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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that this pemit Jay be subject to "deed restrictions" which lily be lOre restrictive than City
<br />regulations. the undersigned assUJes responsibility for co.pliance 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 wort, 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 owner and contractor .y be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!leDts .y apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheI'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they Ifill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor Ifisbes you to sign
<br />as contractor that .y be an indication that he is not properly licensed and is not entitled to pemitting 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 with a copy of "Florida's Construction Lien Law _ BoIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOne other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJent and prlllise in good faith to deliver it to the
<br />Howner" prior to coaenCeRllt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develoPIIeDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or
<br />installation has ~ced prior to issuance of a pemit and that all wort Ifill be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(JEDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!llllental agencies .y apply to the intended wort, and that it is
<br />.y responsibility to identify what actions I lUSt tate to be in cOlpliance. Such agencies include but are not liJited to:
<br />I DepartJent of EnvirollleJltal Regulation - Cypress Bayheads, lIetland Areas and RnviroDlentally Sensitive Lands,
<br />lIater/llastewater freatJent
<br />I Southwest Florida lIater HanageJent District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />I AllY Corps of Inqineers - Seawalls, Docks, Xavigable lIaterways
<br />I DepartJent of Health & Rehabilitative Services, InvirODleDtal Health Unit - lIells, lIastewater freablent, Septic fants
<br />I US Invil'ODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood Zone HA" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUJe" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance. .
<br />
<br />A pemit issued shall be construed to be a license to proceed Ifith the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCOle invalid
<br />unless the wort authoriled by such perlit is cOlleDced within sillOllths of issuance, or if wort authoriled by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is m.enced. One 90 day extension of tile, .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 sillODth period, or the project wi11 be considered abandoned.
<br />IiARNING fO 0'iIIR: YOUR FAILURE fO RICORD A Xorle! OF CXIIIDCINDf HAY RlSULf IX YOUR PAYING fIIle! FOR IHPROVIIImS fO YOUR
<br />PROPIM. IF YOU IIImD fO OMAIN FllAIfC'tIG, COXSULf IIIfH YOOR LllfDIR OR AI AnoRm' BIPORB RICORDING YOUR IfOfICl OF
<br />COHHIXClHEIft'. JOBS UlfDIR '2,500 IX VALOR DO xor XIID fO RICORD AID POSf A "XorICl OF COHMDClMlJlfH.
<br />
<br />- ..
<br />
<br />SIGNAfIJRI: lIfJfER OR AGm
<br />
<br />SIGJfAfURB: COIft'RACfOR
<br />
<br />Sf An OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfR 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 o~th.
<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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