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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this penit lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. !he undersigned asSUle& responsibility for cmpliance with any applicable deed restrictloaa.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas 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 licl!D8ed as required by law, both the OIfDer and COJltractar .y be
<br />cited for a lisdeJleallor violation under state law. If the ower or intended contractor are uncertain as to what licIDSing
<br />reguirl!leDts lilY apply for the intended wort, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the OIfDer has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the OIfDer sign as the ccmtractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that be is not properly licIDSed and is not entitled to penitting 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, have been provided .ith a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Plorida Departlent of Agriculture and COnsUIeI Affairs. If the applicant i8 8CIIBOI18 other than the
<br />'owner', I certify that I bave obtained a copy of the above described docuIent and prcaise in good faith to deliver it to the
<br />'owner' prior to coaenCl!ll!llt.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, lORing, and land developleDt.
<br />
<br />Application is hereby Iilde to obtain a penit ~o do .ork and insWlation as indicated. I certify that no work or
<br />installation has CDlenced prior to issuance of a penit and that all work lill be perfoIled to _t staDdards of all 1au
<br />regulating construction, City codes, loning regulations, and land develoPMlt regulations in the jurisdictioo. I also
<br />certify that I understand that the regulations of other gov8IDlelltBl agencies .y apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt tale to be in COIIpliance. Such agencies include but are not lilited to:
<br />I Departlent of InvirOlll8lltal Regulation - Cypress Bayheads, lIetland Areas and EnvirollleDtally Sl!D8itive Lands,
<br />lIater/lfastewater Treat:lent
<br />I Southwest Plorida lIater Jlanagl!leDt District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
<br />I Any Corps of Engineers - Seawalls, Dods, lavigable lIaterways
<br />I Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater Treat:lent, Septic lants
<br />I US InvirODleDtal ProtectiOn Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fill Iilterial is to be used in Plood Zone 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'COIpensating vol_' will be sublitted which is prepared by a professional engineer registered in tile State of
<br />Florida prior to penit issuance.
<br />
<br />A P8I1lit issued sba11 be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fa thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Ivery penit iuued sba11 becaIe invalid
<br />unless the IIOrk authoriled by such penit is co.enced within sillODths of issuance, or if work authoriled by tile penit is
<br />suspended or abandoned for a periOd of sillOJlths after the tile the wort is ~ced. One 90 day atension of tile, laY be
<br />allowed for the penit with fee charge of $15.00. The atension shall be requested in Iriting to the Building Official. An
<br />approved inspection lUSt be logged during each sillOJlth period, or the profect will be considered abandoned.
<br />WARMING 1'0 0IfDR: YOUR PAILURI TO RICORD A NOTICE OF allllDCIIIBMl' HAY RESULI IN YOOI PAYING DICE FOR DIPROVIIIIIIS 1'0 YOUR
<br />PROPD'fY. IP YOU TO OBIlIN PIIUCING, COISULT 111m YOUR LIIIDIIl OR AI AnORIIY BIFORB RICORDIIG YOUR JOIICI OF
<br />CCIIHIICEIIIN'f. UNDO $2,500 IN VALUE 00 NOT IfIID TO RICORD AND POST A 'NOTICE OP aJIIIDCIIIIII'.
<br />
<br />
<br />If..
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<br />SIGUIURB: COIIIRACIOR
<br />
<br />STATI OF FLOR~
<br />COUNrY OF q-~l i)
<br />The foregoing instrument was acknowledged
<br />before me this (t(t" ty(.{"'~"l' 19~ by
<br />
<br />k',\ \\ 4~ ~. Po-e
<br />who is per801ls11y _9_ to me or who has
<br />pro uced fl, D l- POOO - ? S'b- t.J..- .!>d 1- 0
<br />as entification and who id/d~t
<br />ta an oath.
<br />
<br />SIAD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oct.th.
<br />
<br />(Si~ature) r\- I
<br />'Q ret ~ ..f '" ,j tl I Ie ~o ;.,.
<br />(Name ~; Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />LORAINE M, JACKSON
<br />MY COMMISSION fI CC 300916
<br />EXPIRES: July 11, 1997
<br />Bonded Thru Notary Publlc Underwriters
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