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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands tbat this penit lily be subject to Ideed restrictions I wbic.b lily be lOre restrictive than City
<br />regulations. !he undersigned assUl8S responsibility for co.pliance with any applicable deed restrictiOll8. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas Ilired a contractor or contractors to under tate wort, they lilY 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 OIfIIer and contractor lilY be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lenta lilY apply for the intended wort, they are advised to contact the City of Zep!lyrlli]]s Building Deparl:lent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the OIner bas bired a contractor or contractors, be is advised to baYe the contractor(s) sign portions of tbe
<br />ICon tractor Sections~ of this application for whic.b 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 wort. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entiUed to penitting 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, have been provided with a copy of IPlorida's Construction Lien Law _ JGeoImer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and COIlSUI8I' Affairs. If the applicant is SOIeOIle other than the
<br />lowner', I certify tbat I have obtained a copy of the above described docUleDt and pr~se in good faith to deliver it to the
<br />"owner I prior to COllellCuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and tbat all wort will be done in COIpliance with all
<br />applicable law8 regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify tbat no IIOrt or
<br />. installation has cmlenced prior to isauance of a penit and that all IOrk will be perfoIlecl to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land deyeloplll!Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended wort, and that it is
<br />.y respollSibility to identify what actiollS I .ust tate to be in cmpliance. Suc.b agencies include but are not lutted to:
<br />t Departllent of Bovirol1lental Regulation - Cypress Bayheada, Wetland Areas and BoviCODleDtally Sensitive Lands,
<br />Water/Vastewater rreatJeot
<br />t Southwest Florida Water Hanag8lent District - lIe]]s, Cypress Baybe., Wetland Areas, Altering Watercourses
<br />t Al'IJ Corps of Bogineers - Seawalls, Docks, lavigable Waterways
<br />t Deparf:lent of Health & Rehabilitative Services, InvirODllDtal Health Unit - Wells, Wastewater freat:lent, Septic fants
<br />t US InvirODll!J1tal Protection Agency - Asbestos abateleJlt
<br />I also certify that, if fill literial is to be used in Flood lone IAI or II,etc.I, it is understood that a drainage plan
<br />addressing a IlDpeDSating YOIUl81 will be sublitted whic.b is prepared by a professicmal engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pmit issued shall be COllStrued to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official frell thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit isaued shall beCOle invalid
<br />unless the wort authoriled by suc.b penit is COIIenced within sblODths of i88uance, or if IOrk authoriled by the penit is
<br />suspended or abandoned for a period of sil IODths after the tile the wort is co.enced. One gO day utension of tile, liy be
<br />allOled for the penit with fee c.barge of $15.00. The utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eac.b sil IODth period, or the. project will be considered abandonec1.
<br />1IA111ING TO (JfDR: YOUR FIILUHI TO UCORD I IOIIC! OF aIIIIIlCmr MAY RlSOLf IX YOUR PAYUG !IIIC! FOR DIPROVIIIIII'S TO YOUR
<br />PROPBRrY. IF YOU IIDJD ro oarw PllIAICI.G, COISOLf IIITH YOOR LIIDIR OR All AnoRIIY BIFOU RICOIDIIG YOUR IOrIC! OP
<br />ClIIHDCIHIHr. JOBS UlDIR $2,500 II VALUI 00 lor ffIID ro UCORD AID POST A '.OIIC! OF aJllllCllllftI.
<br />
<br />SIGlAfURI: (IOIJR OR AGIJII
<br />
<br />SIGlAruRI: COIWC'fOR
<br />
<br />srArl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SrArE OF FLORIDA
<br />COOllY OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to lie or who has
<br />produced
<br />8S identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did Dot
<br />take an o~th.
<br />
<br />(Signature)
<br />(Namp. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Hue Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
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