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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that tbis perlit IiY be subject to 'deed restrictiODS' "bieb liy be lOre restrictive than City
<br />regulations. !be undersigned asSUle& responsibility for cmpliance "itb any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe OImer bas bired a contractor or contractors to undertake IIOrt, tbey IiY be required to be licensed in accorc1ance IIitb
<br />state and local regulatioll8. If tbe contractor is not licensed as required by lall, botb the mmer and contractor liy be
<br />cited for a lisdl!ll!allor violation under state lall. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />reguir8lents liy apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Depart:lent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the OIfIler bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portiODS of tbe
<br />'Contractor Sections' of tbis application for "hieb tbey IIill be responsible. If JOU, as tbe owner Sign as tbe contractor,
<br />you are indicating that you, ratber than the contractor, are respoll8ible for tbe wort. If the contractor wisbes fOIl to sign
<br />as contractor that liy be an inc1ication that he is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrhills.
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<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 "itb a copy of 'Florida's construction Lien Law - JDemmer's Protection
<br />Guide' prepared by tbe Florida Departlent of Agriculture and ConsUll8I' Affairs. If the applicant is 80180II8 otber than the
<br />'owner', I certify tbat I have obtained a copy of tbe above described docUlent and prOlise in good faith to deliver it to tbe
<br />'owner' prior to co.enC8l8l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infomtion in this application is -accurate and that all IIOrt "ill be done in lDpliance "ith all
<br />applicable lalls regulating construction, loning, and land developl8llt.
<br />
<br />Application is hereby lade to obtain a perlit to do IIort and installation as indicated. I certify that no IIOrl or
<br />installation bas ~ced prior to issuance of a perlit and that alllOrk IIill be perfOIJed to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that tbe regulations of other goveIDlelltal agencies liy apply to the intended _1, and that it is
<br />IY responsibility to identify "hat actions I lUst tate to be in COIpliance. Sueb agencies include but are not Iilited to:
<br />t Departlent of EnvirOlll8lltal Regulation- Cypress Bayhead8, Wetland Areas and Envirolll8lltally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Soutbwest Florida Nater Manag8lel1t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar., Corps of Engineers - Sea"alls, Docks, lavigable Waterways
<br />t Departlent of Health i Rehabilitative Senices, EnvlrODleDtal Healtb Unit - Wells, Wastewater freatlent, Septic lanks
<br />t US EnvirOlll8Dtal Protection Agency - Asbestos abatl!l8llt
<br />I also certify that, if fill literial is to be used in Flood ZOne 'I' or 'I, etc. " it is understood that a drainage plan
<br />addressing a 'COIp8D8ating vol.' "ill be subJlitted IIhieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. . .
<br />
<br />A perlit issued shall be construed to be a license to proceed "ith the IOrl and not as authority to violate, cancel alter, or
<br />set aside any provisiODS of the technical codes, nor shall issuance of a perlit prevent the Building Official fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall beCCII8 invalid
<br />unless tbe IOrl authoriled by sueb perlit is co.enced "itbin sillODths of issuance, or if IIOrl autboriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile tbe IOrl is co.enced. One 90 day atensim of tiE, Ii' be
<br />allOlled for tbe perlit lith fee ebarge of $15.00. fhe 81tension sball be requested in llriting to the Building Official. An
<br />approved inspection at be logged during eaeb sillODth Pekilld, or the project IIill be considered abandoned.
<br />WARlfUG 'f0 OUIR: YOUR FAILURI fa RECORD A IOIICI OF <mtDCIIIIRf lilY RHSULf IX YOUR PAYIRG 'nlICI FOR IIIPROVIIIIIIS fO YOUR
<br />PROPmY. IF YOU IJI'fIID fa OOflD 'FIWCIKG,.COISUL'f IlIra YOOi LBIDIR OR AI lnoRIIY BIFORB IICORDIIfG YOUR JOIICI OF
<br />OIOIiICIHBR'f. . JOBS OlDER $2,500 IX VALUE DO 101 DBD fa RECORD ARD POS'f I 'IOIICI OF CCIIIlDCIIIDI'.
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<br />SIGlAfURI: 'OR AGm . <..'.: . 'COJiUCrOR
<br />
<br />S1'A1'I OF FLORIDA 0
<br />coum OF r 45 Co
<br />The foregoing instrument was acknowledged
<br />before me this 1/ JL'f ' 19 <j~ by.
<br />. r
<br />
<br />St'lD OF FLORIDA ()
<br />coom OF 1<43 CO
<br />The foregoing inst~t was aCr~ledged
<br />before me this I.~ , 19 3 by
<br />'(
<br />
<br />.-.
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