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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit JaY be subject to .deed restrictions. wbieb JaY be lOre restrictive than City
<br />regulations. fbe undersigned assUle& responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, 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 JaY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!llents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparblent, (813)
<br />788-6611.
<br />
<br />FurtheI'lOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that Jay be an indication that be is not properly licensed and is not entitled to perlitting 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 with a copy of .Florida's Construction Lien Law - HOJeOIIDer's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOI18 other than the
<br />Downer", I certify that I bave obtained a copy of the above described dOCUJent and proJise in good faith to deliver it to the
<br />"owner" prior to COlll!DCl!Ient.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlition in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developftJlt.
<br />
<br />Application is berehy .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COMenced prior to issuance of a perlit and that all wort will be perfoI'led to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental agenCies JaY apply to the intended wort, and that it is
<br />.y responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not liJited to:
<br />t Departlent of BnvirOllJeJltal Regulation - Cypress Bayheads, Wetland Areas and KnviroDleDtally Sensitive Lands,
<br />Water /Vastewater Treablent
<br />t Soutbwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Xatigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic fants
<br />t US BnvironJental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill Jaterial is to be used in Flood Zone DAD or DA,etc.D, it is understood that a drainage plan
<br />addressing a DCOIpeJlSating volUlll!D will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A lK!.IIit issued &ball 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 sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becc.e invalid
<br />unless the work authorized by such perlit is COIIeIlced within sillOl1ths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the wort is co.enced. One 90 day eltension of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. !be eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IOI1th period, or the project will be considered abandoned.
<br />WAJUlIlfG ro omR: YOUR FAILURlIO RECORD A IOIICE OF C<IIMBICBIIIIf MAY RESUL! IX YOUR PAYIXG DICE FOR DIPROVIIIBIIS TO YOUR
<br />PROPERft. IF YOO ImID TO OBlAIH FIIIAICIIG, COIISUL! WI'fB YOUR LlJlDER OR D AnomY BEFORE RECORDIIIG YOUR IOIICE OF
<br />momXCEMBlft'. JOBS OlDER '2,500 III VALUE DO xor IIDD 10 RECORD DD POS! A .XorICE OF ClJIIfDCBIIIIfD.
<br />
<br />SIGlfArURI: 0IfIIER OR AGEII1'
<br />
<br />SIGlfAfURI: comACIOR
<br />
<br />S'lA!K OF FLORIDA
<br />CDUm OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!AfE 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 />(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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