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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pertit lily be subject to Ideed restrictions I wbieb lily be lOre restrictive tban City
<br />regulations. !be undersigned assUIBS responsibility for allpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOJer bas hired a contractor or contractors to undertake IIOrt, they lilY 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 0IIIler and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />reguirf!ll8llts lilY apply for the intended !fOrt, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if tbe OIfDer bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbieb they will be responsible. If you, as the OIIIler sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the wort. 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 pertitting privileges in the
<br />City of Zepbyrbills.
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<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, bave been provided with a copy of IPlorida's construction Lien Law - lIoIeolmer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is ~ other tban the
<br />100000erl, I certify that I bave obtained a copy of the above described docUIent and prolise in good faith to deliver it to the
<br />"owerl prior to COIIIeDceleDt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforllation in this application is accurate and that all !fOrt will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land develOPElt.
<br />
<br />Application is hereby llade to obtain a pertit ~o do work and installation as indicated. I certify that no wort or
<br />installation has CDleDced prior to issuance of a perlit and that all !fOrt will be perfoned to Jeet standards of all laws
<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 govl!l'Ul!Dtal agencies IlaY apply to tbe intended IIOlk, and that it is
<br />ay responsibility to identify wbat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not laited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida !later Managuent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'reatlent, Septic ,ants
<br />t US EnvirODJental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill llaterial is to be used in Flood Zone IAI or lA, etc. I, it is understood that a draiDage plan
<br />addressing a lCOIpID8ating vol.1 will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A pertit issued &ball be construed to be a license to proceed with the IIOrk and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent tbe Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued &ball heaIIe invalid
<br />unless the wort autboriled by such pemit is co.enced within silaths of issuance, or if wort autboriJed by the penit is
<br />suspended or abandoned for a periOd of sillODths after the tiJIe the IfOIt is co.enced. One 90 day extension of tile, JaY be
<br />allowed for the pertit with fee ebarge of $15.00. fbe extension &ball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />WARNING TO omR: YOUR PAILURE to RECORD A NOTICE OF CCllllllCBIlBN! MAY RESULf II YOUR PAYING !VICS FOR DIPROVIIIIIfS to YOUR
<br />PROPmY. IF YOU IIIBHD !O OB!1IJf PIUlCING, COISULf WlfH YOUR LIIDIR OR D AfIOHDY BEFORE RlCOIDING lOOK DICS OF
<br />aJlMENCBIlBN!. JOBS '2,500 IN VALUI 00 NOT NEED to RECORD AND POST A INOTICE OF I.
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<br />SfATI OF FLORIDA
<br />COlIN!Y OF 01.1.. S La
<br />The foregOing instrument was acknowledged
<br />before me this 10 -.;1. I. , 19 q 4 by
<br />
<br />GQ..~GORY HE.1-J~Y
<br />who is personally know.n to me or wbo bas
<br />produced t= L- {) L-
<br />as identification and who did/did not
<br />
<br />take ~~ U ~CR0.ill
<br />(Signature) DEBBIE A-ROWELL
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />(Nue, '.\'wed, ~trr"~~J;:4~t i ; ~ 'J I
<br />NOTARY PUBLIC
<br />
<br />STAB OF FLORIDA
<br />coum OF PAScc:J
<br />The foregoing instru.ent was aCknowledged
<br />before me this to "01- -, , 19..::i::L by
<br />
<br />GRE60R'7 HE:NK "('
<br />wbo is personally know.n to .e or wbo has
<br />produced F L f D L
<br />as identification and who did/did not
<br />take oath.
<br />~
<br />(Signa ure) NOTARY PUBLIC, S TE OF FLOR
<br />My commission expir Mar. 21, 1997
<br />(Nue Typed, Prift~tiklbd~' Sr~.n7 0 2 49
<br />NOTARY PUBLIC
<br />
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