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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />110 ......lgaoI ......liods IIot thil pe..lt .., be subject 10 'deoi '..t'letl.... "Icb .., be .... 'estrlctl.. tIoa Clt,
<br />regulatiOOl. ibe undersigned assUleS responsibility for CUlpllance wltb any applicable deed restrictioaa.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfJIer bas bired a contractor or contracton to undertue work, tlley IIY be rquired to be l1C1118ed in iCCOrdince with
<br />state and local regulations. If the contractor is not licensed as required by law, both the ower and COIltnctor II, be
<br />cited for a lisdel8anor violation under state law. If the OIner or intended contractor are uncertain as to what l1clDllng
<br />requirllents lIy apply Cor the inlended work, the, are advised to c~ntact the Cit, of Zepb,rhill. Building DepartllDt, (813)
<br />788-6611. .
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<br />FurtherlOre, if the owner has bired a contractor or cootractors, be is advised to have the contractor(s) siga portioaa of the
<br />'Cootrletor Seetl.... 01 thil IJIPilcatloo lor lIbicb tber 111I he '_role. II rou. as tbs _ 8.Igo as tbs CIIIlnclor,
<br />you are indicating that you, ratller than the contractor, are responsible for the worl. If the coatractor wi_ fOU to siga
<br />as coatractor that II, be an indication that be is not proped, licensed and is not entitled to pumtUng priti. .ta tile
<br />Cit, of Zepb,rbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LftW (CIIAPTER 713, FLORIDA BTATUTES,I AS AHBlfDED)
<br />I certify that I, the applicant, have been provided with a cop, of -Florida'. Constructioo Lien Law _ ...... Protec:tiCIII
<br />Guide- prepared by the Florida Departlent of Agriculture and ConsUlar Affairs. If tile applicant is .... other than tile
<br />-OIDer-, I certiCy that I have obtained a copy of the above described ducUlant and prOlise in good faith to deliver it to tile
<br />-ownec- prior to COIIenC818nt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlltion in tbis application is accurate and that all work will be done in COIpliance with all
<br />applicable la.. regUlating construction, loning, and land deve~oPl8nt.
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<br />Application is bereb, lade to obtain a perlit to do worl and instailation as indicated. I certif, that DO IOrl or
<br />installation baa co.enced prior to issuance of a pu.it and that all worl will be perfoned to .et staadards of, all 1_
<br />regulating conatruction, City codes, loning regulation., and land deYlIO(lMllt regulatiOO8 in tile judsdictlOD. I also
<br />certify that I understand that the regulations of other go'el1lleDtal agencies II' Ippl, to the Intended 110I'1, and that it Is
<br />I' responsibilit, to identify what actions I lusl take Lo be in cOlpliance. Such agencies include but are not lil1ted to:
<br />I Deparllent of EnvirORlental Regulation - C,press BaYbeads, Wetland Areas and Envir08leDtall, Sensitive Landa.
<br />' Water/Wastewater Ireatlent
<br />I Southwest Florida Water Hanag8leDt District - wells, C,preas Ba,beads, Wetland Areas, Altering Witercouc818
<br />I ArIY Corps of Engineers - Seawalls, Docks, lavigable WiteCla,s
<br />I De rbent of Health' Rehabilitative Services InYirlllllental Health Unit - Well., Wastewater IreaUent, Septic lanb
<br />I US IaYirOOllental Protection Agenc, - Asbestos abatllent
<br />I also certify that, if fill laterial is to be used in Flood Zone -I- or -A,ete.-, it is understood that I drl1Dlge plIO
<br />addrl88ing a -COIpensating '01.- will be subllitted which is prepared b, a professional engineer registered iJI tM Stlte of
<br />Florida prior to per.it, issuance. ,
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<br />. I -.It I...... 8lIa1l he _trued to he a IIcwe 10 P'oceoi ,ltIl tile .... .... lilt as iIIli1urlt,lO 1I00ata. ..... litar. or
<br />set aside anJ provisions of the technical codes, nor shall i~~e of a perlit prevent the 8ullding Official fr. tbenlftu
<br />rlljUi,IDg a correc:t1l11 01 errors I. pi.... -lrucUlII. or 'loIaUlII8 01 au, cuds. ...., llIIIit __ BII8IJ ...... IIta.Ud
<br />ual... tile .... autllorlsed by 81IdI _It It _ Iltlli Iii ...tIIs 011_. or if _. lIIItIlarl.... by tbs llIIIit It
<br />suspended or abandoned for a period of sil IOntbs after the tile the work is c:o.enced. One 90 day eatlD8ion of tbe, II' be
<br />allowed for the perlit with fee charge of $15.00. rbe extension shall be requested in writing to the Building Official. In
<br />approved inspection lust be logged during eacb sillOllt.b period, or' the project will be conaiderecl abandoned.
<br />"ARNING ro (illER: YOUR FAILURE ro RECORD A IOTICR OF CC>>IIIIIC:IIar lilY RBSULI II YOUR PAYlIG IIlIa lOR IHPROVIIIIII8 10 1011I
<br />PROPIRrY. IF IOU IITIID TO OBTAI I FlIAIClHG, CONSULT "IIH YOUR LlllDIR OR All AnOUBY BIFORI RICORDIIG YOUR IOlla OF
<br />COIIHIJI T. JOBS UIDE $2,500 11 VALUR DO lOT 1110 TO RICCHlD AID POST 1 -NOTICR OF CCIIIIIIICIIIIul-.
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<br />" I
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<br />:\~"1 '11,
<br />.- 6'~ Brenda L BuchlllM
<br />* ~ * My Commission CCS18U4
<br />":0 ~... Expires Janu_ry 27, 2001
<br />"l't(lF fl'.....
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<br />STATR OF FLOJIllJA ()
<br />coum OF Y4- $'<2<..>
<br />The foregoing ~ru.ent was a~ledged
<br />before lie this .. ,l ~ () , 19 by
<br />
<br />3-&-h~ T. fS 0 I enJt.-Y
<br />w.bo.....is personally known to _ w: _8 lias
<br />pl=OClueed
<br />as identIfication and who did/did Dot
<br />take~~~&"L/~
<br />(Signature~ ~ .It ~
<br />It: _/ . /At: d-J
<br />(Na.e Typed, Printed or Staaped)
<br />NOTARY PUBLIC
<br />
<br />W"" ~ 8I8rldIt L Sucttanan
<br />* * My Commlslion CC8fS!l54
<br />~"lt., ..~, ElIp/res J8!1UaIy:n. 20M
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