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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned ~stands that this perlit Iilr be subject to 'deed restrictiCll8' whicla Iilr be lOre restrictive than Citr
<br />reguJatiODB. !he undersigned asSUlU respousibility for CCIIpliance with any applicable deed restrlctiCll8.
<br />
<br />B. UNLICBNSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer has hired a contractor or contractors to undertake IOrl, ther lilY 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 0IIIl8I and COIltractor lilY be
<br />cited for a lisdeleallOr violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
<br />requirelellu lilY apply for the intended IIOrl, they are advised to contact the City of Zephyrh111s Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OlDer has hired a contractor or contractors, be is advised to bave the contractor(s) sign portia of tile
<br />'Contractor SectiOO8' of this applicaUoo for whicla they .ill be responsible. If JOU, as the 0IIIl8I sign as tile COIltractor,
<br />you are indicating that JOU, rather than the, contractor, are responsible for tile IOrl. If the contractor .ishes JOU to sign
<br />as contractor that lilY be an indication that he is not properly licensed and Is not entitled to perlitting privllegea in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY COHNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED)
<br />I certify that I, tile applicant, bave been provided with a copy of 'Florida's COnstruction Lien Law - 1DeoImer'1 Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consaer Affairs. If tile applicant i8 8CIII!OD8 other than the
<br />'OlDer', I certify that I bave obtained a copy of the above described c10cuIent and prClllse in goocl faith to deliver it to the
<br />'owner' prior to a.enCl!leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certifr that all the infonation in this application is accurate and that all IOrk will be done in COIpliance .Ith all
<br />applicable laws regulating construction, zoning, and land develo.-nt.
<br />
<br />Application Is hereby IIilde to obtain a pmit to do IOrk and installation as indicated. I certify that 110 IOrk or
<br />installation bas CDleDced prior to iU1J8Ilce of a penit and that a11lOrk .ill be perfOIJed to _t ltaDi1ard8 of all laws
<br />regulating construction, Citr codes, lOlling regulations, and land develo.-nt regulations in the iurls4icUCIl. I also
<br />certifr that I understand that the regulations of other goverDleDtal agencies Iilr applr to the intended wort, and that it is
<br />If responsibilitr to identifr wbat actiOll8 I lUst tale to be in COIpliance. Sucla agencies include but are IIOt liaited to:
<br />t Departlent of InvirOllllelltal Regulation - Cypress Bayheads, Wetland Areas and InviIODleDtally Sensitive Landi,
<br />lIater/Va8te1ater lreatleDt
<br />I Southwest Florida lIater lIanagelleDt District - lIe11s, Cypreas Barbeads, lIetland Areas, Iltering lIatercourses
<br />t 'lIly Corps of _ineers - Seawalls, Docb, laYigable lIaterways
<br />t Departlent of Health i Rehabilitative Services, InviIODlelltal Health Unit - lIells, lIastewater lreatBt, septic lanks
<br />t US IDYiIODleDtal protecUcm Agency - Asbestos abat~t
<br />I also certify that, if fi1lliterial is to be used in Flood lone 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'COIpeD8aUng volUle' .ill be sootted whicla is prepared br a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
<br />set aside anr provisions of the technical codes, nor shall i88uaDC1 of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, constructioo, or violations of any coele. Ivery perlit 188ued shall becme invalid
<br />unless the IOrk authorized by sucla penit is ~ced .ithin su IOIlths of i88uante, or if IOrk authoriJed by tile penit is
<br />suspended or abandoned for a period of su IODths after the tile the work is co.enced. One 90 day atenaion of tile, lilY be
<br />allowed for the penit with fee charge of '15.00. !be atension shall be requested in writing to the Building Official. An
<br />approved inspection IIIIt be logged during eacla sil IODth period, or the project will be considered abandoned.
<br />IIARJ1IIG to <<*DR: YOOR FIILURI to RICORD A 10rICK OF CCIIIDCIIIIIf IlAY RlSULI II YOOI PAYIG nICK POi IIIPIIJVIIIIIf8 to 1001I
<br />PROPlm. IF IOU UfBIID to ODIUM FIDIICIIG, COISULI IIIIB YOOJl LIIDIIl OR AI If'fORDY BI10III RICORDUG lOOIIOfICK OF
<br />_. ollIIIIlIIDIII I2,SGO U mill 00 {'IIIIJ !O IlIItllID IIIJ Pll8T I /'ROfICI gOP aJIIIIIICBIIIIIl.
<br />
<br />/;' /"', .. / -
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<br />'I ~,(tD'LvLI ~~ 6-~
<br />\-81.: IGBIIf ' " fURl: COIfRAC'fOR
<br />
<br />SIAIIOF FLOR~
<br />coum OF /~.c;/x;(U)v()~
<br />Tbe foregoing instrument was acknowledged
<br />before 118 this I/tILlr 18 , 19!1.!:L by
<br />
<br />~~ Ca.ow~
<br />wbo is ersonally kn~,t~or wbo bas
<br />produced
<br />as identific on and who d1 no )
<br />take an ~
<br />
<br />
<br />SIAII OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to _ or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(NiIIIe Typed, Printed or 8tuped)
<br />NOTARY PUBLIC
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