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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis perait lilY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City
<br />regulations. !be undersigned a&SUJes respousibility for l3pliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas hired a contractor or contractori to undertake IOrk, 'tbey lilY be required to he licensed in accordance litb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0IIDeI and contractor lilY he
<br />cited for a lisdeleallOr violation under state law.. If tbe OlDer or intimded contractor are uncertain as to wbat licensing
<br />reguirelellts lilY apply for tbe intimded work, they are advised to CQIltact tbe City ofZepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtbenore, if tbe OIner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />-Contractor Sections' of tbis application for wbich tbey will he responsible. If you, as tbe OlDer sign as tbe contractor,
<br />you are indicating that you, ratber tban the contractor, are responsible for tbe IOrk. If the contractor wishes you to sign
<br />as contractor that lilY 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, tbe applicant, bave heen provided witb a copy of 'Florida's construction Lien Law - lIoIeolmer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOI8OI1e other than the
<br />'OIDer-, I certify tbat I bave obtained a copy of the above described dOCUleDt and pralise in good faitb to deliver it to tbe
<br />-OII1er' prior to co.enC8ll!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforliltion in tbis application is accurate and that all IOrk will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land develoPEDt.
<br />
<br />Application is bereby Jade to obtain a perlit to do IOrk and installation as indicated. I certify that no work or
<br />installation has CDleDced prior to issuance of a perait and that all IOrk will he perfol'led to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOpll!l1t regulations in the jurisdiction. I also
<br />certify that I understand tbat the regulations of otber gOYerDleDtal agencies lilY apply to the inteDdec1lOrk, and that it is
<br />If responsibility to identify lbat actions I lust take to be in l3pliance. Such agencies include but are not lilited to:
<br />I Departlent of EnviroDlelltal Regulation - Cypress Baybeads, IIetland Areas and EnvirollleDtally Sensitive Lands,
<br />IIater/lfastelater !reatlent .
<br />I Soutbllest Florida Nater Managel8llt District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, Kavigable IIaterways
<br />I Departlent of Bealtb , Rebabilitative Services, EnvirODleDtal Bealtb Unit - IIells, IIastewater !reatlent, Septic ranks
<br />I US EnvirODlel1tal Protection Agency - Asbestos abatelellt
<br />I also certify that, if filllilterial is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan -
<br />addressing a 'COIPeDBating volue' lill be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A p~it issued sball be construed to be a license to proceed litb tbe IOrk and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fIOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall heCDe invalid
<br />unless tbe IOrk autboriled by such perlit is COIIllJlced witbin sillODthe of issuance, or if work authoriled by tile perait is
<br />suspended or abandoned for a period of sil IODtbs after the tile tbe work is C08el1ced. One 90 day utension of tile, lilY be
<br />allowed for tbe perait litb fee charge of $15.00. !be utension sball be ested in lriting to the Building Official. An
<br />approved inspection lUSt be -logged during each sil IODtb period, or tbe R . ct lill be consid abandoned.
<br />IIAIUUNG !O MER: YOUR FAILURE !O RECORD A OICB OF COIIIBICBIIIR! MAY ! II PIYIIIG CB FOR DIPROVBIIBI!S !O YOUR
<br />PROPIR'IY. IF YOU IJI!IIID !O OB'I'IIJI FWKCIIG, COKSUL! WIft YOOR I BIFOlII DICE OF
<br />aJIMElfCEMBlft'. JOBS OlDER '2,500 IK VALOI DO KO! IIDD !O RECORD IKD
<br />
<br />
<br />~ ..
<br />Mw~lti~~
<br />
<br />S!AD OF FLOR~
<br />coum OF It- SLO
<br />Tbe foregoing instrument was ~~~ledged
<br />before me tbis 1Yl1l'! 1& , 19~ by
<br />
<br />ffE.V -:JReo6 moNTF;. LG DAle;
<br />wbo is personally known to me or wbo bf'js/
<br />produced P6~5{)1tI/J1-L Y KIJCJuJN
<br />as identification and wbo did/did not
<br />
<br />tak~ra ~
<br />(S1 ure) fl 11"
<br />G . rtU (5e
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SlAD OF F DA 17 /i 0
<br />coum OF f} Se-
<br />Tbe foregoing instrument was acknowledged
<br />before me this In A Y I b ,19..2.S::...- by
<br />
<br />~fJl,f leK :~ HftfilU-70N
<br />w 0 is persona ly ~OWD to me or who has
<br />produced FL-l>L 543 -~ 7~-b(j,- (/.1 (;-()
<br />as i tification d wbo did/did not
<br />ta e o~tb
<br />
<br />
<br />(Si atu~) It II ' -
<br />,:r~ t:: - (1U/-...Sh
<br />(Name ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JANE A HULSE
<br />NC1l'ARY pUBUC STATE OF FLOtuD
<br />co. ...~"'IlION NQ, cC343866
<br />.MMC'O F.xP FElt 1~,1,~
<br />. ...: ,_~.~"":,:':":':t :'.~;~"":' "'.y
<br />
<br />N
<br />JANE A HULSE
<br />NOrARY PUBUC STATE OF FLORID
<br />COMMISSION NO. ~
<br />MY COMMISSION EXP. FE1!:)~~~
<br />
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