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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this perlit laY be subject to 'deed restrictiOl18' wbich laY be lOre restrictive than City
<br />reguJaticms. ,he undersigned asSUJe8 responsibility for CCIIpliance with any applicable deed restrictiOlJl.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer bas bired a contractor or contractors to undertake IOrk, they laY be required to.be liceD8ll1 in accordance with
<br />state and local regulaticms. If the contractor is not licensed as required by law, both the mmer and cmtractor laY be
<br />cited for a lisdeEallor violation under state law. If the OlDer or intended contractor are uncertain as to what licensing
<br />reguirl!l8lJu .y apply for the intended work, they are advised to contact the City of Zepbyrhills BuilcUng Departlent, (813)
<br />788-6611. .
<br />
<br />Furthenore, If the OIlIer bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Secticms' of this application for wblch they will be responsible. If you, as the OImer sign as the amtractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wi_ you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to pmitting privileges in the
<br />City of Zepbyrbi11s. . .
<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, have been provided with a copy of 'Plorida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlU Affairs. If the applicant is _ other than the
<br />'OIlIer', I certify that I have obtained a copy of the above described docuIent and prcEse in good faith to deliver it to the
<br />'OlDer' prior to co.enCl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />. I certify that all the infomtion in this application is accurate and that all IOrt will be done in COIpliance with all
<br />applicable 1_ regulating construction, loning, and land develo}IIeDt.
<br />
<br />Application is hereby llade to obtain a perlit to do work and installation as indicated. I certify that no IOrl or
<br />insWlation bas ~cec1 prior to iB8uance of a perlit and that all work will be perfoDllll1 to _t staDdarda of all _
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisclictiCll. I also
<br />certify that I understand that the regulations of other goteruental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt tate to be in CGlpliance. Such agencies include but are not luitec1 to:
<br />t Departlent of InvirODlelltal Regulation - Cypress Baybeads, Wetland Areas and InvirODlelltally Sensitive Lands,
<br />Vater/lfastewater lreat:lent
<br />t Southwest Florida Vater 1Iana!ll!l8llt District - VeIls, Cypress BaybeacJs, Vetland Areas, Altering Watercourses
<br />t AIIY COlliS of Inqineers - Seawalls, Docks, Javigable Vaterways
<br />t Departlent of Health' Rehabilitative Senices, InviI'ODl8Jltal Health Unit - Vells, Vastewater Ireatlent, 8eptlc Iws
<br />t US InviIClllleJltal Protection Iqency - Asbestos abatl!l8llt
<br />I also certify that, if fill I8terial is to be used in Flood lone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIp8II8ating vol.' will be saitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perllt issuance.
<br />
<br />A petlit i88ued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall iB8uance of a perlit prevent the Building Official fa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit i88ued sball becme invalid
<br />unless the worl autboriled by such perlit is co.encec1withln iiI IODthe of i88uanc8, or if IOrt autbodled by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is ~ced. ODe 90 day eat_ion of tile, laY be
<br />allowed for the perlit with fee charge of '15.00. Ibe eatension sball be requested in .riting to the BuUlIing Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abanc1oDed.
<br />WADIIG ro (IIIR: YOOR FII_ ro RICORB I IOIICE OF cmIDCIIIIII MAY RESULt II YOOI Plnll' !VICE FOR IMPIlOV&IS ro fOOl
<br />PROPIRIY. IF YOO IIDIID ro OBIIII FIIIICIIG, COISULT IIIB YOOR LIIDIR OR D IIIORDY BBVORB RBCORDIRG fOOl IOIICE OF
<br />OJIIIICIIIMI. JOBS UIDBR',2 0 III VALUE DO 101 11110 10 RmD DO POST A 'JOIICE OF aJIIIIIICIIIDIl.
<br />
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<br />SIGD!IJRI: CODRACIOJI
<br />
<br />
<br />81AR OF FLOR~A
<br />coum OF 1-15 cO
<br />The foregoing instrument was a~kpowledged
<br />before me this 9~ ~, 19.!tf:- by
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<br />who is personally knmm to ~ 'or who bas,
<br />produced
<br />as identification and who ~did not
<br />take an 0
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<br />SfAfl OF FLORIDA J I,. I. b
<br />COOllY OF tII ('.5_0(7)UtP#
<br />The foregoing i9~trumept was aCf~ledged
<br />before me tbis~. !Th , 19 by
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<br />produce ..- U
<br />as dentification and who di~did not
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