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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'rile undersigned understands that this peIlit lay be subject to .deed restrictions" Ibich JaY be lOre restrictive than City
<br />regulations. the undersigned assUJeS responsibility for co.pliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIler has hired a contractor or contractors to undertake IIOrk, they lay be required to be licensed in accordance lith
<br />state and local regulations. If the contractor is not licensed as required by lal, both the mmer and contractor JaY be
<br />cited for a lisdeJeallor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />RContractor Sections. of this application for Ihich they lill be responsible. If you, as the OIfIler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to penlitting 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 lith a copy of .Plorida's Construction Lien Law - lIoIeolmer's Protection
<br />GuideR prepared by the Plorida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is s<meone other than the
<br />1I0000er", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COllellCl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IOrk lill be done in cOlpliance lith all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify that no IIOrk or
<br />installation bas ~ced prior to issuance of a perlit and that allllOrk lill be perfoIJed to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies JaY apply to the intended work, and that it is
<br />IJ responsibility to identify what actions I lUst take to be in co.pliance. Such agencies include but are not 11lited to:
<br />t DepartJent of EnviroDJelltal Regulation - Cypress Bayheads, Wetland Areas and InviroDJentally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />t Southlest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Sealalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater !reatJent, Septic ranks
<br />t US EnvirODJental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone "All or IIA,etc.R, it is understood that a drainage plan
<br />addressing a .cQlPeDsating VOlUleR lill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. .
<br />
<br />A Perlit issued shall be construed to be a license to proceed lith the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoJe invalid
<br />unless the work authoriled by such peIlit is COlleDced lithin sillOnths of issuance, or if lork authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day extension of tile, JaY be
<br />allowed for the perlit lith fee charge of $15.00. the extension sball be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project lill be considered abandoned.
<br />WARNIIfG !O omR: YOUR FAILURE !O RECORD A NO!ICE OF aJlMDCEIIm MAY RESULT IN YOUR PAYING !VICE FOR IMPROVIMDTS TO YOUR
<br />PROPIRfi. IF YOU IJI!EIID !O OBt'AIII FIWClKG, CONSULT Wlft tOOl LEllDBR OR AN AnoRRBY BEFORE RECORDING YOUR KO!ICI OF
<br />COHHEIfCEHBJI!. JOBS UlfDIR $2,500 IIf VALUI DO NO! NEED fO RECORD AND POST A "NO'rICI OF COMMBIfCEHBJI!".
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<br />SIGJIA'IURE: OIIIIBR OR AGm
<br />
<br />SIGJIA'IURE: COJl!RAC'fOR
<br />
<br />STATI OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!A!I 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 Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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