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<br />QONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that- ,this perait lily be subject to 'deed restrictions' wbich lay be lOre restrictive than City
<br />regulations. !he undersigned USUlle& responsibility for COIpliance with any applicable deed restrictioos.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES ,
<br />If the owner bas bired a contractor or cootractors to undertake work, they laY 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the OlDer or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611. ' .
<br />
<br />, .
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portioos of the
<br />IContractor Sections' ,of this application' for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are inc1icating that JOU, rather 'than the contractor, are responsible for the work. If the contractor wisb!s you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to perli~ting pri!il"es. in the
<br />City of Zepbyrbills. .,',. " ' ..
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<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 Lal - BoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuer Affairs. If the applicant ~8 SOIeOIle other than the
<br />lowner', I certify that I bave obtained a copy of the above described docUleDt and prOlise in gooc1 faith to deliver it to the
<br />lownerl prior to COlleDCl!IH!Dt. I} 02 ~ 2...7 tfj r-
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<br />'j
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT;, .
<br />I certify that all the inforaation in this application is accurate and that all IOrk lill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlBDt.
<br />
<br />Application is bereby tade to obtain a perlit to do work and installation as indicated. l certify that no IOrk or
<br />installation bas ~ced prior to issuance of a perlit and that a11lOr1 lill be perforled to Jeet standards of ,all Ian
<br />regulating construction, City codes, loning regulations, and land developl8Dt regulatioos in the jurisdiction. I also
<br />certify that I understand that the regulations of other 90verDIeDtal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take it be in cOlpliance. Such agencies include but are not Iilited to:
<br />t Deparl:lent of BnviroDleDtal Regulation - Cypress Baybeads, '. Wetland Areas and inviroDleDtally Sensitive Lands,
<br />lIater /IIastewater 'Ireatlent
<br />t Southwest Florida lIater ManagBleRt District - Wells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
<br />t AIly Corps of Engineers - Seawalls, Docks, lavigable lIatenays
<br />t Departlent of Health , Rebabilitative Services, invirODleDtal Health Unit - lIells, lIastewater 'Ireatlent, Septic 'Ianka
<br />t US InvirODleDtal Protection Agency - Asbestos abatBleRt
<br />I also certify that, if fill laterial is to be used in Flood ZOne lA' or lA, etc. " it is understood that a drainage plan
<br />addressing a 'capensating vol.' will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. ' '.
<br />
<br />...
<br />
<br />A per.it issued sball be construed to be a license to proceed with the IOrk and not as authority to violatetcancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frUl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perltt' iSBuedsball becme' invalid
<br />unless the IOrl autboriled by such perlit is COIIeDCed lithin sillODtbs of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOrk is co.enced. One 90 day atension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. Tbe Bltension sball be requested in Iriting to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project lill be considered abandoned.
<br />IfARJlIKG '10 OIIIIR: YOUR FAILURI '10 RlCORD A IO'IICE OF COIMIIICIIIIIJ MY RlSUL'I II YOUR PAYING !IIICK FOR IIIPROVBIIBIfS '10 YOUR
<br />PROPIR'IY. IF YOU ImlD '10 OBTAIN FlIlUCIIG, COISUL'I III'IH YOUR LUDIR OR II AnoRIIY BlPORI RICOIDIIG YOUR IIOI'ICI OF
<br />C(JtMINClMlNI'. JOBS UlDIR '2,500 II VALUI DO 10'11110 TO RlCORD lID POS'I A -IO'IICI OF CCJIMIICIIIIIft".
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<br />SIGlA'lURI: COII'IRAC'IOR
<br />
<br />SIGlAlURI: (MIR OR AGINI'
<br />
<br />STATK OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'IIII OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to _ or who bas
<br />produced I.
<br />as identification and wbo did/did not
<br />take an oatb.
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
<br />(Nage Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />Ot",
<br />
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