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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit JaY be subject to 'deed restrictions' Ibieb JaY be lOre restrictive than City
<br />regulations. !he undersigned assUlleS responsibility for co.p1iance lith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance lith
<br />state and local regulatiOJl8. If the contractor is not licensed as required by law, both the owner and contractor lily be
<br />cited for a lisdeleaJlor violation under state lal. If the owner or intended contractor are uncertain as to "bat licensing
<br />requireleDts lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the OlDer has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sections' of this application for Ibieb they lill be responsible. If, you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor "ishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to penitting privileges in the
<br />City of Zepbyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided lith a copy of 'Florida's Construction Lien Law - BcIIeowner's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is 8OIeOIle other than the
<br />1000erl, I certify that I have obtained a copy of the above described docuent and prOlise in good faith to deliver it to the
<br />lownerl prior to COIIeDCl!lellt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the info[l8tion in this application is accurate and that all IOrt lill be done in cOlpliance lith all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a perlit to do lork and installation as incJicated. I certify that no IOrk or
<br />installation bas COIIeDced prior to issuance of a penit and that all work lill be perfol'led to Met st:aDdards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlleDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not lillited to:
<br />* Depart:lent of EnvirollleDtal Regulation - Cypress Baybeacls, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water/Vastewater !reatlent
<br />* Southwest Florida Water ManagelBDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Ally Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />* Departlent of Health & Rehabilitative Smices, EnvirODleDtal Health Unit - !fells, Wastewater !reatlent, Septic ranks
<br />* US Envirouental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or IA,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeJ1Sating VOlUle' "ill be sublitted Ihieb 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 lith the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall bea.e invalid
<br />unless the wort authorized by sueb perlit is COIIeDced lithin sillOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the IOrk is COIIeDced. One 90 day Bltension of tile, lilY be
<br />allowed for the perlit with fee ebarge of $15.00. The Bltension shall be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IOJlth period, or the project lill be considered abandoned.
<br />WARMIHG !O OIlIER: YOUR FAILURE !O RECOlID A IO'I'ICH OF CCJIMDCIIID'f MAY RESUL! IH YOUR PAYIHG 'fIIICH FOR DIPROVIIlIIIS TO YOOR
<br />PROPmY. IF YOU IJImD TO OB'fIIJl FIIIAICIIG, COISUL! WI'fH' YOUR LEIDER OR D AftORDY BBFORE RICORDIKG YOOR KOrICH OF
<br />COMMEJICEMEI'f. JOBS ORDER $2,500 II VALUE 00 10'1' IBID TO RECORD AJID POS! A 'IO'I'ICE OF ClItMDCEMEKTI.
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<br />S!A OF F~DA
<br />coum OF ~S00
<br />The foregoing in~ent was acknowledged
<br />before me this .~ , 19~ by
<br />
<br />~';~~'T4 \-\e\~ ~r.
<br />who is pers~llY known to me 0 who has
<br />produced:t "'"
<br />as identification and who di did not
<br />t~ oath. ~
<br />-'-;.~ ~ " ~(\~J.
<br />(S).gnature) -
<br />CX-)h,~-\-\P \- rY\~)-
<br />(Name Typed, Printed or Stamp
<br />NOTARY PUBLIC
<br />
<br />S!A!E OF FL~
<br />coum OF \---Q '2:.C_ 0
<br />The foregoing inJJtrument was ackJ;lowledged
<br />before me this ~~trj-~~ , 19~ by
<br />
<br />-=--rohn L. rtli \ b
<br />who is personally known to m~ or who has
<br />produced ~(q
<br />as identification and who did/did not
<br />
<br />;~'~~'~
<br />,~{)--n. ().// Qf
<br />(Name Typed, Printed or St~ed)
<br />NOTARY PUBLIC C ct:tro>J,'3l:::...;)..~
<br />
<br />t~~~~t;2i~f~::'1
<br />
<br />Notary Public, State of Florida
<br />My Commi$Sicn Expires Feb. 22, 1995
<br />BOnded Thru Troy Fain. Insurance ,;,w;.
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