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<br />CONDITIONS OF PERMIT AFFIDAV~T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this penit lay be subject to 'deed restrictions' .hich lily be lOre restrictive thai City
<br />regulations. the undersigned asSUles responsibility for COIpliance .ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOler has hired a contractor or contractors to undertake IfOrk, they lily be reguired to be licensed in accordance .ith
<br />state and local regulations. If the contractor is not licensed as required by la., both the mmer and amtractor lilY be
<br />cited for a lisdueanor violation under state law. If the owner or intended contractor are uncertain as to .hat licensing
<br />requiruents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the OIIDer has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for ldJich they .ill be responsible. If JOU, as the mmer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrt. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to pemitting privileges in the'
<br />City of Zephfrhills.
<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 .ith a copy of 'Florida's Construction. Lien La. - H--.er's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and CODBUJe1' Affairs. If the applicant is SOIII!OI18 other than the
<br />Immer', I certify that I have obtained a cOPf of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lownerl prior to COllenCuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application i8 accurate and that all IfOrt .ill be done in COJpliance .ith all
<br />applicable la.s regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Iilde to obtain a penit ~o do wort and installation as indicated. I certify that DO IOrt or
<br />installation has CDIeI1ced prior to issuance of a penit and that all IOrt Jill be perfoIJed to Met staDc1arda of all laJs
<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 goveruental agencies laY apply to the intended mi, and that it is
<br />Iy'responsibility to identify what actions I lUSt tate to be in COIpliance. Such agencies include but are not luited to:
<br />t Departlent of Envirolllental Regulation - Cypress Baybeads, lIetland Areas and Invirol1lentally Sensitive Lands,
<br />lIater /IIasteJater freatJent
<br />t Southwest Florida lIater Hanaguent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Inqineers - Seawalls, Docks, lIavigable lIatenays
<br />t DepartJent of Health & Rehabilitative Services, InvirODleDtal Health Unit - lIells, lIaste.ater !reatJent, Septic !anks
<br />t US EnviroDlelltal ProtectiOn Agency - Asbestos abatuent
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne 'A' or lA, etc. I, it is understood that a drainage plan
<br />addressing a lCOIpensating volDle' will be saiUed .hich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A penit issued shall be construed to be a license to proceed with the vort and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued shall beeme invalid
<br />unless the wort authorbed by such perlit is cOlleDced within sillOnths of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a periOd of sillOnths after the tile the IIOrt is ~ced. One 90 clay I!Itension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. the I!Itension shall be requested in .riting to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />IIAIIHIlfG fa OIlIER: YOUR FAILURE fa RECORD A IOIICE OF COHHBlfCBHBlft' HAY RESULt III YOUR PAYlIfG f11ICE FOR IHPROVIIImS to YOUR
<br />PROPBJrlY. IF YOU IIDJID fO OB!111f FIWCIIG, COIfSULrIlIrH YOUR LlllDER OR AI AnORJIIY BIFORB RECORDIIIG YOUR 100nCE OF
<br />COMHIIICEHm. JOBS UIIDIR $2,500 III VALUI 00 1101 DID fa RECORD AIfD POSt A 'IIOIICI OF CfJOlIIICBHBIft".
<br />
<br />~M~
<br />81 : OIIDR .
<br />
<br />
<br />StlfB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknOWledged
<br />before me this , 19_ by.
<br />
<br />Sf AD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />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 oQ.th.
<br />
<br />(Signature)
<br />
<br />(HiU18 ~ed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
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