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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'be undersigned understands that this penit lay be subject to 'deed restrictions' wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIlIer has hired a contractor or contractors to undertake IIOrt, they laY be required to he llcensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lilli, both the OImer and contractor lilY be
<br />cited for a liscleteallOr violation under state law. If the mmer or intended contractor are uncertain as to wllat licensing
<br />requiruents lilY apply for the intended wort, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIlIer bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections.' of this application for wbich they will be responsible. If you, as the OImer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lily be an indication that be is not properly licensed and is not entitled to penitting privileges in the
<br />City of Zepbyrbills.
<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, bave been provided with a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUl81' Affairs. If the applicant is 80180I18 other than the
<br />'OIfI1er', I certify that I bave obtained a copy of the above described docutent and prcmse in good faith to deliver it to the
<br />'owner' prior to co.encuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all wort will be done in COJpliance with all
<br />applicable laws regulating construction, loning, and land developl8llt.
<br />
<br />Application is hereby Jade to obtain a penit to do wort and installation as indicated. I certify that no wort or
<br />installation bas CDleDced prior to issuance of a penit and that all work will be perforJed to .et standards of all lillls
<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 governtental agencies lilY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cotpliance. Such agencies include but are not 11lited to:
<br />* Departlent of InvirOl1l8lltal Regulation - Cypress Bayheads, Wetland Areas and Bnvirontentally Sensitive Lands,
<br />Water/Wastewater '1'reableDt
<br />* Southwest Florida Water lIanagl!leDt District - lIells, Cypress Bayhea4s, Wetland Areas, Altering Watercourses
<br />* Any Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />* Departlent of Health i Rehabilitative Services, EnvirOlll8Dtal Health Unit - Wells, Wastewater '1'reatteDt, Septic '1'ws
<br />* US InvirODlental Protection Agency - Asbestos ahatuent
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'c0Jpen8ating volute' will be subaitted wbich 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sllall issuance of a penit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued shall becaIe invalid
<br />unless the IIOrt authoriled by such penit is COII8Dced within sillOntbs of issuance, or if work autboriled by the penit is
<br />suspended or abandoned for a period of ail IODtbs after the tile the work is co.enced. ODe 90 day utenaion of tiE, IilJ be
<br />allowed for the penit with fee charge of $15.00. 'fhe utension 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 />WARHING TO (*RBI: YOUR FAILURB 'f0 RECORD A HO'I'ICB OF aJIIIDCIIIINf lilY RESUL'f IN YOUR PAYING !IIICB FOR DIPROVIIIBI'1'S '1'0 YOUR
<br />PROPBRfi. IF YOU IDBIID '1'0 OB'1'AIH FIIlAHCIIG, COISUL'1' WID YOUR LDDBR OR II AnORDY BBFORB RBCORDIIG YOUR JOIICB OF
<br />COIIMEIfClHBl'1'. ODS UlfDBI $2,500 IH VALUlIlO HO'I' lIED '1'0 RECORD lID POS'1' A -HO'I'ICB OF CCIIIIIIICBIIED'.
<br />
<br />
<br />QAN~Q~~ (~~CR~QJb)
<br />SIGIII'1'URB: CODRAC'1'OR
<br />
<br />SIGJIA
<br />
<br />S'1'A'1'1 OF FLORIDA \;)
<br />coum OF '\ f\ C; C 0
<br />The foregoing instrument was ~~owledged
<br />before me this ~T Zz. , 19~ by
<br />
<br />)lll(}~ J-tLL~n h
<br />who is p rsonall known to me or who has
<br />produced ~
<br />s dentification and who did/did not
<br />t ke an oa .
<br />
<br />STAR OF FLORIDA ~ t"'- ~
<br />COUH'1'Y OF \)-" \""1 ...) C ()
<br />The foregoing instrument was aC~~led9ed
<br />before me this ~EPT ~.::::L, 19 by
<br />
<br />Ron Rioeel/~
<br />who is personally known to me or who has
<br />produced
<br />a . entification and who did/did not
<br />a e oa
<br />
<br />
<br />
<br />.,~&}t.~:r~, DANA M. GIELLA
<br />:....:' 'a~ MV COMMISSION' CC301855 EXPIRES
<br />~;" /qj July 14. 1997
<br />......~,?r:,~~.... BONDED THRU TROY FAIN INSURAHCE.IfC.
<br />
<br />....."..., DANA M maLA
<br />..i~'t.!~~.. .
<br />:....:. ':.~ MV COMMISSION' CC301855 EXPIRES
<br />\i.. ~1 July 14. 1997
<br />'-!.f.. ..' BONDED THRU TROY FAIN 1NSUIWfCE.1NC.
<br />
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