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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS'
<br />Tbe undersigned understands that this pemit Jay be subject to 'deed restrictions' wbieb Jay be lOre restrictive than City
<br />regulations. !he undersigned assUles 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 wort, 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 OIfDer and contractor JaY be
<br />cited for a .isdelll!anor violation under state law. If the owner or intended contractor are' uncertain as to wllat licensing
<br />requir8lellts JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for wbicb 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 wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and Is not entitled to peraitting 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, IIave been provided with a copy of 'Florida's construction Lien Law - lbIeoImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is 8OIeODe other than the
<br />'owner", I certify that I IIave obtained a copy of the above described dOCUleDt and proaise in good faith to deliver it to the
<br />"owner' prior to COlleDc8lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work "ill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IfOrk or
<br />installation bas ~ced prior to issuance of a penit and that alllfOrk "ill be perfotled to leet standards of all 1_
<br />regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other 90veIDJeDtal agencies JaY apply to the intended IfOrk, and that it is
<br />., responsibility to identify wbat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not liJited to:
<br />I Departlent of EnviIODJelltal Regulation - Cypress Baybeads, Wetland Areas and RnviroDJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagl!lf!llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health , Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US EnvirODJeDtal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'cOJpeDsating volute' will be subtitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A perlit 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 provisions of the technical codes, nor sball issuance of a penit prevent the Building Official frOl thereafter
<br />requiring a 'correction of errors in plans, construction, or violations of any code. Every pertlt issued shall becoIe invalid
<br />unless the work authorized by sueb perlit is COlll!llced within sil IODthS of issuance, or if work autboriled by the penit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is ~ced. One 90 day atension of tile, JaY be
<br />allowed for the pemit with fee cbarge of $15.00. Tbe extension sllall be requested in writing to the Builting Official. An
<br />approved inspection lUSt be logged during eaeb sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIIIIR: YOUR FAILURI TO RlCORD A IOTICK OF C(JIMIIfClllBIfI MAY RlSULT II YOUR PAYIIIG DICK FOR lIIPROVIIIIIfS TO YOUR
<br />PROPERTY. IF YOU IIl'l'DD TO OBTlllf FlIfMCIIG, CONSULT WITH YOUR LBJIDIR OR 111 AnORDY BBlORB RBCORDIIfG YOUR IO'l'ICB OF
<br />C(lDfENCKMBIfI. JOBS URDU $2,500 IIf VALUE DO NOT NEED TO RECORD AID POST A "NOTICE OF C(JIIEIfCBMElf'l".
<br />
<br />
<br />~~~
<br />
<br />SIGIfArURB: COJrRACTOR
<br />
<br />SrArl OF FLORI~
<br />coum OF . f'-C '"
<br />The foregoing 1n~~ent was ~~owledged
<br />before me this ~, 19::t4- by
<br />
<br />srArl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />who is personally known to me or who has
<br />roduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />,r.
<br />
<br />"
<br />(Name yped,' rinted or Stamped)
<br />NOTARY PUBLIC ",t~~';~tz'", '''~. SAM W. SURRA". '-.
<br />[*"( A\,O.~ rvrt COMMISS[O~11l CC339113, EXPIAm
<br />W.~.'~<' January 17. 1998
<br />'<f;;~,~;~;'" BONDED THRU TROY F~,IN INSURANCE, lNa.
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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