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<br />CONDITIONS-OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peClit aay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
<br />regulations, Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they aay 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 lay be
<br />cited for a lisdeieanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requirements lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (BI3)
<br />788-6611.
<br />
<br />Furtheraore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe work, If the contractor wishes you to sign
<br />as contractor that aay 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 - Hoaeowcer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />I'owner" prior to couencl!.lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Department of Bnvironaental Regulation - Cypress Baybeads, Wetland Areas and Bnvironaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managl!.lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abatl!.lent
<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 uCOlpensating volUle. will be sublitted which 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every per.ait issued sball becOle invalid
<br />unless tbe work authorized by such peClit is couenced within Sil IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sillOnths after the tiAe the work is cOllenced, One 90 day extension of tiAe, laY be
<br />allowed for the peClit 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 Sil aonth period, or the project will be considered abandoned,
<br />WARNING TO OiHER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT MAY RESULT IN YOUR PAYING rwlCE FOR IMPROVEHEHfS TO YOUR
<br />PROPERTY, IF YOU IH'J'EHD TO OB1'AIH FlHAlICING, CONSULT IIITH YOUR LENDER OR AN AnORHEY BEFORE RECORDING YOUR MOTlCE OF
<br />COMHEHCEHEH'l, JOBS UNDER $2,500 1M VALUE 00 NOT HEED TO RECORD AND POST A 'NOTICE OF COKMEHCEHEH'lN,
<br />
<br />
<br />~~ .~
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this :!(\w \ 0 19 q S by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrumeqt was ackn~wledged
<br />before me thi!OP'lV 16.:;tA. , 1932- by
<br />
<br />
<br />
<br />
<br />
<br />who i personally or who has
<br />produce
<br />as identification and who did/did not
<br />take I~ oath., /J /I .
<br />~ ~~"^
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally to me or who has
<br />produce
<br />as identification and who did/did not
<br />
<br />take ~ ~~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~,
<br />*JW.,.--,c.
<br />'..' --""
<br />.,
<br />'\~Qf~
<br />
<br />DONNA M SINCLAIR
<br />My Commission CC382618
<br />Expiroa Jun. 14. 1&Q8
<br />
<br />;A'
<br />*,~*
<br />
<br />-.~Qfp..~'I)'<
<br />
<br />DONNA M SINCLAIR
<br />My CunlhliNlon CC382819
<br />FxpwesJun, 14.1998
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