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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pertit laY be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. !be undersigned assUleS respousibility for coapliance 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 what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for Ibich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are respousible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting 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 I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - BoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIeC Affairs. If the applicant is SOIl!OI1a other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and prlJlise in good faith to deliver it to the
<br />"owner" prior to c~ceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpUance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perJit to do work and installation as indicated. I certify that no wort or
<br />installation bas CCJIIenced prior to issuance of a pertit and that all work will be perfotJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developteJ1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lllited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Vetland Areas and Invirontentally Sensitive Lands,
<br />Vater /Wastewater !reatJent
<br />t Southwest Florida Vater Hanagetent District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Watercourses
<br />t AIIJ' Corps of Inqineers - Seawalls, Docks, Navigable Vaterways
<br />t DepartJent of Health i Rebabilitative Services, Envirouental Health Unit - Wells, Wastewater !reattent, Septic !ants
<br />t US Bnvirontental Protection Agency - Asbestos abatetent
<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 "coapensating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A ~it issued sball be construed to be a license to proceed lith the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tecbnical codes, nor sball issuance of a pelIit prevent the Building Official fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the wort authoriled by such perJit is COIIl!Dced within sillODtbs of issuance, or if wort authorized by tbe pertit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the wort is C08eOced. One 90 day eltension of tile, laY be
<br />allowed for the pelIit with fee charge of $15.00. !be eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />WARNING TO (JfDR: YOUR FAILURE !O RECORD A NOTICE OF aJIHBICBIIBIII HAY RESUL! IN YOUR PAYING TWICE FOR IHPROVIHBIft'S !O YOUR
<br />PROPBR'lY. IF YOU IIIIBND TO OB!AIN FIWCIIfG, COJISOL! WITH YOUR LlNDIR OR 111 AnoRDY BBFORB RECORDING YOUR JIO'l'ICE OF
<br />_. JfIIIII 0IIlIII t2,500 II YILlIIl DO lOr _ to RIClIID lID POS'I A 'I .~ O~CIHBIII..
<br />
<br />
<br />/fuA-2~
<br />SIGHAfURI: 0IIlfIR OR AGIIft' SI : COIIIRACTOR PAUL J. SIERRA, IT PRESIDENT
<br />
<br />
<br />S!ATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIA!E OF FLORIDA
<br />coum OF HILLSBOROUGH
<br />The foregoing instrument was acknowledged
<br />before me this 2/22/ , 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 />
<br />(Signature)
<br />
<br />(Name. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMI S5 ION E XP. ,Wi~E ,~, 1995
<br />BONDED THRU GENERAL INS. UNO.
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