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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOO'ICE OF DEED RESTRICTIONS
<br />!he. undersigned understands that this pmit lily be subject to 'deed restrictions' which lily be lOre restrictive than City
<br />regulatiCl18. !he undersigned as81lleS responsibility for cmpliance lith any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer has bired a contractor or contracton to undertake work, they lilY be required to be liceD8ed in accordance with
<br />state and local regulations. If the contractor is not liceD8ed as reguired by law, both the owner and contractor Iilr be
<br />cited for a lisc181eanOr violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
<br />reguireIeDU lily apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OlDer has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lily be an indication that he is not properly licensed and is not entitled to pmitting 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, the applicant, have been provided with a copy of 'Plorida's COnstruction Lien La, - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SOIl!OI1e other than the
<br />'OIII1er', I certify that I have obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the
<br />lOIII1erl prior to co.enCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIJation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby Iilde to obtain a perlit to do wort and insWlation as indicated. I certify that no work or
<br />insWlation has CDIeIlced prior to issuance of a pmit and that all work will be perfOIJed to _t standards of all 1_
<br />regulating construction, City codes, loning regulations, and land develO(llellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gov8IDlelital agencies laY apply to the intencled work, and that it is
<br />If responsibility to identify ,hat actions I lUSt tue to be in COIpliance. Such agencies include but are not IHited to:
<br />t Depart:lent of EnviIOlllelltal Requlation - Cypress Bayheads, Vetland Areas and EnvirOlllleDWly SeD8iUve Lands,
<br />Vater /Ifastewater treatlent
<br />t Southwest Florida Vater Jlanagl!l8Dt District - Vells, Cypress Baybeac1s, Vetland Areas, Altering Vatercourses
<br />t ArJy Corps of Bnqineen - Seawalls, Docks, Navigable Vatenars
<br />t DepartIeJ1t of Health i Rehabilitative Smicu, InviIOllleJ1W Health unit - Wells, Wastewater treatlent, Septic tanks
<br />t US InvirODleJ1tal Protection Agency - Asbestos abateElt
<br />I also certify that, if fill Iilterial is to be used in Flood Zone IAI or lA, etc. I, it is understood that a drainage plan
<br />addressing a lCOIpeDSating vol_I will be subaitted which is prepared by 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fICII thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becaIe invalid
<br />unless the work authoriled by such perlit is ~ced within sillOlltbs of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day elteD8ion of tHe, IaJ be
<br />allowed for the perlit with fee charge of $15.00. !be elteD8ion shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the proj"ect ,ill be cODSidered abandoned.
<br />IfARJlIIIG to (MfIR: YOUR FAILURE to RlCORD A ROIICK OF C<lllBlCIIIIR! lilY RlSULf III YOUR PAYING fllICK POR IMPROVIIID!S to YOUR
<br />PROPmY. IF YOU IJIUND to IR PIIlIICING, COIISULt WID YOOR LDDIR OR AR AnomY BIPORI RICORDIRG YOUR DICK OF
<br />moa J URDU '2,5 ALUI DO NOI NEED to RECORD AND POS! A 'NOIICK OF aJIMBMCIIIIJl!l.
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<br />/1 SIGlIA!URI:
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<br />S!AD OF FLOIlIDI
<br />COOllY OF PlNELLAS
<br />The foregoing instrument was acknowledged
<br />before me this July 5 , 19-2L.. by
<br />
<br />w is ersonally known to -'Ie or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />taterrth. ~N~ ~
<br />(Signat~r-- /
<br />I
<br />(Mue Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />John L. Wallace'
<br />who is personally known to me or wbo bas
<br />produCed NA
<br />as identification and 0 did/did not
<br />ta an it-th. I.
<br />
<br />
<br />(Signature)
<br />Sandra A. Keeling
<br />(Nue Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />N()(qry Public, State of Florida
<br />CARO:"YN F. NEWTON
<br />My C0mm. EXQ. Feb. 14, 1997
<br />Comm~ No. CC 260950
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