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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perait JaY be subject to 'deed restrictions' .bieb JaY be lOre restrictive than City
<br />regulations. !he undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lay be reguired 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 JaY be
<br />cited for a lisdl!lll!allor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for lIhieb they will be responsible. If fOu, as the owner sign as the contractor,
<br />you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor wisbes fOU to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<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 1, the applicant, have been provided lIith a copy of 'Florida's construction Lien Lall - lIoIeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is SOHODe other than the
<br />'owner', I certify that I have obtained a copy of the above described dOCUleDt and proaise in good faith to deliver it to the
<br />'owner" prior to COIIeDCl!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation baa C08IeDced prior to issuance of a perlit and that all work will be perfOIJed to leet 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 goveruental agencies JaY apply to the intended 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 lilited to:
<br />t Departlent of EnviroDleDtal RegulatiQll - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Vater /Vast81later 'l'reatlent
<br />t Southwest Florida Nater Kanagl!leDt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Watercourses
<br />t Aray Corps of Inqineers - Seawalls, Docks, lavigable Waterways
<br />t Departlent of Health i Rehabilitative Senices, EnvirODleDtal Health Unit - VeIls, Vast81later 'l'reatlent, Septic 'l'anks
<br />t US EnviIODleDtal Protection Agency - Asbestos abateIeDt
<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 'COIpeDSating vol_' will be sw.itted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed lIith 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 froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becoIe invalid
<br />unless the work authoriled by sueb perait is COIIllJlced within sillODths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is COIIeDced. One 90 day 81tension of tile, JaY be
<br />al101led for the perlit with fee charge of $15.00. !he 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />VAlUfIMG 'l'O omR: YOUR FAILURE 'l'O RECORD A 100001CE OF aJIIDCBIlIII'l' MAY RESUL'l' II YOUR PAYIIG !VICE FOR lMPROVBIIBI'l'S 'l'O YOUR
<br />PROPBR'l'Y. IF YOU IIIDID 'l'O 081111 FIIlAlCIIG, COKSUL'l' VI'l'B YOUR LlllDBR OR AI A'l"l'ORIIY BIFOIII RECORDIIG YOUR JIO'l'ICE OF
<br />COMMBICBHKM'l'. JOBS UllDBR $2,500 II VALUE DO 10'1' IIDD 'l'0 RECORD AID POS! A 'IO'I'ICE OF COHtIBICBIlIJI'M.
<br />
<br />SIGIA'l'URE: ComAC'l'OR
<br />
<br />SIGJlAtuRI: (MIBR OR AGm
<br />
<br />S'l'A'l'1 OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />S'l'A'D OF FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as 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 not
<br />take an oil-tho
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name, Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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