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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that this penit laY be subject to Ideed restrictions' 'wbich lIy be lOre restri(.tive tba:n City
<br />regulations. !he undersigned asSUle& responsibility for COIpliance with any applicable deed restricti0D8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance with
<br />state and local regulati0D8. If the contractor is not licensed as required by law, both the owner and contractor .y be
<br />cited for a lisdl!leallOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lellts Jay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the OImer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />ICon tractor Sections' of this application for which they will be responsible. If you, as the OWDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<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, bave been provided with a copy of 'Florida's Construction Lien Law - lbIeowDer's Protection
<br />Guide- prepared by the Florida Deparuent of Agriculture and ConsUJer Affairs. If the applicant is 8OIl!OIl8 other than the
<br />lOWDer', I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
<br />'owner' prior to COllenC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is.accurate and tbat all work will he done in COIpliance witb all
<br />applicable Ian regulating construction, 1000ng, and land developleJ1t.
<br />
<br />Application is hereby Jade to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a penit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOplellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverJlleDtal agencies Jay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIIpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviIODlelltal Regulation- Cypress Bay4eads, Wetland Areas and InviroDleDtally Sensitive Lands,
<br />Water /Wastellater 'I'reauent
<br />I Southwest Florida Water Hanagl!lellt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />I Arl' Corps of Engineers - Seawalls, Docks, lIavigable Watenays
<br />I Departlent of Health & Rehabilitative Services, EnvirODlleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic lants
<br />I US EnvirODlleDtal Protection Agency - Asbestos abatuent
<br />I also certify that, if filluterial is to be used in Flood ZOne 'A'or lA, etc. " it is understood that a drainage plan
<br />addressing a 'COIpeDSating VOlUl81 will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. . ,
<br />
<br />A penit issued &ball be construed to be a license to proceedlfitb 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 pewt prevent the Building Official fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violati0D8 of any code. Ivery per.it issued shall becme invalid
<br />unless the wort authoriled by sucb penit is co.enced within sillODtbs of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after. the tile the wort is ~cecl. One 90 day utension of tile, .y be
<br />allowed for tbe penit with fee charge of $15.00. 'I'be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth PeriOd, or the project will be considered abandoned.
<br />WARlfIRG '1'0 (MfJR: YOOR FAILURE '1'0 RECORD A larICE OF aJIIDCIIIIIft HlY RlSUL'I' III YOUR PAYllfG "'ICE POI lIIPROVEIIIIIS '1'0 YOUR
<br />PROPER'I'Y. IF YOU lifE '1'0 OB'I'AIR irulxGiCOlSUL'I' WI'I'B tOOIi LIIDIR OR AIII1"I'ORDY BIFORI RiCORDIIG YOUI JOIICE OF
<br />~ ro IIIItlIID lID IllSf I '1I11:ICllll~. __
<br />
<br />
<br />. ~ 1'1-,9 6UrA. ~ ,ooe.u;;^
<br />SIGiA' . . SIGIII ... .
<br />
<br />STArB OF FLORIDA /j,
<br />~OF ~CO
<br />The foregoing inst~ent was acknowledged
<br />before me this 1:2;2.. , 19-U by.
<br />
<br />srAIB OF FLORIDA ~
<br />coum OF /fS co
<br />Tbe foregoing iD8~. ant was ac~~ledged
<br />before me this ! :2 , 19~ by
<br />
<br />who is personally known to 118 ot' wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath. c;t1/ ~~
<br />
<br />(Signature) . .
<br />Notary Public Pasco Co. FL
<br />(Nue TypJM'/ Wm_ MP1St_.4)19'J,
<br />NOTARY PUBLIC
<br />
<br />who is personally known to DIe or who has
<br />produced
<br />as identificati
<br />take an oath
<br />
<br />(Signature)
<br />(Name .Typ~~PIim~e~
<br />NOTARY PUBL . 'on Exn\ftS May 1 . 1 5
<br />MY mISs' to
<br />
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