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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors 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 aay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for wbicb 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 work. If tbe contractor wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to per.itting 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, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is SOIeODe 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 cOllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlPliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforwed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand tbat the regulations of other goveIDlental agencies aay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />* US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "cOlpeDsating volute" will be subtitted whicb 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 tbe work and not as authority to violate, cancel alter, or
<br />Get aside any provisions of tbe 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 perait issued sball beCOJe invalid
<br />unless the work authorized by such perlit is cu.enced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sil IOnths after the tiJe the work is cOllenced. One 90 day I!Itension of tile, aay be
<br />allowed for tbe perait with fee cbarge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COIlMBRCBIIBNt' MAY RESULT IN YOUR PAYING filCE FOR IMPROVBJIBIfl'S TO YOUR
<br />PROPERTY. IF YOU INTDD TO OBTAIH FIIIAlfCIHG, COHSULT WUB YOUR LENOIR OR Alf ArrOMEY BEFORB RBCORDIHG YOUR 1f000lCE OF
<br />COMMENCEHBNT. JOBS UlfDER $2,500 IN VALUE 00 HOT HEED TO RECORD AlfD POST A "HOfICE OF COMMEIfCBllBlfl".
<br />
<br />SIGNATURE: OWIIIlR OR AGENT
<br />
<br />SIGlfATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlfTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Nage Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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