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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perait laY be subject to 'deed restrictions" wbich lilY be lOre restrictive than City
<br />regulations. 'l'be undersigned asSIlleS responsibility for cu.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, they lilY 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 laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />nContractor Sections' of this application for which 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 wort. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills.
<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 'Plorida's Construction Lien Law - HOIeOlfJler's Protection
<br />Guide" prepared by the Plorida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is sOftOne other than the
<br />'owner., I certify that I have obtained a copy of the above described docUleDt and pIOlise in good faith to deliver it to the
<br />"owner' prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perait to do work and installation as indicated. I certify that no wort or
<br />installation has cOlleDced prior to issuance of a petlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of Envirolllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater 'l'reatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Enqineers - Seawalls, Docks, Mavigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks
<br />t US EnvirODleJltal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A, etc. " it is understood that a drainage plan
<br />addressing a 'co.pensating volllle" will be sublittedwhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait 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 perait prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the wort authorized by such petlit is cOll8llced within sil IOnths of issuance, or if work authoriled by the perait is
<br />suspended or abandoned for a period of sil IODtbs after the tile the wort is co.enced. One 90 day IlItension of tile, lilY be
<br />allowed for the petlit with fee charge of $15.00. 'l'be IlItension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
<br />WARMIMG 'l'0 0IflI1R: YOUR FAILURE 'l'0 RECORD A MO'l'ICE OF COIIHEMCEIIEtf'l' MAY RESUL'l' 1M YOUR PAYIMG nICE FOR DIPROVBIIEITS 'l'O YOUR
<br />PROPERtY. IF YOU IJIDMD 'l'O OB'l'AIM FIIWICIMG, COMSUL'l' WI'l'H YOUR LBllDIR OR All A'l"l'ORMIY BEFORE RECORDIMG YOUR MO'l'ICB OF
<br />COHMEMCEHEM'l'. JOBS UlfDER $2,500 1M VALUE 00 MO'l' MEED 'l'O RECORD AMD POSt' A 'MO'l'ICB OF COMIIEIfCEm'l'".
<br />
<br />SIGJIA'lURE: (MIIR OR AGEIi'l'
<br />
<br />;7
<br />SIGIfA'l'URE: COII'l'RAC'l'OR
<br />
<br />S'l'At'! OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />St'A'l'E 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 o~th.
<br />
<br />(Signature)
<br />
<br />(Namt! 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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