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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pemit lilY be subject to .deed restrictions. wbich lilY be lOre restrictive than City
<br />regulations. 'fbe undersigned assUleS responsibility for COIpliance 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 JaY 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 lilY be
<br />cited for a lisdeleallor violation under state lall. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lilY apply for the intended work, they are advi~ to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbich 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 lilY be an indication that be is not properly licensed and is not entitled to pemitting 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, have been provided with a copy of .Florida's Construction Lien Law - lIaIeowner's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is SOMllle other than the
<br />.owner., I certify that I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
<br />Howner" prior to COIIeDCelellt.
<br />
<br />E. CONTRACTOR' SlOWER 'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developent.
<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 bas CDlencecl prior to issuance of a perlit and that all work will be perfonec1 to .et 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 the regulations of other gOYerDlleDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lillited to:
<br />t DepartJent of EnvirOlll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /Wastewater 'freatlent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lIavigable Waterways-
<br />t DepartJent of Health' Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'freatJent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatell!llt
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne .A. or HA,etc.", it is understood that a drainage plan
<br />addressing a .COIpeDSating volUle" will be saitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A Perlit issued shall be construed to be a license to proceed with 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall. beCOle invalid
<br />unless the work authorized by such pemit is COIIeDCed within sillODtbs of issuance, or if wort authorized by the peIlit is
<br />suspended or abandoned for a period of sil IODtbs after the tiIIe the work is COIIeDced. One 90 day extension of tille, lilY be
<br />allOlled for the perlit with fee charge of $15.00. 'fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each SillODth period, or the project will be considered abandoned.
<br />WARRING 'f0 omR: YOUR FAILURI 'f0 RECORD A IIO!ICE OF <XIIMDCEMm MAY RlSUL'f 1M YOUR PAYllfG filCE FOR DIPROVBIIBIIIS 'fO YOUR
<br />PROPER". IF YOU IIlIIIID 'fO OB'lAIII FlIfDCING, COJISUL'f wlm YOUR LINDO OR 111 AnoRJ1BY BEFORE RECORDING YOUR DICE OF
<br />COMMEIlCEMBIf'f. JOBS UIIDIR $2,500 III VALUE DO IIO! IfBED 'f0 RECORD 1IID POsr A "IIO!ICB OF ClJIlBJICBMBJI'fIl.
<br />
<br />
<br />SI~l1fv1b~ ~JftM}~
<br />
<br />S'fA'fE OF ~
<br />coum OF ,qSl?o
<br />The foregoing instrument was acknowledged
<br />before me this fY)A~ 3 , 19.!l.S:: by
<br />
<br />S'fA'fE OF FLORI!)I)
<br />coum OF I1lSt!o
<br />The foregoing instrument was acknowledged
<br />before me this fY)AR~ ~, 19!1....c- by
<br />
<br />rYl1~l<t& ~,;J .b/f~,fC, e~
<br />who is pers nallv known to me or who has
<br />produced
<br />as identification and who did/did not
<br />ta~, oath. C;.~
<br />
<br />fSi ature)
<br />\. //
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />who is
<br />pro uced
<br />as identification and who did/did not
<br />
<br />take~ 4. ~
<br />(s(gna re)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~-
<br />" JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC 1.1 0::'>74
<br />
<br />1:. '...
<br />;:-:- JAMES A. STON~
<br />Notary Public, State of Flod6;.;
<br />My comm. expires Mav 1 f; 'J (1C.:.~:
<br />,1 .;.J, .. '-'._"--.1
<br />CC110274
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