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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'lbe undersignec1 understands that tbis perlit laY be subject to 'deed.restrictions' wbieb lily be lOre restrictive than City
<br />regulations. !be undersignec1 assuaes responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICEN~ED CONTRACTORS AND CONTRACTORRESPONSIB~LITIES
<br />If tbe owner bas buec1 a contractor or contractors to undertake work, they lily' be regui~ 'to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensec1 as reguired'J)f law, botll.:tbe 0IIJIer and contractor lilY be
<br />citec1 for a lisdeJeallor violation under state law. If tbe 0IIJIer or intended contractor are' uncertain as to wbat licensing
<br />reguiretellts lay apply for tbe intended work, they areac1vis'ed to contact tbe City of'Zepbyrhills Building Departlent, (813)
<br />788-6611. ,'J \
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for wbieb tbey will be responsible. If JOU, as tbe OlDer sign as the contractor,
<br />you are indicating that JOU, ratber than tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitlec1 to pertitting privileges in tbe
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify.tbat I, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - BaIeoImer's Protection
<br />Guide' prepared by tbe Florida Depart:lent of Agriculture and ConsUll!I' Affairs. If tbe applicant is SOIl!OIle other than the
<br />'owner., I certify that I bave obtained a copy of tbe above described docuIent and protise in good faitb to deliver it to tbe
<br />"owner' prior to COIIeDCl!lll!Jlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infortation in tbis application is accurate and tbat all work will be done in CGlpliance witb all
<br />applicable laws regulating construction, loning, and land develollleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicatec1. I certify that DO wort or
<br />installation has CDIeI1ced prior to issuance of a perlit and that all wort will be perfoIJed to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtellt regulations in the jurisdiction. I also
<br />certify that I understand tbat tbe regulations of otber govl!IJlleDtal agencies lilY apply to tbe intended wort, and tbat it is
<br />If responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lilited to:
<br />I Departlent of Envirollllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands,
<br />Ifater/Wastewater 'lreat:lent
<br />I Soutbwest Florida Water Hanageient District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Healtb i Rehabilitative Services, EnvirODleDtal Healtb Unit - Wells, lIastewater 'lreat:lent, Septic !ants
<br />I US EnviIODleDtal Protection Agency - Asbestos abatetent
<br />I also certify that, if filllilterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIIpeDSating volute. "ill be sublittec1 wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construec1 to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a penit prevent tbe Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beaIIe invalid
<br />unless tbe IIOrt authoriled by. sueb perlit is COIIeDcec1 witbin sillODtbs' of issuance, or if vork authorized by the penit is
<br />suspended or abandoned for a period of sil IODtbs after the tile tbe vort is co.enced. One 90 day eltension of tile, lilY be
<br />allowed for tbe perlit witb fee charge of $15.00. 'lbe eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be loggec1 during eaeb sil IODtb period, or the proj"ect will be considered abandoned.
<br />WARMING 'lO (JfRER: YOUR PAILURE 'lO RECORD A 10'lICE OF CCIIMDCBIIBIIt' MAY RlSOL'l IN YOUR PAYIIG fIIlCE POR IHPROVIIIBIfS 'lO YOUR
<br />PROPEm. IF YOU IIIDIID 'lO OBYIIJI PIWCING, CONSUL'l WIR YOOR LllDER OR 1R AftORDY BEFORE RICORDIIIG YOUR DICE OP
<br />COHHDCIHBIlf. JOBS OlDER '2,500 II VALUE 00 10'l NEED 'l0 RECORD ARD POSt' A 'IO'lICE OF C(JfMDCIMBIIf".
<br />
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<br />I GNA : OIfIIBR AGBII1'
<br />
<br />1~~/q#N
<br />SIGNA : COIJRACfO
<br />
<br />S'lA'lE OF FLORI~
<br />coumOF ,~W
<br />Tbe foregoing instrument was a~ledged
<br />before me tbis ~ I trb rJ.....19.!:L by
<br />
<br />LJA.
<br />who is p rS.9.D}ll
<br />produced t L
<br />as tification and wbo di~/did not
<br />ta e ,Qa
<br />
<br />
<br />SIAn: OF FLORIDA ~
<br />coom OF A <\ L()
<br />Tbe foregoing inst~ent was a~~edged
<br />before me thisc:02! /}/Pd- , 1~ by
<br />
<br />crt::
<br />to me or who bas
<br />
<br />(
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY ,PUBLIC
<br />
<br />~~... CINDY 800KER
<br />=Q;_i . "~:,: MY COMMISSION' CC 192026
<br />" '. .~J EXPIRES: May 19. 1916
<br />,,'(jl;,' D-..... ....... .....~
<br />'" ....n:'~... ~tI '-.ai' PWQc Underwrtters
<br />~....~..)-
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.t:8~~:fj:;;".... CINDY 8CJOJCfR
<br />. '~'P' MY"""'"
<br />~.i ,.E ~ISSIOtI fI CC 192026
<br />~'. .'Ji EXPI""'" u_." ,.....
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<br />'..9f..tli,.' IlOllCIIcI ThnI NoIaIv Public ~
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