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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit aay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. fbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay 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 aay be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a ~ontractor 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 the mmer 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 aay be an indication that be is not properly licensed and is not entitled to perJitting 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 NFlorida's Construction Lien Law - HClemmer's Protection
<br />GuideN p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber than the
<br />'owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is herehy aade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a pertit and that all work will be perforJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies lay apply to the intended work, and that it is
<br />'Y responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of BnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />* Soutbwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatJent, Septic Tanks
<br />* US BnviroDlental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone "An or "A,etc.N, it is understood that a drainage plan
<br />addressing a NCQlpensating voluteN will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perJit 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 frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOle invalid
<br />unless the work authorized by such peIlit is COlleDCed within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tite the work is cOIIenced. One 90 day extension of tile, laY be
<br />allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COMMEICEMEHT MAY RESULT IN YOUR PAYING 'tWICE FOR IMPROVEMEIITS TO YOUR
<br />PROPERlY. IF YOU IftEHJ) TO OBfAII FIWCING, COISOLT WIfH YOUR LDDER OR AX AnomY BEFORE RECORDIHG YOUR HOTlCE OF
<br />COMMEHCEMm. JOBS UNDER $2,500 IN VALUE 00 HOT NEBD TO RECORD AID POST A "NOTICE OF COMMEHCEMEHf".
<br />
<br />SIGHATURE: COIlfRACfOR
<br />
<br />SIGHAfURI: OWIER OR AGm
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATB 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 oath.
<br />
<br />(Signature)
<br />
<br />(Nam~ 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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