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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perJit laY be subject to "deed restrictions. wbicb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay 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 and contractor laY be
<br />cited for a lisdeIeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<br />
<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 with a copy of "Florida's COnstruction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOI8OIle other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />.owner" prior to cOlleficeaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in coapliance. Such agencies include but are not lllited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Vater Hanageaent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />t DepartJent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - VeIls, Vastewater Treattent, Septic Tants
<br />t US Environaental Protection Agency - Asbestos abatelent
<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 "cOIpeRsating voluaen will be subtitted wbich 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 ,witb the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pelIit issued shall becoIe invalid
<br />unless the work authoriled by such perlit is cOlll!nced within sillOnths of issuance, or if work authoriled by tbe perJit is
<br />suspended or abandoned for a period of sillOntbs after the tite the work is COMenCed. One 90 day stension of tite, laY be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARNING TO OIfRER: YOUR FAILURE to RECORD A NOTICE OF COMHINCBllBIII HAY RESULT IN YOUR PAYING TWICE FOR IHPItOVIHBIft'S TO YOUR
<br />PROPERTY. IF YOU IIIIBND TO OBTAIN FlIlAHCING, CONSULT VITH YOUR LBNDER OR AN ATTORRBY BEFORE RECORDING YOUR MOTICH OF
<br />COMMENCBllBIII. JOBS UMDBR $2,500 IN VALUE 00 NOT NEED TO RECORD AND POS'l' A "NOTICH OF CQtlHBNCBHBIII".
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<br />SlW.zf~~~ Sl~~
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<br />
<br />
<br />STATE OF FLORIDA STATE OF FLORIDA
<br />COUNTY OF COUIIIYOF
<br />The foregoing instrument was acknowledged The foregoing instrument was acknowledged
<br />before me this , 19____ by 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 oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARy'PUBLIC
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