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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perlit laY be subject to .deed restrictions. which lily be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 .y be
<br />cited for a lisdf!leanOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8l8llts .y apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If fOU, as the owner sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .y 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 1, the applicant, have been provided with a copy of .Florida's construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUII8I Affairs. If the applicant is 8OI8OIle other than the
<br />.owner", I certify that I have obtained a copy of the above described docuIent and p~ise in good faith to deliver it to the
<br />"owner. prior to co.enCl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, lOlLing, and land develo}lleDt.
<br />
<br />Application is hereby lade to obtain a peIIIit to do wort and installation as indicated. I certify that no wort or
<br />installation bas cmlenced prior to issuance of a perlit and that all work will be perfoIled to teet staDdards of all laws
<br />regulating construction, City codes, loning regulations, and land develGpEllt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDYeIDIeIltal agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />I Departlent of BnviIOlllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviIOlll8Dtally Sensitive Lands,
<br />Water/llastewater 'freatlent
<br />I Soutbwest Florida Water Hanag8lleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ![If Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Health i Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater 'freatlent, Septic 'fanks
<br />I US BnvirODleDtal Protection Agency - Asbestos abatl!lel1t
<br />I also certify that, if fill .terial is to be used in Flood Zone .A. or .A,etc.", it is understood that a drainage plan
<br />addressing a .COIpensating volute" will be sublitted which 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 the wort and not 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 f1'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall becoIe invalid
<br />unless the wort authorized by such pl!l'lit is ~ced within sillODtbs of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is co.enced. One 90 day utension of tile, lilY be
<br />allowed for the peIlit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the profect will be considered abandoned.
<br />WARJIIIG '10 omR: YOUR FAILURE '10 RECORD A IO'lICE OF CCJIIIBRCIIID'l MAY RESUL'f III YOOI PAYIIS !IIICE FOR IMPROVIIIIIl'S '10 YOUR
<br />PROPmY. IF YOU IJIDIID '10 OBfIU FIIIIICIIG, COIISUL'f WID YOUR LIIDER OR AI InORIIY BEFORE RICORDIIIG YOUR IO'lICE OF
<br />COMMDCEMBM'l. JOBS UllDIR $2,500 II VALUE 00 1000lEED '10 RECORD AID POS'f A .1I000ICE OF aJIIlDCIIID!".
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<br />-4~~
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<br />S'lA'fE OF F~
<br />COUK!Y OF S('o
<br />The foregoing instrument was acknowledged
<br />before me this /0.... if , 19~ by
<br />
<br />/YIIIR/, tl!OrJb/li(llelV
<br />who is per onally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~. 1.~
<br />(S' ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, ~ 9%
<br />CC110274
<br />
<br />S'fA'fE OF FLORI~
<br />coum OF IfI.S(!Q
<br />The foregoing instrument was acknowledged
<br />before me this 10 - Lf ' 19~ by
<br />,
<br />
<br />tYllIl<t.t1o /J1o# .IJ"~Ilf'~
<br />who is Der onally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tatean ~ (l ~
<br />15t;t e
<br />
<br />(N Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My camm. expires May 16, 1995
<br />CC110274
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