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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perait laY be subject to -deed restrictions- which lay be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors 'to undertake work, they JaY 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 laY be
<br />cited for a lisdell!Bllor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing
<br />requirBlellts laY apply for the intended IIOrk, they are advised to conlact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />-Contractor Sections- of this application for wbich they will be responsible. If JOU, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting 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 -Florida's Construction Lien Law - lDeoIJler's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OII!ODa other than the
<br />-owner-, I certify that I have obtained a copy of the above described docuJent and pmOse in good faith to deliver it to the
<br />Bowner. prior to COIIBDCl!IBDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will -be done in COIpliance with all
<br />applicable laws regulating construction, lOlling, and land developlBDt.
<br />
<br />Application is hereby Jade to obtain a perait to do wort and installation as indicated. I certify that no work or
<br />installation has CDleDced prior to issuance of a perait and that all work will be perf OIled to _t standards of all laws
<br />regulating construction, City codes, loning regulations, and land develo(lleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gove11llBlltal agencies laY apply to the intended work, and that it is
<br />II responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of InvirOlllelltal Regulation - Cypress Bayheads, lIetland Areas and BnvirolllBDtally Sensitive Lands,
<br />lIater/llastewater 'l'reatlent
<br />I Soutbvest Florida later HanagBlellt District - lIells, Cypress Bayl1ea4s, lIetland Areas, Altering lIatercourses
<br />I AIIY Corps of lnQineers - Seawalls, Docks, lavigable lIaterways
<br />I Departlent of Health i Rehabilitative Services, InvirODlBDtal Health Unit - Ifells, lIIastewater 'l'reatlent, Septic I_
<br />I US InviIOlllBDtal Protection Agency - Asbestos abatBIBDt
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne -A- or -A, etc. -, it is understood that a eJraiDage plan
<br />addressing a -COJpeDsating vol.- will be sw.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A p~it 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 sball issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall beCOlB invalid
<br />unless the work authoriled by such perait is COIIBDced within sillOnths of issuance, or if work authoriled by the perait is
<br />suspended or abandoned for a period of sil IODths after the tHe the work is co.enced. One 90 day stension of tDe, laY be
<br />allowed for the perait with fee charge of $15.00. 'l'he 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />IIIAR1ING '1'0 l*DR: YOOR FIILURB '1'0 RECORD A IO'I'ICE OF <mmICDlBII MlY RESUL'I' II YOUR PAYIIG NICE FOR lIIPROVBIID!S '1'0 YOUR
<br />PROPIRIY. IF YOU II!IJID '1'0 OBtIIM PIIHCIIG, COISUL'I' IIIIB YOOR LIIIDIR OR D AnoRIIY BlPORB RICOBDIIG YOUR DICE OF
<br />C(JOIDCIMIIft'. JOBS UlDBR $2,500 II VILUI DO 10'1' lIED '1'0 RECORD AID POS'I' A -IO'I'ICE OF aJIMDCIIIIIl!-.
<br />
<br />
<br />SlAD OF FLORIDA
<br />coum OF ,J? tl .J (: ~
<br />The foregoing in,trument was acknowledged
<br />before me this /fa]/,~ c2 f 19n::, by
<br />
<br />~Jrl(, J~ /-4 Vo i/k all
<br />who is personally know& to lie/or who has
<br />produced A' .,AI () L.</ N
<br />as identifi~tion and who did/did not
<br />take an oa~J . C/.' /) (;z:
<br />A/. ~U:/2 7' /';/ '~/<~~/
<br />(Signature) j
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SlArE OP FLORIDA /'/l
<br />coum OF r tl J C /)
<br />The foregoing instrument was acknowledged
<br />before me this //ay U?~ , 191L hy
<br />/
<br />
<br />JOiN :T //,(j};Oi/r
<br />who is personally known to me or who has
<br />produced .:;r D
<br />as identificatio \and who did/did not
<br />take an oath. ~ '/<) _%
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />~~OORl8 K. PUlTZ
<br />.~:~. MY COMMISSION' CO 808944
<br />~~ l EXPIRES: Augutt 18, 1997
<br />'. ',1/ ,,,.,, Bonded Thl\l NotlIIy PuIIlk: UndelWrhell
<br />
<br />
<br />"'~~~ DORIS K. PUlTZ
<br />l~ :.': MY COMMISSION 1# CC 308944
<br />.=;J EXPIRES: AugUlt 16. 1997
<br />r"if.'" Bonded Thro NolIJy PublIc UnderMl18IS
<br />
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