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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perlit laY be subject to 'deed restrictions' wbich lay be lOre restrictive than City
<br />regulations. !he undersigned assUIeB responsibility for cmpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors to undertake work, they 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireJeDts lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the OlDer 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 wbich they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the 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 - lReoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsllleI' Iffairs. If the applicant is soeone other than the
<br />'OlDer', I certify that I bave obtained a copy of the above described docutent and pr~ise in good faith to deliver it to the
<br />"owner" prior to co.enceaent.
<br />
<br />E. CONTRACTOR'SjOWHER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulatinq construction, zoning, and land developnnt.
<br />
<br />Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation has ~ced prior to issuance of a perlit and that all work will be perfoIlec1 to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDl8l1tal agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst tate to be in coapliance. Such agencies include but are not liaited to:
<br />t Departtent of EnvirollJel1tal Regulation - Cypress Bayheads, lIetland Areas and EnviroDEllta11y Sensitive Lands,
<br />lIIater /Ifastewater 'l'reatlent
<br />t Soutbwest Florida lIIater ManageJellt District - lIIells, Cypress Bayheads, lIIetland Areas, Iltering lIIatercourses
<br />t lIlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departtent of Health , Rehabilitative Services, Environaental Health Unit - lIells, Wastewater 'l'reatlent, Septic tanks
<br />t US Environaental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill taterial is to be used in Flood Zone 'I' or 'I,etc.', it is understood that a drainage plan
<br />addressing a 'COIp8J1Sating volute' will be suhtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 Buildinq Official fIOl thereafter
<br />requirinq a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall heCOle invalid
<br />unless the work authorized by such pertit is ~ced within sillODths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillOoths after the tile the work is I31eDced. One 90 day l!Itension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Buildinq Official. An
<br />approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned.
<br />"ARHUG TO (JIIIR: YOUR FAlLURI TO RICORD I IIO'I'ICH OF aJlMDCIIIBI! lilY RlSUL! II YOUR PIYIlfG filCH FOR DIPROVIIIIIrS '1'0 YOUR
<br />PROPIRIY. IF YOU llIUID '1'0 OBtAII FlIfUCIIG, CONSOLt 1I1'I'H YOUR LDDBJI OR AI lnoRDY B.IFORI RICORDIIG YOUR IfOfICH OF
<br />COMMIICIMD!. JOBS UlfDIR $2,500 Iii VALUE DO 10'1' lIED '1'0 RECORD lID POSt I 'IO'I'ICH OF CCJIIBIfClMlll!'.
<br />
<br />
<br />SIW~ u~
<br />
<br />S'I'A'I'E OF FLORIDA ,0
<br />COUlf'I'Y OF r 6 ~
<br />The foregoing inst~ent was acknowledged
<br />before me this / +f- / , 19 -.!i$.. by
<br />
<br />StAR OF FLORIDA j)
<br />C~OF r~ca
<br />The foregoing instrument was acknowledged
<br />before me this /9 I , 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 oa~~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<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~f ~.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />Notary Public Pasco Co. FL
<br />My Commission Expires May 13. I99S
<br />
<br />Notary Public Pasco Co. FL
<br />My Commission Expires May 13. 1995
<br />
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