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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />'l'be undersigned understands that this perait JaY be subject to Ideed restrictions I wbieb Jay be lOre restrictive than City <br />regulations. !he undersigned assllleS responsibility for COIpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner bas bired a contractor or contractors to undertake work, they .ay 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 owner and contractor laY be <br />cited for a .isdelleallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requirellellts IIilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) <br />788-6611. <br /> <br />FurtherJOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the <br />IContractor Sectionsl of this applicatim for whieb they will be responsible. If you, as the OlDer sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign <br />as contractor that IIilY be an indicatim that he is not properly licensed and is not entitled to peuitting 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 IFlorida's COnstruction Lien Law - lmeoImer's Protection <br />Guidel prepared by the Florida Deparl:lent of Agriculture and ConsllEI' Affairs. If the applicant is SOIeOIle other than the <br />lownerl, I certify that I have obtained a copy of the above described dOCUllellt and prmise in good faith to deliver it to the <br />"owner I prior to C~CMent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlition in this application is accurate and that all work will be done in COIpliance with all <br />applicable laws regulating construction, lOOing, and land developlent. <br /> <br />Application is bereby lIilde to obtain a perllit to do work and installation as indicated. I certify that no IIOrt or <br />installation bas CDlenced prior to issuiJDce of a perait and that all IIOrt will be perforlled to Jeet standards of all laws <br />regulating construction, City codes, loning regulations, and land developElt regulations in the jurisdictim. I also <br />certify that I understand that the regulations of other goveIDJental agencies lIily apply to the intended 110ft, and that it is <br />.y responsibility to identify what actions I lUst take to be in ccmpliance. Sueb agencies include but are not lillited to: <br />t DepartEnt of EnvirODJental Regulation - Cypress 88ybeads, Wetland Areas and Envirolllentally Sensitive Lands, <br />Water /Wastewater 'I'reatJent <br />t Southwest Florida Water Hanaql!lellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses <br />t ArIy Corps of Inqineers - Seawalls, Docks, Mavigable Waterways <br />t DepartEnt of Health & Rehabilitative Services, Invirouental Health Unit - Wells, Wastewater !reatlent, Septic 'I'anb <br />t US InvirODJelltal Protection Agency - Asbestos abatl!lll!llt <br />I also certify that, if fill IIilterial is to be used in Flood ZOne IAI or IA,etc.l, it is understood that a drainage plan <br />addressing a lCOJpenSating vol.1 will be saitted whieb is prepared by a professional engineer registered in the State of <br />Florida prior to perllit issuance. <br /> <br />A pemit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perllit prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peuit issued shall becme invalid <br />unless the wort authoriled by sueb perllit is COll8llced within six moths of issuance, or if IIOrt authorized by the perJit is <br />suspended or abandoned for a period of sil IOnths after the tiJle the IIOrt is co.encecJ. ODe 90 day l!Itension of tile, laY be <br />allowed for the perait with fee charge of $15.00. '!'be extension shall be requested in writing to the Building Official. An <br />approved inspection lUSt be logged during eaeb sil moth period, or the profect will be considered abandoned. <br />"mUG '1'0 (MIBR: YOUR FAILURE '1'0 RECORD A MO!ICI OF CCIIMBIfCBllllff MAY RlSUL'I' 1M YOUR PAYIMG 'I'IIICE FOR IJIPROVBMBII!S '1'0 YOUR <br />PROPIIITY. IF YOU IIlIBIfD '1'0 OBIW FIIIBCIMG, COIfSUL'I' WID YOOR LllfDIR OR All A'I"I'ORIIY RICORDIRG YOUR IO'I'ICB OF <br />COMMBIfCBHBIfI. JOBS UIfDBR '2,500 1M VALUE DO MO! IfBED '1'0 RECORD AIfD pos IMO!ICI · <br /> <br />~~/J <br />SIGIi!URE: R OR AGBIl'l <br /> <br />/~ <br /> <br /> <br />p. ,.,,_. <br />1.,. . <br /> <br />""./ ~.,... ~!P,-:o;~~ cK n" ,"+-'1 <br /> <br />1"''' <br />L~~ -1'- <br /> <br /> <br />