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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis penit JaY be subject to 'deed restrictions' which lilY be lOre restrictive tban City
<br />regulations. the undersigned assU1e8 responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~er has hired a contractor or contractors to undertake IOrk, they lay be required to be licensed in accordance litb
<br />state and local regulations. If the contractor is not licensed as required by lal, both the OlDer and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to lhat licensing
<br />requiruents lay apply for the intended IOrk, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIner 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 wbich they will be responsible. If you, as tbe OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lisbes you to sign
<br />as contractor that lilY be an indication tbat be is not properly licensed and is not entitled to perlitting 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 tbat I, the applicant, have been provided lith a copy of 'Plorida's Construction Lien Lal - BoIeoIner's Protection
<br />Guide' prepared by tbe Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is 8OIeOD8 other than tbe
<br />'OlDer', I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner' prior to co.enCeJH!llt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in tbis application is accurate and that all IOrk lill be done in COIpliance with all
<br />applicable lals regulating construction, loning, and land developtent.
<br />
<br />Application is bereby Jade to obtain a perlit to do lork and installation as indicated. I certify that no IOrk or
<br />installation bas c~ced prior to issuance of a perlit and that all IOrk lill be perforted to leet standards of all IDS
<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 go,erntental agencies laY apply to the intended IOrt, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOtpliance. Such agencies include but are not Iilited to:
<br />. Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />WaterfWastelater Treatlent
<br />t Southlest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterlays
<br />. Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Waste.ater !reatlent, Septic lanks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatl!Jent
<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 'cQlpensating volute' lill be sublitted Ibich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed litb tbe wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official fIOt,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall beooIe invalid
<br />unless the wotk authorized by such perlit is COIIeJlced lithin sillOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillODths after the tile the IOrt is co.enced. One 90 day extension of tile, laY be
<br />allOled for the peIlit lith fee charge of $15.00. Tbe extension shall be requested in lriting to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project lill be considered abandoned.
<br />WARlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF WIHINCEllBII HAY RESULt IN YOOR PAYING !IIICE FOR lHPROVlllEftS TO YOOR
<br />PROPERTY. IF YOU IIIEIfD TO OBTAIN FIWCING, CONSULT WITH YOOR LEIDER OR AI AnoRIEY BEFORE RECORDING YOOR IfOTICI OP
<br />C(IfHIIfCIHENt. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AIfD POS! A 'NOTICI OF ClIIINCBMEII'.
<br />
<br />/J~ ~,iL--'
<br />SIGNAtURE: OVIER OR AGIIIT
<br />
<br />SIGNATURE: COIlRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUIIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATK OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo 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 />(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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