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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit laY be subject to 'deed restrictions' Ibieb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lal, both the OlDer and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat 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 />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this a~plication for wbicb they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the lark. If tbe contractor wisbes you to sign
<br />as contractor that laY be an indication that be 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, bave been provided with a copy of "Florida's COnstruction Lien Law - HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OI8ODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlBDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDC8l8Dt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIPliance with all
<br />applicable lals regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do lark and installation as indicated. I certify that DO vork or
<br />installation bas COIIeDced prior to issuance of a peIlit and that all vork lill be perforled to leet standards of all IBIS
<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 other goveIDIental agencies lilY apply to the intenc1ed vorl, and that it is
<br />IY responsibility to identify Ibat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastelater Treatlent .
<br />t Southlest Florida Water Hanagell!llt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arl' Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />t Departlent of Health , Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlen~, Septic Tanks
<br />t US InviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUle' lill be suhlitted wbicb 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 vork and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
<br />unless tbe lark authoriled by sueb perlit is cOll8nced within sll IOIlthS of issuance, or if vork authoriled by the peuit is
<br />suspended or abandoned for a period of sil IOntbs after the tile the vorl is cOlleDced. One 90 day eltension of tile, laY be
<br />allowed for the perlit with fee cbarge of '15.QO. Tbe IItensioD sball be requested in Iriting to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillOllth period, or the project will be considered abandoned.
<br />WARNING TO OIINIR: YOUR FAILURE TO RICORD A. NorteR OF C(JUtERCIHEMI MAY RESULt' IN YOUR PAYING BleB FOR IIIPROVEIIEI1'S TO YOUR
<br />PROPERTY. IF YOU IIl1IND TO OBTAIN FIIfAJICING, CONSULT WITH YOUR LENOIR OR AI AnORllEY BIFORE RECORDING YOUR IfOTleB OF
<br />COHHENCIHBIfT. JOBS UNDIR $2,500 IN VALUE 00 NOT NIID TO RECORD AID POST A "NOTICE OF COIIHBHCElllrrr'.
<br />
<br />
<br />~7.~. C\oiL.i~
<br />/ IGIfATU : OIIIIBR OR AGINT SIGIfATURE=\COIITRACTOR
<br />
<br />STATE OF FLORIDA n.
<br />COURTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this J - /?- , 19 9.~ by
<br />
<br />~ ~'L&
<br />who i~ersonally own to me or who has
<br />produced .~,.;o".i"",.
<br />as identification ~~t~~...~~Jt!d not
<br />tat an o~tb.. . ~ >. .,..:9<' ~
<br />:<::' \""
<br />
<br />
<br />
<br />Notary PUblic. State of Florid.
<br />DIANNA l. TRZNADEL
<br />My Comm. Exp, Nov. 11, 1995
<br />Comm. No, CC 159184
<br />
<br />Nct~'1ry Pub:ic, State d Florlda
<br />DiAi-i;'JA L. Tr::ZNAlJEL
<br />My Comm. Exp. Nov. II, 1995
<br />Comm. No. CC 159134
<br />
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