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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />tbe undersigned understands that this penit JaY be subject to 'deed restrictiOll8' wbich JaY be lOre restrictive than City
<br />regulations. !be undersigned asSUJe8 responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOler bas hired a contractor or contractors to undertake wort, they I8Y be required to be licensed in accordance ,ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor JaY be
<br />cited for a aisdl!ll!illOr violation under state law. If the OIOler or Intended contractor are uncertain as to wbat licensing
<br />requir8lellts JaY apply for the intended IIOrt, they are advised to contact the City of, Zepbyrhills Building Deparuent, (813)
<br />788-6611.
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<br />FurtherlOre, if the OIfIler 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 wbich they ,ill be responsible. If you, as the OIfIler sign as the contractor,
<br />you are indicating that you1 rather, than the contractor, are responsible for the IIOrt. If the contractor lisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and Is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILI'tY 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 with a copy of 'Florida's Construction Lien Lal - lIaIeolmer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is 8OI8OIl8 other than the
<br />"mmer", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />ummer" prior to COlleDC8I8I1t.
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<br />E. CONTRACTOR'S/OWER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all wort lill be done in COIPliance litb all
<br />applicable lals regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby Jade to obtain a perlit to do lork and installation as indicated. I certify that no lort or
<br />installation bas CDleDced prior to issuance of a perlit and that alllork lill be perfoIled to 188t standards of all laws
<br />regulating construction, City codes"loning regulations, and'land'developlleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlleDtal agencies lilY apply to the intendec1work, and that it is
<br />If responsibility to identify Ihat actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatleRt
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses
<br />t AllY COIPS of Engineers - Seala11s, Docks, lIavigable Waterways
<br />t Departlent of Bealth& Rebabilitative Services, BnvirOllleDtal Health Unit - Wells, Wastewater l'reauent, Septic tanks
<br />t US InvirODleDtal Protection Agency - Asbestos abat8lellt '
<br />I also certify that, if fIll Jaterial is to be used in Flood ZOne 'A' or 'A,etc.", it is understood that a drainage'plan
<br />addressing a 'COIpeD8ating volllle' li11 be sublitted Ibich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. .
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<br />A perlit issued shall be construed to be a license to proceed lith the wrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, norsball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iveryperait issued shall' becOIe invalid
<br />unless the workautboriled by such perlit is COIIeDcedlithinsillODtbs of issuance, or if lork authoriled by the perait is
<br />suspended or abaDdoned for a period of sillODtbs after the tile the work Is ~ced. One 90 day utensicm of. tile, IilJ be
<br />allowed for the perait lith fee charge of $15.00. tbe 81tension shall be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged dm:ing each sil IODtb period, or the. project ,ill be considered abandoned.
<br />"ARllIlfG 'f0 OWRIR: YOUR FAILURE 'fO RlooRD A 1I0000ICH OF aJlllDCBllllllllAY RlBOL'f II YOUR PAnlG filCH FOR IIIPROVIIIIII1'S 'f0 YOUR
<br />PROPIRTY. IF YOU IftIllD fO OB'IUII rIlWlCIIG, COIISOL! WlfB tOOR LIIDIR OR AI AnORIIY BIFORI RiCORDIlfG YOUR 1I0000ICH OF
<br />ClJIMIIIClMlIII. JOBS OlDER $2,500111 VALUE DO 10'1' IIIID fO RECORD AID POSt A 'IIO'1'ICH OF C(JtMDCIIIIIII1.
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<br />D-Y~ ~7 ~
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<br />/ SIGllArURE: OOBR OR 1GBIll' " Y: SIGIIA1'URI: COIIIlIACfOR - , '; .
<br />
<br />
<br />STAl'E OF FLORID~ '
<br />ooum OF ~
<br />The foregoing inst
<br />befo this ~
<br />
<br />was acknowledged
<br />19~by. .
<br />
<br />STAlE,' OF FLOR~ . "
<br />CoumOF ' ~
<br />The foregoing inst
<br />befor e this
<br />
<br />
<br />t was acknowledged
<br />. , 19~ by
<br />
<br />~ Pub/Ie. Statw Of a....
<br />'my Comm Ex" M"' " OIun(fa
<br />. p. ar, 17, 1995
<br />
<br />Notary Public. State of Florida
<br />My Comm. Exp. Mar. 17, 1995
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<br />-':"~.'
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