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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit laY be subject to 'deed restrictions' wbich laY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance 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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe
<br />"Contractor Sections' of this application for which they will be ,responsible. If you, as the owner sign as tbe 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 laY be an indication that he is not properly licensed and is not entitled to perlitting 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 witb a copy of 'Florida's Construction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIer Affairs. If the applicant is SOHOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COllBDc8lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation has CDIIeDced prior to issuance of a perlit and that all work will be perfoIl8d to leet 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 otber goveDlllental agencies laY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanag8lent District - Wells, Cypress Daybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health' Rehabilitative Services, EnvirDDleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnvirDDleDtal Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOJlpensating volUle' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl.thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOle invalid
<br />unless the work authoriled by such perlit is cOllBDced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is CDIIeDced. One 90 day utension of tHe, .y be
<br />allowed for the pemit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNllfG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C<>>IHENCIIIDT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIDTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IUTH YOUR LINDIR OR AN AnORlllY BEFORE RECORDING YOUR HOIICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A "HOIICE OF C<JtMENCBMENT".
<br />
<br />SIGNATURE: OIfIfER OR AGENT
<br />
<br />SIGNATURE: CONTRAC'l'OR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 />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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name lyped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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