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<br />r~ations. fhe undersigned asSUJe8 responsibility for co.pliance with any applicable deed restrictions. ,. ., .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOler has hired a contractor or contractors to undertake worl, tlley lilY 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 0IIDer and contractor lilY be
<br />cited for a lisc1eJeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents lilY apply for the intended worl, they are advised to contact the City of Zepbyrhllls Building DepartJent, (813)
<br />788-6611. '
<br />
<br />FurtherlOre, if the OIfner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />-Contractor SectiODS- of this application for which they will be responsible. If JOU, as the 0IIDer 8ign as the cootractor,
<br />you are indicating that JOu, rather than the contractor, are responsible for the wort. If the contractor wishes you to 8ign
<br />as contractor that lily be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, ASAMEHDED)
<br />I certify that I, the applicant, have been provided with a copy of -Florida's COnstruction Lien Law .. ~'s Protection
<br />Guide- prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIl!OIlI other than the
<br />-OIIJ1er-, I certify that I have obtained a copy of the above described docUIent and prcmse in good faith to deliver it to the
<br />-OlDer- prior to C088J1Cl!IeDt.
<br />
<br />E. CONTRACTOR' S/OWHER 'S AFFIDAVIT
<br />I certify that all the infOIlation in this application is accurate and that all worl will be done in cmpliance with all
<br />applicable laws regulating construction, JODing, and land develO(ll8J1t.
<br />
<br />Application is hereby Iilde to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation bas CDIeJ1ced prior to issuance of a perlit and that allworl will be perfOlled to _t 8tandarda of all1.s
<br />regulating construction, City codes, loning regulations, and land developlellt regulatiODS in the juriadicUCIl..I also
<br />certify that I understand that the regulations of other gov8IllleDW agencies lilY apply to the intendec1lfOlk, and that it is
<br />If responsibility to identify what actions I lust take to be in COIpliance. Such agenciesJnc1ude but..JlOt lwted to:
<br />I DepartJent of InvirDDlelltal Regulation - Cypress Baybeac1a, lIetlanclAreas ancllnviIOllll!llta11y Sensitive ~,
<br />Water/llastewater lreatlent
<br />t Southwest Florida lIater llanaguent District - lIells, Cypress Bayhea4a, lIetland Areas, Altering Watercourses
<br />I lrIJ Corps of Ingineera - Seawalls, Docks, Ifavigable lIaterways
<br />I Departlent of Health' Rebabilitative Services, InvirODl8l1tal Health Unit - lIells, lIastewater freatlent, Septic lanka
<br />I US EnvirODll!lltal Protection Agency - l8hest08 abateJel1t
<br />I also certify that, if flllllilteria! is to be used in Flood Zone IAI or -A,ete. -, it is understood that a drainage plan
<br />addressing a -CGlp8D8ating vol.- will be sublitted I.bich is prepared by a profesaionalengiDeer registered in tile State of
<br />Florida prior to perlit issuance. .
<br />
<br />A Perlit issued shall be construed to be a license to proceed with the worl and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall iasU8Dce of a perlit prevent the Building Official fa thereafter
<br />requiring a correction of errors in plana, construction, or violations of any code. Ivery peait illuell shall becme invalid
<br />unless theworl authorilellby such peait is co.encedwithin s!laths of issuance, orif"work autboriJed br..tIIe peait is
<br />suspended or abandoned for a period of sbaths after the tile the work is C088J1cell. One 90 day 81tenaion of tile, IIilY be
<br />allowed for the perlit with fee charge of $15.00. fhe 81tension shall be requeatedin writing to tile Building Official. An
<br />approved inspection IUIt be logged during each sillODth periocJ, or the project will be COD8illered abandoned.
<br />IlARlfING 10 (lOR: YOUR FAILURE 10 BICORD A HOIlCE OF WlllDCllllllIIIY ar.1 II YOUR PIYIJIGftlICI fOR 1IIPROVIIIII!8 10 YQUi
<br />PROPIII'fY. IF YOU moo 10 OBIm FIIlUCIIG, CONSULI WIR YOUR LIIDIR OJ II AftORDY BIPORB RBCOIDIIG YOUB DICE OF
<br />C(JOfUCIIIBIt'. JOBS UNDER $2,500 IIf VlLUI DO 101 DID 10 RECORD MD POSf A I.OIICK OF aJIIDClllDfI.
<br />
<br />SlUE OF FLORIDA
<br />coum OF
<br />The foregoing instrulllent was acknowledged
<br />before me this , 19____ by
<br />
<br />"j ~:r ~~
<br />SIGIl'fUJII; COIIRlCIOR
<br />, ' I / .
<br />G SIAII OF ~DA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before lie this , 19 ~ by
<br />
<br />SIGIf1'fUJ11: 0IfIIBR OR AG.DI
<br />
<br />who is personally known to lie or who, has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally mown to lie or who has
<br />produced
<br />as identification.~dwho did/did not
<br />take an o~tb. .
<br />
<br />(Signature)
<br />(Name. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />. (Signature)
<br />(Nue Typed, Printed or Staped)
<br />NOTARY PUBLIC '
<br />
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