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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />-A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat tbis pemit laY be subject to -deed restrictions II wbicb lay be lOre restrictive tban City
<br />regulations. Ibe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 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 />requireJents lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />RContractor Sections- of tbis application for wbicb tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting priVileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of -Florida's Construction Lien Law - HOIl!OImer's Protection
<br />GuideR prepared by tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If tbe applicant is sOJeOne otber than tbe
<br />-owner", I certify tbat I bave obtained a copy of tbe above described docUJent and prOllise in good faitb to deliver it to tbe
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance witb 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 tbat no work or
<br />installation bas couenced prior to issuance of a pemit and tbat all work will be perforJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber governJental agencies laY apply to tbe intended wort, and tbat it is
<br />If responsibjlity to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include butBre not liJited to:
<br />t DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Soutbwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Amy Corps of EngIneers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Healtb & Qebabilitative Services; EnvirODJental Healtb Unit - Wells, Wastewater TreatJent, Septic tants
<br />t US EnviIODlental Protection Agency - Asbestos abateJeDt
<br />I also certify tbat, if fill .aterial is to be used in Flood Zone liAR or "A,etc. R, it is understood tbat a drainage plan
<br />addressing a uCOllpensating volDle" will be subJitted wbicb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to per.it. issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb 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 pemit prevent tbe Building Official frOJ tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOll! invalid
<br />unless tbe work authorized by sucb pemit is cOlEnced witbin six IOnths of issuance, or if work autborized by the pemit is
<br />suspended or abandoned for a period of six IOnths after tbe till! tbe work is cOJJenced. One 90 day extension of tile, lilY be
<br />allowed for the pem~twitb fee cbarge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARHIHG TO OWHER: YOUR FAILURE TO RECORD A HOTICE OF COIlMDCEMEIIT HAY RESULt IH YOUR PAYIHG TWICE FOR IHPROVBIIDts TO YOUR
<br />PROPERTY. IF YOU IJft'EW TO OBTAIH FIWCIHG, COHSULt WITH YOUR LEWER OR AJf ATTORm' BEFORE RECORDIHG YOUR DICE OF
<br />COMHEHCEMEIIT. JOBS UlmER $2,500 IH VALUE DO HOT HEED TO RECORD AHD POST A uHOTICE OF COMMEHCEHEJft'".
<br />
<br />SIGlfIlTURE: OWIIBR OR IlGElfT
<br />
<br />SIGHIlTURE: COlfTRACTOR
<br />
<br />STIlTE OF FLORIDA
<br />COUffTY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19 by
<br />----..-
<br />
<br />STATE OF FLORIDA
<br />COUIITY 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 />(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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