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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City
<br />regulations. the undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIOIer bas hired a contractor or contractors to undertake work, they laY be required to be liceD8ed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the 0IIDer and contractor laY be
<br />cited for a lisdl!Jeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they .ill 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 worl. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that he is not properly liceD8ed and is not entitled to penitting 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 .ith a copy of "Plorida's ConstructiOll'Lien Law - lkIIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is so.eoDe other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIIBDCeJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in this application is accurate and that all .ork will be done in COIpliance with all
<br />applicable la.s regulating construction, Joning, and land developllent.
<br />
<br />Application is hereby lade to obtain a penit to do .ork and installation as indicated. I certify that no work or
<br />insWlation bas calenced prior to issuance of a penit and that all work will be perfOlled to Ieet staDc1ards of all laws
<br />regulating construction, City codes, Joning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lleDtal agencies JaY apply to the intended work, and that it is
<br />IY . responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not 11lited to:
<br />t DepartJent of BnvirollJel1tal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJenWly SeD8itive Lands,
<br />Water/Vastewater !reatJent
<br />t Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enqineers - Sea.alls, Docks, lIavigable Waterways
<br />t Departlent of Health' Rebabilitative Services, BnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic !ants
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "I,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDSating 'olllle" will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every penit issued shall beCOle invalid
<br />unless the wort authorized by sucb perlit is coaenced within sillOntbs of issuance, or if work authoriled by the pmit is
<br />suspended or abandoned for a period of siz IOntbs after the tile the work is ~ced. One 90 day Bltension of tile, JaY be
<br />allowed for the penit with fee ebarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WWING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ctIIHKlfCBJlllfl' lilY RESULT III YOUR PAYIIIG !IIICE FOR IHPROVIIIIJI!S TO YOUR
<br />PROPBlIfY. IF YOU ID'BND !O OBTIIII FIIlAllCING, CONSULT WlfH YOUR LBJIDER OR III AnORIBY BEFORE RECORDIIIG YOUR 1I000ICB OF
<br />CotDfBIICBHBJIT. JOBS UKDER $2,500 III VI lOT NEED fO RECORD AND POST A "NOTICE OF Cl>>lHBJICBHBJIT".
<br />
<br />
<br />~Q~
<br />SIGJlAfURE: COIITRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this I 19____ by
<br />
<br />Sf 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 not
<br />take an oath.
<br />
<br />who is personally known to JI8 or who has
<br />produced
<br />as identification and who did/did not
<br />take an OiJ,th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
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