licensed in accordance with
<br />staLe and local regulations. If Llle contractor is noL licensed as required by law, boLh the owner and contractor lay be
<br />cited Cor a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!llents lay apply for Ule inLended work, IJmy are advisl!d to conLacL the City of ZepllyrbiUs BuUding Deparl:lent, (813)
<br />788- 6611.
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<br />Furtherlore, if the owner has hired a conLracLor or contractors, he is advised to have Ule contractor(s) sign portions of the
<br />.Contractor Sections" of this application Cor IIhich Lhey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, raUler Ulan Llle contractor, are responsible Cor the work. If the contractor wisbes you to sIgn
<br />as contractor that lay be an indication tllat he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhiIIs.
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<br />C. 'l'UANSPOU'l'A'l'ION IMPAC'l' FEES AND U'l'ILl'l'Y CONNECTION FEES ~ ~
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<br />D. CONS'l'UUC'l'ION LIEN L'l\W (CIIAP'l'EH 713, FLOlUDA STA'l'UTES, AS AMENDED)
<br />I certiiy tha~ihe applicant, have been provided with a copy oC .Florida's Construction Lien Law _ HoIeoIner'. Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and Consll1er Affairs. If the applicant is sOleone other tban the
<br />.owner", I certiCy that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. COWrUAC'l'OU' S/OWNER' S AFFIDAVI'l'
<br />I certify that aU the inforlation in this application is accurate and that aU work will be done in cOlpliance with aU
<br />applicable lalls regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all lIor1 will be perforled to leet standards of all law8
<br />regulating construction, City codes, loning regulations, and land developlent regulations In the jurisdiction. I also
<br />certify that I understand that tile regulations of oLher goverRlentBl agencies .ay apply to tbe intended vorl, and that it is
<br />Iy responSibility to identify wllat actions I lust take to be in co.plianee. Such agencies include but are not lillited to:
<br />t Deparltent of EnviroRlental Regulation - Cypress Bayheads, Metland Areas and EnviroRlentally SensitIve Lands,
<br />Mater/Mastewater Trealtent
<br />t Southwest Florida Mater Hanagetent District - Mells, Cypress Bayheads, Metland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Doc1s, Navigable Waterways
<br />· Departaent of Health , Rehabilitative Services, EnviroOlental Health Unit - Mells, Mastewater IreBtaent, Septic 'anla
<br />t US EnviroOlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fIll .aterial is to be used in Flood Zone "An or "A,etc.., it is understood that a drainage plan
<br />addressing a "co.pensating volDle" will be sub.itLed which 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 1I0rk and not as autbority to ,lolate, cancel alter, or
<br />Bet aside any provisions of the lecllnical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. I,ery perlit issued ahall beCOll invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wor1 authoriled by the perlit is
<br />suspended or abandoned (or a period of six IOntlls after the tile the wor1 is cOIIenced. One 90 day l!Itension of tille, lilY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall 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 />MARNING TO WlfIiR: YOUR FIULURK TO RKCORD A NOTlCK OF COHHIiNCIiHENT HAY RESULT IN YOUR PAYING "IICH FOR IHPROVIlItBI1'S 10 YOUR
<br />PROPIRTY. IF YOU INTIiND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNBY BEFORl RICORDING YOUR JarlCH OF
<br />COHHKNCEHKNT U DER $2,5 VA UE or NIiBD TO RBCORD AND POST A "NO OIlHENCBMI
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<br />: I
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<br />L',A-Y H
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknOWledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />1
<br />~
<br />
<br />was acknowledged
<br />, 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
<br />
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