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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this petlit lay be subject to "deed restrictions" whieb laY be lOre restrictive than City
<br />regulations. 'be undersigned assOIes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLicENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas blred a contractor or contractors to undertake IIOrk, tbey 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 .y be
<br />cited for a lisd_anor violation under state law. If the owner or Intended contractor are uncertain as to wbat liclDSlng
<br />regulreaents la' apply for the intended IIOrk, they are advised to contact the City of Zepbyrbills 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 a~plication for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber' than the contractor, are responsible for the IIOr1. If the contractor wishes you to sign
<br />as contractor that .y be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Zepbyrhills. '
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. ~ONSTRUCTION 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 Law - HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and CODSUJer Affairs. If the applicant is 8OI8ORe other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all.the, inforlation in this application is accurate and that all work will be done in eotpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<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 has COIIeDced prior to issuance of a perlit and that all IIOr1 will be perfoIJed to leet standards of all la..
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies laY Bpply to the intended IfOrk, and that it is
<br />IY responsibility to identify what actions ( lust take to be in cOlpliance. Sucb agencies include but are not lillted to:
<br />. Departlent of EnviroDleDtal Regulation - Cypress Halbeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />IIater/llastewater Ireatlent .
<br />. Southwest Florida Water Manageaent District - IIells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health , Rebabilitative Services, EnvirODleDtal Health Unit - VeIls, Vastewater Ireatlen~, Septic lanks
<br />· US InvirollleDtal Protection Agency - Asbestos abateaent
<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 "cOlpensating vol Ole" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to ,iolate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe in,alid
<br />unless the work authoriled by sueb perlit is cOll8llced within sil IOBthS of issuance, or if IfOrk authoriled by the perlit is
<br />suspendell or abamlonell for a period of sil IOnths after the tile the IfOrk is c-.mced. One 90 day utension of tite, Jay be
<br />allowell for the perlit with fee cbarge of $15.QO. Ibe 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb sil IOntb period, or the project will be considered abandoned.
<br />WARNING 10 OWNER: YOUR FAILURI 10 RECORD A. NOTtCI OF COIlMINCIIIBIfl MAY RlSUL! IN YOUR PAYING DICK FOR lMPROVIIID1'S 'f0 YOUR
<br />PROPIRTY. IF YOU IDEND 'f0 OBTAIN FINAIICING, CONSULI WIIB YOUR LBNDER OR All AnORllY BIFOBI BlCORDING YOUR 1I000lCK OF
<br />COMMINCEHKNT. JOBS UNDII $2,500 IN VALOI DO lOT NIID 10 RBCORD AND POST A "NOTICE OF C(JtHDCIIIBII'.
<br />
<br />SIGNAtUBI: OIII1IR OR AGID
<br />
<br />SIGIIATURI: CONrRAC!OR
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />srATB OF FLORIDA
<br />COUNTY 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 oath.
<br />
<br />(Signature)
<br />
<br />(Name ~yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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