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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that this perait laY be subject to udeed restrictions! wbieb laY be lOre restrictive than City
<br />regulations. !he undersigned asSUle& responsibility for I3pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 laY be
<br />cited for a lisdelleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents laY 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 contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sectionsu of this application for wbieb they will be responsible. If fOU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided ,ith a copy of uFlorida's construction Lien La, - lIoIeo1mer's Protection
<br />Guideu prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is 8OIl!ODe other than the
<br />uowner", I certify that I bave obtained a copy of the above described dOCUJeDt and prollise in good faith to deliver it to the
<br />.owneru prior to co.enceleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoI'liltion in this application is accurate and that all work wiII- be done in cOlpliance ,ith all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation bas CDlenced prior to issuance of a perait and that all work ,ill be perfoI'led to _t standards of all laws
<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 lilY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not liaited to:
<br />t Departlent of InvirollleDtal Regulation - Cypress Bayheads, Wetland Areas and InvirollleDtally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />t Southwest Florida Water Mana!leJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Inqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health&: Rehabilitative Services, InvirOllleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'anks
<br />t US InvirODleDtal Protection Iqency - Asbestos abat8lll!Jlt
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne IAu or uA,etc.', it is understood that a drainage plan
<br />addressing a uCOIpl!IlSilting volUleu ,ill be sublitted ,hieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pe,t'lit issued sball 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pe.tIIit issued shall beCClle invalid
<br />unless the IIOrk authorized by sueb perlit is COIIeDced within sillODths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is COIIeDced. One 90 day utension of tile, .y be
<br />allowed for the perlit lith fee ebarge of $15.00. the utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOl1th period, or the project ,ill be consid'ered abanc1oDed.
<br />WARKIlfG '1'0 MBR: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF CCIIMDCBIIIJI'I' MAY RBSUL'I' IN YOUR PAYING !IIICE FOR DIPROVIIID!S '1'0 YOUR
<br />PROPERfi. IF YOU III'I'BIID '1'0 OB'IAIN FIKBCING, CONSUL'I' WI'I'H YOUR LIJIDIR OR AM A'I"I'ORDY BIFOBB RBCORDING YOUR DICE OF
<br />COMMIlfCBMm'. JOBS UlfDER '2,500 IN VALUI DO NO'I' mn '1'0 RECORD AND POS'I' A uNOIICE OF aJIMBIfCBlllJl'l".
<br />
<br />SIGllAtuIII: OIOIER OR AGBKI
<br />
<br />SIGIIA'I'URE: COII'I'IIAC'I'OR
<br />
<br />S'I'A'I'I OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'ATE 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 Dot
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did Dot
<br />take an oij,th.
<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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