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<br />CONDITIONS OF PERMIT AFFIDAVIT ;
<br />A. NOTICE OF DEED RESTRICTIONS
<br />, !be undersignec1 understands that this penit JaY be subject to .deed restrictions. wbieb lilY be lOre restr.ictive than City
<br />regulations. !be undersigned assUJeS responsibility for co.pliance with any applicable deec1 restrictiODS. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with
<br />state and local regulatiODS, If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />citec1 for a lisdl!leallor violation under state law, If the owner or intendec1 contractor are uncertain as to wbat licensing
<br />requirelellts lily apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611,
<br />
<br />Furthenore, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portiODS of the
<br />.Contractor Sections. of this application for wbieb they will be responsible, If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wisbes you to sign
<br />as contractor that lilY 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, bave been provided with a copy of .Florida's construction Lien Law - BaIeowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and COnsUler Affairs, If the applicant is SOIeODe other than the
<br />.owner", I certify that I bave obtained a copy of the above described docuIent and prlllise in good faith to deliver it to the
<br />"owner" prior to COllenCl!lellt,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developl8llt,
<br />
<br />Application is bereby Iilde to obtain a perlit to do worl and installation as indicated. I certify that no work or
<br />installation has ClIIIenced 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 develDpElt regulatiODS in the jurisdiction. I also
<br />certify that I understand that the regulations of other QOVerJlleDtal agencies lily apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Sueb agencies include but are not lialted to:
<br />t Departlent of BnviIOllllelltal Requlation - Cypress Baybeads, Wetland Areas and InvirOllleDtally Sensitive Lands,
<br />Water /Wastewater !reatlent
<br />t Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
<br />t Departlent of Health & Rehabilitative Services, BnvirODlelltal Health Unit - Wells, Wastewater !reatlent, Septic !ants
<br />t US Invil'ODllental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A. or "A,etc,", it is understood that a drainage plan
<br />addressing a .COIpeDSating vol." will be suhlitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance,
<br />
<br />A peIlit 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 provisiODS of the technical codes, nor sball issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Ivery perlit issued &ball becme invalid
<br />unless the work authoriled by sueb perlit is COII8Ilced within sil IODtbs of issuance, or if work authoriled by the perlit is
<br />suspendec1 or abandoned for a period of sillODtbs after the u.e the work is COII8Ilced, One 90 day utension of tile, lily be
<br />allowed for the perlit with fee charge of $15,00, !be eatension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandonec1,
<br />IfAlUfllfG !O lJIIIR: YOUR FAILURE !O RECORD A 1f00ICB OF C<JIIIICIIIIH MAY RESUL! IN YOUR PAYING RICB FOR IHPROVIIIBITS !O YOUR
<br />PROPIR'fY, IF YOU InBIID !O OBfAIIf FIIIDCIIIG, COIISOL! wlm YOUR LlllDBR OR All AnoRDY BEFORE RECORDllfG YOUR 1I001ICB OF
<br />COMHIIfCBMBIft', JOBS UlfDBR '2,500 IN VALOI 00 If 0'1 DID !O RICORD AHD POS! A IlIfO'1ICB OF CIJlllIfCIMIIf!.,
<br />
<br />SIGJfA!UIIll: IMlER OR AGm
<br />
<br />SIGlfA!UIIll: COIf1'RAC'fOR
<br />
<br />SfA!1 OF FLORIDA
<br />COUIf'fY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!AR 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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