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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions" whicb .ay be lOre restrictive than City
<br />regulations. Tbe undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired 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 .ay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents .ay apply for the intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich tbey will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for the work. If tbe contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to per.itting 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 1, the applicant, bave been provided witb a copy of "Plorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by tbe Plorida Departlent of Agriculture and Consuter Affairs. If tbe applicant is sOleOne otber than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all t~e'infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has ~OIIeDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions 1 lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Plorida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Plood Zone "A" or MA,etc.", it is understood that a drainage plan
<br />addressing a 'cOlpensating volute" will be sub.itted 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is c~nced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Ofticial. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR PAILURE TO RECORD A NOTICE OP COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBlTS TO YOUR
<br />PROPERTY. IF YOU IIITEND TO OBTAIN PlNANCING, COHSULT WITH YOUR LENDER OR AN AnORIEY BEPORE RECORDING YOUR HOTICE OF
<br />COMMENCEMENT. JOBS UlIDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />L~ ~~~
<br />SIGlfATURI: OIlIER 0 AGEIIT
<br />
<br />~:~
<br />
<br />STATE OP FLORIDA
<br />coum OF .:y ,4SC 0
<br />The foregoing instrumen1t was acknowledged
<br />before me this~, 19~ by
<br />J--< e V\> tV Pr ",J f-. ~ : b b 0 rJ ~
<br />who is ~qpally known to me or who has
<br />produced'bl ~ (;f) 5~-5D c;-<<..tq-Clrb.- 0
<br />as identification and who did/did not
<br />t~~an oat~. ~ 0 ~
<br />J)~J..R CL.~
<br />(SIgnature) \
<br />
<br />STATE OF PLORIDAR
<br />coum OF ;:}..be 0
<br />The foregoing instrument was acknowledged
<br />before me, this ;) '5 ;:Tu 14-' 19~ by
<br />
<br />--;l, /Y) IV\ l..1 f. (> \/,0 S:S
<br />who is personally known to me or who has
<br />produced P -e ""<;'0 N A \ I..... \( l'Vo uJ tV
<br />as i tification and who aid/did not
<br />k oath.
<br />
<br />
<br />(Name
<br />NOTU i
<br />
<br />C BESSIE F. CASKEY
<br />I State ot Flor:ch;
<br />I..y ~omr.1. ExpD'" . i' OJ
<br />....umrr. 1/;. 1,:5:.1:'
<br />
<br />(Nam
<br />NOTA
<br />
<br />
<br />Printed or Stamped)
<br />lOESS!! F. CASKEY
<br />Srate of Florida
<br />My Comm. Exp. Dee, 4, 1995
<br />Comm,#CC 165513
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