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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pellit lay be subject to "deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbellOre, if tbe owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner Sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJleone other tban the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prOJlise in good faith to deliver it to the
<br />"owner" prior to cOIleDCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation in tbis application is accurate and that all work will be 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 />installation bas cOlleDced prior to issuance of a pellit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llelltal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in coapliance. Sucb agencies include but are not lilited to:
<br />t Departlent of KnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfNastewater Treatlent
<br />t Soutbwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, KnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cQlpensating volute" will be subiitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A pellit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work 'authorized by sueb 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 IOntbs after the tile the work is co.enced. One 90 day extension of tile, lay be
<br />allowed for the pellit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IODth period, or the project will be considered abandoned.
<br />WARMING '1'0 ONNKR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCKllENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBlTS TO YOUR
<br />PROPERTY. IF YOU INTBND TO OB'lAIN FIHANCIHG, COHSULT WITH YOUR LEIIDER OR AN AnORHEY BEFORE RBCORDIHG YOUR HO'rICE OF
<br />COMMEHCEMENT. JOBS UllDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />-Mov a.~
<br />1S16lAruRB: ODER OR AGEI'f
<br />
<br />~'-JL ~~
<br />SIGNATURE: COJl'J'RACtoR
<br />
<br />STATE OF FLORIDA A
<br />COUNTY OF Cl S Co
<br />The foregoing ~strument was a~owledged
<br />before me this' \UD ~ , 19 q -0 by
<br />
<br />(\\~~~ ~\.\.~ -
<br />who is person~lY ~p~ to me or who has
<br />produced ~\ 1\ ~\ ~
<br />as identificati and who did/did not
<br />a e alf 0 the
<br />
<br />STATE OF FJ.ORlDA..
<br />COUNTY OF. ~ C- ~CO
<br />The foregoing instrum~was a~kn~ledged
<br />before me this _1 Ct) \t _19 by
<br />
<br />~ebb~e S-t-e.-\Je...
<br />who is personally known to me or who has
<br />produced 'b~~?>lo-n'l-~-qd-~
<br />as identification and who did/did n
<br />ke all oath.
<br />
<br />
<br />(Name
<br />NOTA
<br />
<br />Typed, Printe
<br />L lualOmAD fLOIlD~
<br />NC1tAJ.Y fU1lUC 11'1.11 OF
<br />~NO-~_
<br />
<br />)
<br />
<br />
<br />A' :\...e 2>
<br />(Name Typed, Printed or Stamped)
<br />v".:
<br />NOTARY PUBLIC 'J ,.... BONlTAaJONES ,i
<br />t" :~il~:a MY COMMISSION # CC 724254
<br />; 'I:). Iii EXPIRES: March 22, 2002
<br />.~! ",''),: "'1Ol; Bonded Thru Notary Public Underwriters
<br />~L"'JIf,,\1' , ....
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