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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that tbis perlit JaY be subject to 'deed restrictions I which JaY be lOre restrictive than City
<br />regulations. the undersigned asSUJeS respcmsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired a contractor or contractors to undertake IIOrk, tbey 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 contractor JaY be
<br />cited for a lisdelleallor violation under state law. If tbe ower or intended contractor are uncertain as to wbat licensing
<br />requiruents JaY apply for tbe intended IIOrk, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if tbe OIfIler has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for which tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the IIOrt. If tbe contractor wishes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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, have been provided witb a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlll!I Affairs. If tbe applicant is sOJleOl1e otber than the
<br />'OIfIler', I certify tbat I have obtained a copy of tbe above described docuIent and prolise in good faitb to deliver it to tbe
<br />'owner' prior to COlleDCuent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in tbis application is accurate and that all IIOrt will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby Jade to obtain a peIlit to do IIOrt and installation as indicated. I certify that no IIOrt or
<br />installation has ~ced prior to issuance of a perlit and that all work will be perfoIled to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOpllellt regulations in tbe jurisdiction. I also
<br />certify that I understand that tbe regulations of otber gove11lleDtal agencies JaY apply to tbe intencJed work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of BnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water Managuent District - Wells, Cypress Bayheac1s, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Jravigable Waterways
<br />t Departlent of Healtb i Rehabilitative Services, Bnvirouental Healtb unit - Wells, Wastewater !reatlent, Septic 'anks
<br />t US Bnvil'ODleDtal Protection Igency - Asbestos abatuent
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "A' or MA,etc.', it is understood tbat a drainage plan
<br />addressing a 'cOQeDSating volue' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe IIOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent tbe Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
<br />unless the IIOrt authoriled by such perlit is co.enced witbin sillODths of issuance, or if IIOrt authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile tbe IIOrk is co.enced. one 90 day stension of tile, JaY be
<br />allowed for tbe perlit witb fee charge of $15.00. Ihe stension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sillODtb period, or tbe profect will be considered abandoned.
<br />WAIUlING !O (MER: YOUR FAILURE 10 RECORD I JrO!ICE OF COIIIDCBIIm MlY RESULI III YOUR PlYING DICE FOR DIPROVIIIDIS ro YOUR
<br />PROPER'IY. IF YOU IrmD ro OB!W FIWCIJrG, COISULI WI'IH YOUR LlllDBR OR III InomY BEFORE RiCORDIIIG YOUR DICE OF
<br />alfMDCBID!. JOBS UMDIR $2,500 IN VALUE DO D DID 10 RECORD AND POSI A 'JrO!ICE OF ClItMBJrCBIID'l'.
<br />
<br />SIGJlAfURE: (MIIJI OR AGB!
<br />
<br />SIGRlfURE: comIAC!OR
<br />
<br />SllfB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAIB OF FLORIDA
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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