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<br />CONDITIONS OF PERMIT AFFIDAViT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />, 'fbe undersigned understands that tbis peDlit lilY be subject to .deed restrictions. wbieb lily be lOre restrictive than City
<br />regulations. !be undersigned assWles responsibility for co.pliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />.... If tbe owner bas bired a contractor or contractors to undertake IIOrk, they JaY 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 ower and amtractor lilY be
<br />cited for a lisdeleanOr violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for tbe intended lIOrt, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner has bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of tbe
<br />.Contractor Sections. of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for the IIOrt. If tbe contractor wisbes you to sign
<br />as contractor tbat lilY be an indication that he is not properly licensed and is not entitled to peraittiDg 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, tbe applicant, bave been provided witb a copy of .Florida's Construction Lien Law - lDeowner's Protection
<br />Guidell prepared by tbe Florida Departlent of Agriculture and CODSUIl!l' Affairs. If tbe applicant is lHIIeOI1e other than the
<br />.owner-, I certify tbat I bave obtained a copy of tbe above described doc1JIent and pI'Olise in good faitb to deliver it to tbe
<br />"owner. prior to COIIeDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe infOrJation in tbis application is accurate and tbat all IIOrt will be done in cDIPliance witb all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas cc.lenced prior to issuance of a perlit and that all work will be perforJed to Jeet stanclards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also
<br />certify that I understand tbat tbe regulations of other gOYeI1IIeDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not luited to:
<br />t Departlent of Envirolllelltal Regulation - Cypress Baybeada, Wetland Areas and EnviroDJel]tally Sensitive Lands,
<br />Water /Wastewater !reatlent
<br />t Southwest Florida Vater Hanagl!lleDt District - Vells, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />t AIIY COl1lS of Engineers - Seawalls, Docks, Kavigable Vaterways
<br />t Departlent of Bealtb i Rebabilitative Services, InvirODleDtal Bealtb Unit - Vells, Wastewater !reatlent, Septic !ants
<br />t US EnviI'Ollllental Protection Agency - Asbestos abatl!lleDt
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne IIA. or 1I1,etc.., it is understood that a drainage plan
<br />addressing a .COJIIIeDSating volUle. will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peDlit issuance.
<br />
<br />A pmit 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 peDlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
<br />unless tbe work authoriled by sueb peDlit is co..enced llitbin sillODths of issuance, or if IIOrk' authoriled by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile tbe work is ~ced. One 90 day atension of tile, lilY be
<br />allowed for tbe perlit witb fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODtb period, or tbe project will be considered abandoned.
<br />WARMING 'fO (JIIER: YOUR FAILURE 'fO RECORD A KO!ICK OF aJIIIDCBIIIN! MlY RESUL! IN YOUR PlYING !IIICK FOR IHPROVEIIElft'S !O YOUR
<br />PBOPUn. IF YOU IIft'BKD 'fO OB'f1lH FIUNCIKG, COISUL! WID YOUR LBIIDER OR AN AnomY BIFORE RECORDING YOUR DICE OF
<br />COHHEKClHEN1'. JOBS UNDER $2,500 IK VALUE DO NO! KDD !O RECORD AID POS! A IINO!ICE OF ClJIIIEKCEIIEIft'..
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<br />S GRA!UIII: OR AGIJft'
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<br />::>
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<br />~~~~~~
<br />SIGIIA!URE:
<br />
<br />S!A!E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!AB OF FWRIDA
<br />coum 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 />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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