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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this penit lay be subject to "deed restrictions" wbieb lily be lOre restrictive than City
<br />regulations. 'be undersigned asSUles responsibilitJ for COIpliance with anJ applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lilY be rBCJllired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required bJ law, both the 0IIDeI and contractor lily be
<br />cited for a lisdeJeanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lleDts IiIJ apply for the intended work, theJ are advised to contact the CitJ of Zepbyrhills BuilcUng Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sectjons~ of this application for wbieb theJ will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor wishes JOU to sign
<br />as contractor that IiIJ be an indication that be is not properlJ licensed and is not entitled to pemitting PIivileges in the
<br />City of ZepbJrhills. --
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certifJ that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - lDemmer's Protection
<br />Guide" prepared bJ the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOll!OJle other than the
<br />"OlDer", I certifJ that I bave obtained a copJ of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to co.enCl!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all work will be clone in COIPliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that DO IOrk or
<br />installation bas cc.enced prior to issuance of a penit and that all work will be perfoIJed to lIet staDdarc1s of all laws
<br />regulating construction, City coeles, loning regulations, and land developleDt regulations in the jurisc1iction. I also
<br />certify that I understand that the regulations of other gGYemJeDtal agencies lilY apply to the intendec1 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 liJited to:
<br />t Departlent of BnviroDleDtal Requlation - Cypress Baybeads, Vetland Areas and BnviroDleDtally Sensitive Lands,
<br />Vater/Vastewater rreatlent
<br />t Soutbwest Florida Water Hanagl!lleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Any Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health' Rehabilitative Services, BnvirODleDtal Health Unit - VeIls, Vastewater IreatJent, Septic ,ants
<br />t US BnvirOJlleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill IiIterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a draiDage plan
<br />addressing a "cOlPeD8ating vol_" will be subaitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A penit 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 sball issuance of a penit prevent the Building Official fIOl thereafter
<br />requiring a correctiou of errors in plans, construction, or violations of anJ coele. Ivery pemit issued &ball becoIe invalid
<br />unless the IfOrk authoriled by sueb penit is COII8IlCed within sil mlths of issuance, or if IfOrk authoriled by the penit is
<br />suspended or abandoned for a period of 8il IODths after the tile the work is co.enced. One 90 day utension of tile, IiIl be
<br />allowed for the penit with fee charge of '15.00. Tbe utensiOD shall be requested in writing to the BuillUng Official. An
<br />approved inspection lUSt be logged during eaeb 8il IODth period, or the project will be considered abanl1oned.
<br />VARRIlfG TO (MIl: YOOR FAILURE TO RECORD A NOTICE OF COIIIBICIIIIJfI MAY RESULT IN YOUR PlYING flUCE FOR lIIPROVIIIBI1'S TO YOUR
<br />PROPlRfY. IF YOU mOD 10 OBtW FIWCIIG, COISDLI VIm YOOR LIIIDIR OR D AftORDY BlFOHB RICORDIIG YOUR IIO'fICI OF
<br />COMIfDCIIIIIft'. JOBS UItDIR '2,500 II VALUI DO JJOr IUD ro RICORD AHD POSI' A "lorICI OF COMIfDCIIID!".
<br />
<br />
<br />!ltr/;C'UC}/VY1
<br />SIGKAtuRI: (IfJIIR OR AGm SIGUrURB:.
<br />
<br />SrArl 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 />~~O~FFLORIDY4
<br />
<br />The foregoing instrument was acknowledged
<br />before me this (o4~s ,19~ by
<br />
<br />f)~ ~'-
<br />who is person~ known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~.~ '7(~~/
<br />(Signature) L?
<br />F-el/c~ I. ))OW/ANJ
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Namt!. Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />,""I,t:!!...
<br />~~'I\...:,,&~ FElICE I. ROWLAND
<br />=*: ~'J;;.\*. MY COMMISSION /I CC390799 EXPIRES
<br />~.~~j Septem~rt8, 1998
<br />".r.iif..'f;.~~ BONDED 1llRtJ fRt'Jv FAIN INSUIIANCE, 1M:.
<br />
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