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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit lay be subject to 'deed restrictions' wbieb lilY be lOre restrictive.. than City
<br />regulations. 'lbe undersigned assUleS responsibility for CCIIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIIer bas bired a contractor or contractors to undertake IOrk, 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 OlDer and contractor lilY be
<br />cited for a lisd8leanor violation under state law. If the OlDer or intended contractor are uncertain as to wbat licensing
<br />requir8leDts lilY apply for the intended IIOrk, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OlDer bas bired a contractor or contractors, be 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 OIfIIer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to penitting 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, have been provided with a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is 8OI8ODe other than the
<br />'OIfIIerl, I certify that I have obtained a copy of the above described dOCUleDt and pro.ise in good faith to deliver it to the
<br />"OlDer' prior to coaencuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all IOrk will be done in cOlpliance with all
<br />applicable lad regulating construction, loning, and land develOpleDt.
<br />
<br />Application is hereby lade to obtain a penit to do IIOrk and installation as indicated. I certify that no IOIk or
<br />installation bas CDleDced prior to issuance of a perlit and that all work will be perfoIled to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended IOrl, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIPliance. Sueb agencies include but are not liaited to:
<br />t DepartJent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands,
<br />Water /Wast8later lreatJent
<br />t Southwest Flolida Water Hana!leleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIJ Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health i Rehabilitative Services, BnvirODl8Dtal Health Unit - Wells, Wast8later treatJent, Septic lants
<br />t US InvirODleDtal Protection Agency - Asbestos abat8leDt
<br />I also certify that, if filllilterial is to be used in Flood Zone 'A' or "A,etc. I, it is understood that a drainage plan
<br />addressing a '~ating volue' Ifill be sulllitted wbieb 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 sbal} i88uance of a peIlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall bec:o.e in,alid
<br />unless the work authorized by such penit is COIIeDced within sillDDths of issuance, or if IIOrk autboriled by the penit is
<br />suspended or abandoned for a period of sillODths after the tile the work is co.enced. One 90 day 81tension of tile, lilY be
<br />allowed for the peIlit with fee cbarge of $15.00. !be 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARlIIfG to (MER: YOUR FAILURI 10 RECORD A 10000ICE OF COIMDCIIIIH lilY RESUL! II YOUR PAYIIG nICE FOR IHPROVIIID!S to YOUR
<br />PROPmY. IF YOU IJI'lIID to OB!AIIf FlIlAlCIIG, COIISUL! IfI!H YOUR LllfDIR OR AI AftORIIY BEFORE RICORDIIG YOUR DICE OF
<br />COMMIICDIIIf'r. JOBS UID~D.II'5GO II IlL, ~, IlIIlllID IIID l'OSll "101I1:1 OF ClImCIIIIII~~
<br />
<br />- ~ ~
<br />
<br />SIGIA!UIII: MER otl SI .
<br />
<br />SIA!I OF FLORIDA 04-'5
<br />COURY OF r't CO
<br />The foregoing i~~ent was acknowledged
<br />before me this I ..3 , 19 i.!I- by
<br />,
<br />
<br />StAlE OF FLORIDA 19
<br />COURY OF r '15 et)
<br />The foregoing in~ent was aCknowledged
<br />before lie this 13, 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identifica
<br />take an a
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificatio
<br />take an oat .
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .
<br />Notary Public Pasco Co. FL
<br />My Commission Expires May \3. 1995
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or St~ed)
<br />NOTARY PUBLIC Notaty Pubhc Pasc~ Co. FL
<br />My CommissionEitpi~s M~y 13. 1995
<br />
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