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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rhe undersigned understands that this perait oy be subject to 'deed restrictions' which laY be lOre restrictive than City
<br />regulaticms. !he undersigned asSUJe8 responsibility for COIpliance with any applicable deed restrictiCHl8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, they laY be required to he licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as rllC]Uired by law, both the owner and contractor laY be
<br />cited for a lisdel8anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents IlaY apply for the intended wort, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portiCH18 of the
<br />'Contractor SectiODl' of this application for wbich they will be responsible. If JOU, as the OIIIler sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the IIOrt. If the contractor wishes you to sign
<br />as contractor that IlaY be an indication that be is not properly licensed and is not entitled to pemittiDg 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 'Plorida's CODItruction Lien Law - lIoIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is SCMJDe other than the
<br />lowner', I certify that I have obtained a copy of the above described docUIIent and proUse in good faith to deliver it to the
<br />lownerl prior to COIIeDCuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort will be clone in COIpliance with all
<br />applicable la.. regulating CODltruCtion, zoning, and land developlellt.
<br />
<br />Application is hereby Jade to obtain a perlit ~o do IOrt and installation as indicated. I certify that DO IIOrt or
<br />installation baa ~ced prior to issuance of a perlit and that all wort will be perforaed to .et standards of all 1_
<br />regulating construction, City codes, zoning regulations, and land develOplent regulatiODl in the jurisdiction. I also
<br />certify that I understand that the regulatiODl of other gOY8IDIeIltal agencies laY apply to the intenc1eclllOlt, and that it is
<br />., responsibility to identify what actions I lUSt tate to be in coapliance. Such agencies include but are not lilited to:
<br />t Departlent of InvirODll8Jltal Regulation - Cypress Baybeada, Wetland Areas and InvirollleDtallr Sensitive Lands,
<br />Water /Wastewater rreal:lent
<br />t SoutJnrest Florida Water Nana!l8l8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Inqineers - Seawalls, Docks, Kavigable Ifatenays
<br />t Departaent of Health & Rehabilitative Senices, InvirODlental Health Unit - Wells, Wastewater !reatlent, Septic !aub
<br />t US InviIODlental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood ZOne lA' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpeD8ating volue' will be sub8itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and DOt as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, CCHl8truCtion, or violations of any code. Ivery pemit iSlued shall hecOIe invalid
<br />unless the wort authorized by such p8llit is ~ced within sillODths of issuance, Dr if IOrt autbodled by tile perlit is
<br />suspended Dr abandoned for a period of lillODths after the tite the wort is COIIeDcec1. One 90 day atensiOD of tite, laY be
<br />allowed for the perlit with fee charge of $15.00. the atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />NARRIXG ro OIIBIR: YOUR FAILURI ro RlCORD A lIorICE OF COIIIIICIIlIIf! NAY RlSUL! III YOUR PAYDfG !IIICE fOa IIIPROVIIIDl'S ro YOUR
<br />PROPERrY. IF YOU IDIIID fa OB!IIX FIWCIIIG, COIfSULr NIfH YOUR LIIIDIR OR AI AftORDY BIIORI RICORDIIG YOUR DICE OF
<br />-. J1IIII _12: z= lIED 10 8IOlIIl1ID IOS! I '1OI1C1 OF '.
<br />
<br />
<br />SlATE OF ~
<br />coom OF 'a--O
<br />The foregoing instrUment was acknowledged
<br />before lie this ;2--?" , 19~ by
<br />./
<br />
<br />srAD OF FLORI~
<br />coum OF ~
<br />The forego~ng in,trument was acknowledged
<br />before me this ,?7 , 19-1:L by
<br />
<br />who is personally known to lie or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to 118 or who has
<br />produced
<br />as identification and who did/did not
<br />take an oc,.th.
<br />
<br />~atu~e) ~
<br />~LV~
<br />c De ~ecJ:7 Printe or Stamped)
<br />ROTARY PUBLIC
<br />
<br />GLORIA JEAN HARIl~ti
<br />Notary Public,. State boft1~'
<br />My ccmm. expIres Fe. .... .
<br />No.CC076043.
<br />
<br />
<br />8me Typed rinted or Sta.ped)
<br />NOTARY PUB IC
<br />
<br />GLORIA JEAN HARM~N
<br />Notary Public, State of Florid.
<br />My tomm. expires Feb. 17, 1995
<br />No.CC076043
<br />
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