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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tbat this pertit .ay be subject to "deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for co.pliance 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 .ay 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 .ay be
<br />cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor SectionsU of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that be is not properly licensed and is not entitled to per.itting 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, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is so.eone otber tban the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe information in tbis application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is herehy .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has COIIenced prior to issuance of a pertit and that all work will be perforted to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agenCies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />A Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />A Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />A Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />A Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TIeatlent, Septic Tanks
<br />A US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a uCOlpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A p~r.it 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 per.it prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued sball becole invalid
<br />unless the work authorized by such permit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the pertit 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 b~ considered abandoned.
<br />WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCRMEN'f MAY RESULT IN YOUR PAYING TWICE FOR IHPROVRMEHTS TO YOUR
<br />PROPERTY. IF YOU IHTBlID TO OBTAIN FlIfAlfCIHG, CONSULT WITH YOUR LBNDBR OR AM ATTORHBY BBFORE RECORDING YOUR NOTICE OF
<br />COMMBNCEMENT. JOBS UNDBR $2,500 IN VALUE DO NOT NEBD TO RECORD AND POST A "NOTICE OF COMMBNCRMENT".
<br />
<br />
<br />9.w~ M.cg~
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGJlArURl!: OWNER OR AGBlfl
<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 />STATE OF FLORIDA n
<br />COUNTY OF YOlSCl.-D
<br />The foregoing instrument was acknowledged
<br />before me thisQ~, l~ ' 19~ by
<br />
<br />R~S~(I ~. t3~"j
<br />who is personally known to me '9r lille hlut
<br />prgQy.eed
<br />as iEleBtifif;ation and .who 'Ctttt/did not
<br />
<br />ta~~J' (?~
<br />(Si9~~ L.BLl~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ......~~;.~..... OFFICIAL SEAL
<br />~ ~ ~ BRENDA L. BUCHANAN
<br />... .
<br />: [;1 : My Commission ExpIres
<br />\. ~ ! Nov. 13. 1996
<br />..~reOFfl~"" Comm. No. CC 240110
<br />1r.~...lt't*1t
<br />
<br />STATE OF FLORIDA
<br />COUlflY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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