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<br />QONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that. .this penit lily be subject to 'deed restrictions' wbieb lily be lOre restricUve than City
<br />regulations, !be undersigned asSUIeB responsibility for COIpliance with any applicable deed restrictiODS.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they DY 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 an4 contractor lliy be
<br />cited for a lisdeJeallor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents DY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611. '
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<br />FurtberlOre, if the OIfIler bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiODS of the
<br />IContractor SectiODS' ,of this application for wbieb they will be responsible, If you, as the owner sign as tIu! ~tractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work, If the contractor wisbes JOU to sign
<br />as contractor that lily be an indication that be is not properly licensed and is not entitled to periitting pr~vil"es in the
<br />City of Zepbyrbills~ '. . ' ' ,~ ,,'. , '
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided lith a copy of 'Florida's COnstruction Lien La, - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OI8ODe other than the
<br />lowner', I certify that lbave obtained a copy of the above described docUIent and pro.ise in good faith to deliver it to the
<br />lownerl prior to COIIeDCl!lleDt,
<br />
<br />OJ'
<br />
<br />d~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlatioo"inthis application is accurate and that all work will be done in cOIpliance lith all
<br />applicable lals regulating construction, loning, and land developleDt,
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that ~ JIOrk or
<br />installation bas ~ced prior to issuance of a perlit and that all work lill be perfoIJecl to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(ll8llt regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies IilJ apply to the intendeel 'work, and that it is
<br />If responsibility to identify wbat actions I lust take to be in cOIpliance, Sueb agencies include but are not lulted to:
<br />. Departlent of BnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater TreatleDt
<br />. Southwest Florida Water Manag8leDt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />. Departleot of Health' Rehabilitative Smices, InvirOl1l8Dtal Health Unit - Wells, Wastewater '1reatleDt, Septic '1anks
<br />. US BnvirOl1l8Dtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a ICOlpeDsating volute' lill he sub8itted Ibieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance, " j;'
<br />
<br />A perlit issued shall be construed to be a license to proceed lith the IOrk and not as authority to violatercancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl.thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit'issued'shall becoIe"in'alid
<br />unless the IOrk authorized by sueb perlit is COIIeDced lithin sillODths of issuance, or if work authoriled by tbe penit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is ~cecl.' One 90 clay 81tension of tile, IilJ be
<br />allowed for the penlt lith fee charge of $15.00. Tbe 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillODth period, or the project lill be considered abandoned.
<br />WARlfIlfG 10 <<*DR: YOUR PAILURB to RICaRD A DICE OF aJIIIICIIIIIT IlAY RBSUL'I II YOUR PAIIIG niCE FOR IIIPROVIIIIIl'S TO YOOR
<br />PROPBm, IP YOU IRlIIfD to OBTAIM FIIlAlCIIG, COISULf WITH YOUR LDDIR OR III AnoRDY BIFOIIB RICORDIIG YOUR DICE OF
<br />C(JfMBRCBHBRI. JOBS ORDER $2,500 1M YAWl DO RO'l IfBBO '10 RICORD AID POS'I A 'DICE OP CCltMBlCIlIIBII'f',
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<br />SIGlATURK: CORIJIAC'fOR
<br />
<br />,j"; ;:',:'
<br />
<br />, "
<br />
<br />SfATB OF FLORIDA
<br />COUR'II OF
<br />The foregoing instrument was acknowledged
<br />before me tbis , 19____ by
<br />
<br />STAR OF FLORIDA
<br />coum OP
<br />The foregoing instrument was acknowledged
<br />before lie this , 19_ by
<br />
<br />wbo is personally known to lie or wbo bas
<br />produced I ~
<br />as identification and who did/did not
<br />take an oQ.tb.
<br />
<br />who is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oatb.
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARy'PUBLIC
<br />
<br />(Signature)
<br />
<br />(Ra.e Typed, Printed or Sta.ped)
<br />ROTARY PUBLIC
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