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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'!be undersigned understands that tIlis petlit lilY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
<br />regulations. '!be undersigned asS1JltlS responsibility for cmpliance witll any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance witll
<br />state and local regulations. If tile contractor is not licensed as required by law, botll tile owner and contractor JaY be
<br />cited for a lisdl!leaDOr violation under state law. If tile owner or intended contractor are uncertain as to wbat licensing
<br />requireteJlts JaY apply for the intended work, they are advised to contact tile City of Zepbyrhills BuilcUng Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if tile owner bas bired a contractor or contractors, be is advised to bave tile contractor(s) sign portions of tile
<br />'Contractor Sections' of tIlis application for which tIley will be responsible. If JOU, as tile owner sign as tile contractor,
<br />you are indicating that you, rati1er than the contractor, are responsible for tile work. If tile contractor wishes JOU to sign
<br />as contractor that JaY be an incUcation that be is not properly licensed and is not entitled to perlitting privileges in tile
<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 tIlat 1, tile applicant, bave been provided witll a copy of 'Florida's construction Lien Law - BaIeoImer's Protection
<br />Guide" prepared by tile Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOIeOI18 other than tile
<br />'owner", I certify that I bave obtained a copy of tile above described dOCUleDt and p~ise in good faitll to deliver it to tile
<br />"owner' prior to COlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inf01'liltlon in tIlis application is accurate and that all work will be done in CCIIPliance witll all
<br />applicable laws regulating construction, loning, and land develo~t.
<br />
<br />Application is bereby Jade to obtain a perlit to do work and installation as incUcated. I certify that no work or
<br />installation bas CDlenced prior to issuance of a perlit and that all work will be perfoIled to teet stanc1arda of all laws
<br />regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also
<br />certify that I understand tIlat tile regulations of other gGYeIJlleDtal agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUSt take to be in cotpliance. Such agencies include but are not lllited to:
<br />t Departlent of Bnvirontental Regulation - Cypress Baybeads, Wetland Areas and BnvirollleDtally Sensitive Lands,
<br />VaterjVastewater 'l'reatlent
<br />I Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Healtll i Rehabilitative Senices, InvirOllleDW Healtll Unit - VeIls, Vastewater 'l'reatlent, Septic 'l'ants
<br />I US Invil'Ol1leDtal Protection Agency - Asbestos abateteJlt
<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 '~ating vol.' will be sublitted wbich is prepared by a professional engineer registered in tile State of
<br />Florida prior to peIlit 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 peIlit prevent the Building Official f~ tIlereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becme invalid
<br />unless tile work authorized by such peIlit is ~c~ witllin sillOnthe of issuance, or if work autboriled by tile perlit is
<br />suspended or abandoned for a period of sillODtbs after tile tile the work is ~ced. One 90 day utension of tile, JaY be
<br />allowed for tile perlit witll fee cbarge of $15.00. 'l'be utension shall be requested in writing to the BuilcUng Official. An
<br />approved inspection lUSt be logged during each sillOl1t1l period, or tile project will be considered abanc1oned.
<br />WARRING 'l'O OWIIR: YOUR FAlLURI 'l'O RECORD A IO'I'ICE OF CCIIMDCBIIIII'l' lilY RESUL'l' II YOUR PAYING NICE FOR DIPROVIIIII'l'S 'f0 YOUR
<br />PROPIR'l'Y. IF YOU IJI'l'BIID 'l'O OB'l'AII FIIIDCIIG, CONSUL'l' VI'l'H YOUR LIIIDBR OR AI A!'l'ORDY BBFORB RICORDIIG YOUR IO'l'ICE OF
<br />COMMIICBHD'l'. JOBS OlDER $2,500 II VALUE 00 10'1' IBID 'l'O RECORD AND POST A wlO'l'ICE OF C(JlllEllCBIID'l".
<br />
<br />SIGIA'l'URI: COI'l'JIACTOR
<br />
<br />SIGIA'l'URB: (MIIR OR AGBR'l'
<br />
<br />STAR OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'l'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 oct.th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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