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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />-A.' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit Ii' be subject Lo -deed restrictions- wbich la' be .ore restricti,e than City
<br />regulations. The undersigned asSUleS responsibility for COIpllance witb any applicable deed restrictiooa.
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<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRAC'l'On RESPONSIBILITIES
<br />If the owner bas blred a contractor or contractors to undertale worl, the, la' be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required b, law, both the owner and cootnctor la' be
<br />cited for a lisdeI8aDor violation under state law. If the owner or intended contractor are uncertain as to wbat liClD8lng
<br />requirellDts laY apply for the intended work, they are advised to c~ntact the City of Zepbyrbills Building DepartleDt, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe cootractor(s) sign porUooa of tile
<br />-Cootractor Sections- of this application for wbicb the, will be responsible. If JOU, II the OIIIlU li911 as the c:aotractor,
<br />,ou are indicating that you, ratber than the contractor, are responsible for the wort. If the contractor wiabes you to 11gn
<br />as contractor that la' be an indication that he is not properl, licensed and is not entitled to penitUog pd,.llagu 111 tbe
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN L'I\W (CIIAPTER 713, FLORIDA STATUTES,I AS AHUDBD)
<br />I certify that I, the applicant, bave been provided with a copy of -Plorida's Construction Lien Law - 1IoMoImer'1 ProtectiOll
<br />Guide- prepared by the Plorida Departlent of Agriculture and ConsUl8r Affairs. If the applicant is 8OI8Qn8 otber tban the
<br />-owner-, I certif, that I have obtained a cop, of UIe above described duc:lIII8Dt and prOllis8 In good faith to deliver it to tile
<br />-owner- prior to COllBDc8lent.
<br />
<br />i i
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certif, that all the inforlation in tbis application is accurate and tbat all worl will be done in COIplianee with all
<br />applicable la.. regulating construction, loning, and land developlent.
<br />,
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<br />Application is hereb, lIde to obtain a perlit to do wort and lnatailation II indicated. I certify that DO IfOI't or
<br />inatallation bas ~ed prior to issuance of a perlit and that all wort will be perfoned to Mlt ltandards of, all 1_
<br />regulating construction, Cit, codes, loning regulations, and land de,elopl8Dt regulations In the jurladicUoo. I a180
<br />certify that I understand that UIe regulations of otber go,elDleDtal agencies la' apply to the Inteodld wort, anc1 that It is
<br />I' responsibilit, to identify what actions I lusl tale Lo be in cOlpliance. Sucb agencies include but ue not 11l1ted to:
<br />· Deparllent of EnviroRlental Regulation - C,press BBybead8, Wetland Areas and InyiroRleDtally Sensitive Landa,
<br />, Water/Wastewater Treatlent
<br />· Southwest Plorida Water Hanagelent District - Wells, Cypress Ba,beads, Wetland Areas, Altering Watercoucl8I
<br />· klY Corps of Engineers - Seawalls, Doels, Navigable Watenays
<br />· Departlent of Health , Rebabilitative Services, In,irODleDtal Health Unit - Wells, Wastewater Treatlent, Septic ,ants
<br />t US En,irODleDtal Protection Agency - Asbestos abatllent
<br />I also certify that, if fill IIterial is to be used in 1100d lone -.- or -A,etc.-, it Is understood that a drainage pllD
<br />addr888log a -COIpensating ,olue- will be sublitted which is prepared by a professional engineer registered 1D tile 8t1te of
<br />Plorida prior to perlit, issuance. ,
<br />
<br />. I perlit luued sball be construed to be a license to proceed with tbe wort and not as authority to violate, CIIICI1 alter, or
<br />set ~side any provisions of the technical codes, nor shall is~u~e of a perlit prevent the Building Official frOl tbereafter
<br />reguulng a correction of errors in plans, construction, or violations of any code. IVBlJ penlt il8ued lball beaiIe 1II'al14
<br />unless tbe wort autborilecl by sueb perlit is cOMIncecl within sillOlltbs of iS8uance, or if wort autborbed by tile pealt II
<br />suspended or abandoned for a period of six IOntbs after the ti. the wort Is co.enced. ODe 90 clay IItenslon of u., la' be
<br />allowed for the perlit with fee charge of $15.00. Tbe lltenaion shall be requested in writing to the Building Official. III
<br />approved inspection lust be logged during each six IODtb period, or' tbe project will be conalc1ered abanc1oned. '
<br />WARHIIIG TO (RINER: YOUR PAIWRI TO RECORD A 1I0llCE OP CCIIIDCBIIBJIT HAY RESULT III YOUR PAYlIIG niCE FOR IMPIlOVBllllr8 !O YOUR
<br />PROPIRTY. IP YOU IIITiJlD TO OBTAIN FlIIANCING, CONSULT WITH yooR LlIIOIR OR All AnORRIY BIPORB RICORDIIIG ,YOUR IIOIICI OP
<br />COHHENCIlIWfT. JOBS UIIDER $2,500 III VALUR DO NOT NEilD 1'0 RICOIlO AID POST -NOTICR OF CCIIIIBIICIIIIn-.
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<br />
<br />STATI OP PLORIDA n
<br />COUll" OP ~'SQo
<br />The foregoing ~ent was ~nowledged
<br />before lie this - 2-D, l~ by
<br />
<br />'~;'l ~. ~~/
<br />who is personally known to lie or wbo bes
<br />pl'6du\OltId
<br />
<br />
<br />: I'
<br />
<br />tat
<br />
<br />
<br />and who did did not
<br />I
<br />
<br />coom 01' ~ S t!{)
<br />The foregOing ~~en.7~6was a~owledged
<br />before lie this , 19~ by
<br />
<br />~^ J ~.. tkJ~p/
<br />who is personally known to _ 81' wile II..
<br />preduced'
<br />
<br />tat
<br />
<br />
<br />t4?N IJA L ( 6~c h/l.-..:J (z-.)
<br />(Nillle Typ , Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.-' ,,,
<br />~~6."'10 Brenda L ~
<br />* ~ * My Commission C06'"
<br />">:,!lfR.~.. Expires January 27. 2001
<br />~..., ,\.O
<br />
<br />~'"
<br />"Wi1- Brenda L BuchIntn
<br />
<br />~, , * ~y Commission CC81!l5S4
<br />"".' ..~.. ."PII'" January 27 200.
<br />", ,.~ fJ . ,
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