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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigaed understands that this penit lily be subject to -deed restriCUODS- Ihich lily be lOre restrictive than City
<br />regulatiOll8. rlae UDdersigaed il88UI88 responsibility for CCIIpliance lith any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake IOrt, tbey lily be reguired to be l1censed in accordanci litb
<br />state and local regu1ati0D.8. If tbe contractor is DOt licensed as required by law, both the 0IIDer and ooatractor iii' be
<br />cited for a lisdeleanor violation UDder state law. If the OlDer or intended contractor are uncertain as to Ifhat liceuing
<br />requirl!l8Du iii' apply for the intended wort, the, are advised to contact tbe City of Zepbyrhills Building DeparUeot, (813)
<br />788-6611.
<br />
<br />FurtberJOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) siga portions of the
<br />-Contractor SectiOll8- of this applicatioo for Ibich they will be resPlXl8ible. If you, as the OlDer siga as the c:oatractor,
<br />you are inc1icating that JOU, rather than the contractor, are responsible for the IOrt. If the ooatractor liaJIes fOIl to siga
<br />as contractor that lily be an indication that be is DOt properl,licensed and is DOt entitled to pen1tting 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 AMElmED)
<br />I certif, that I, the applicant, bave been provided lith a cop, of -Florida's CODStruct1oo Lien Lal - lmeoImer's Protection
<br />Guide- prepared by the Florida Deparblent of Agriculture and ConsUI8I Affairs. If the applicant is 8OIeCIII8 other than the
<br />-owner-, I certif, that I have obtained a copy of the above described docuIent and promse in good faith to deliver it to the
<br />-owner- prior to co.enC8lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all IOrt lill be done in COIIpliance lith all
<br />applicable laws regulating construction, BOOing, and land developlellt.
<br />
<br />Application is hereby lade to obtain a penit to do IOrt and installation as indicated. I certify that DO IOrt or
<br />iD8tallation baa ~ prior to issuence of a penit and that all wort lill be perfoned to .et standards of all laws
<br />regulating COD8trucUon, City codes, Boning regulati0D.8, and laod develOpll!Jlt regu1ati0D.8 in the iuri8c1icU... I also
<br />certif, that I understand that the regulati0D.8 of other goyUIIIeDtal agencies lily apply to the intended wort, aod that it is
<br />IY responsibility to identify ldJat actiODS I lUSt tate to be in COIpliance. Such agencies include but are not lutted to:
<br />I Departlent of InvirOlll8lltal Regulation - Cypress BaybeadB, lIetland Areas andlnvi1'OllleDta11y Sensitive Lands,
<br />lIater/Vaatelater rreatlent
<br />I Soutblest Florida lIater lIanageMllt District - lIells, Cypress Baybea4s, lIetlandlreas, Altering Watercourses
<br />I ArlY Corps of lnQineen - Seawalls, Docb, Ravigable Watenays
<br />~ Departlent of Health i Rehabilitative Senices, lnviroDlBlltal Health Unit - lIells, lIastewater lreatlent, Septic I_
<br />I US InviIOlJll!lltal Protectibn Agency - Asbestos Bbat8ll!llt
<br />I also certify that, if fill IiIterial is to be _ in Flood loIle -A- or -A,etc. -, it is understood that a drainage plan
<br />addressing a -COJpeDSating volUll!- will be saitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit iBBuance. '
<br />
<br />A perlit issued shall be construed to be a license to proceed lith the IOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perllt prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans,' constructi.., or violations of any code. Ivery pmit i88Ued shall becOJe iDvalid
<br />unless the IIOrt authorbed by 8uch penit is co.enced lithin slllOllthe of issuance, or if IOrk authoriled by the penlt is
<br />suspended or abandoned for a perinc1 of sll IODtbs after the tile the wort is ~ced. ODe 90 day atensi.. of tile, lily be
<br />allowed for the pmlt lith fee charge of $15.00. rile atension shall be requested in lriting to the Building Official. An
<br />approved iD8pecUoo lUSt be logged during each slllODth period, or the profect lill be considered abandoned.
<br />IIAIUIING ro (80: YOUR FAlLURI ro RECORD A lorICB OF COIIIIICIIDI lilY RBSULr II YOOR PIYIIG IIIICB FOR IJIPDIIIDIS ro YOOI
<br />PROPBRfY. IF YOO IIIBID 10 OBIUR FIIlAlCIIG, CORSULr IIrB YOOR LIDR OR U IIIORDY BIPOJIB RICOIIDIRG YOOIIOrICB 01
<br />OIIIIBJICBIIBMr. JOBS UlDBR $2,500 Iii VALUI DO IOl' IUD ro RECORD UD POsr A -ROrICB OF CCIIIIDCBIIBMr-.
<br />
<br />SIGD'IURB: (80 OR AGm
<br />
<br />SIGD'IURB: COJI!RACroR
<br />
<br />srAR OF FLORIDA
<br />Coom' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />SUR OF FLORIDA
<br />coom OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />wbo is personally known to _ or wbo bas
<br />produced
<br />as identification and wbo did/did Dot
<br />take an oiltb.
<br />
<br />(Signature)
<br />
<br />(N~e Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Nue .Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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