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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this penit llay be subject to 'deed restrictions' Ihich liar be lOre restrictive than City
<br />regulations. Ibe undersigned assUIeB respcmsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer has lIired a contractor or contractors ' to undertake IOrk, tIIey IIilY be required to be liceD8ed In accordance with
<br />state and local regulations. If the contractor is not licensed as reguired by law, both the 0IIDer and contractor IlaY be
<br />cited for a lisdelleanor violation under state law. If the OlDer or intended contractor are uncertain as to lhat licensing
<br />requirl!lents IlaY apply for the intended IOrk, they are advised to CORtact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OlDer has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for lIIiell they will be respoosible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IOrt. If the contractor li.bes you to sign
<br />as contractor that llay be an Indication that be is not properly licensed and is not entitled to penittlng privileges in the
<br />City of Zepllyrllills.
<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, baYe been provided lith a copy of 'Florida's construction Lien Law - lIaIeolmer's Protection
<br />Guide" prepared by tile Florida Departlent of Agriculture and ConsDEl' Affairs. If the applicant is 8OIeOI1e other than the
<br />'owner', I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
<br />"owner' prior to coaeDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlliltion in this application is accurate and that all IOrk lill"be done in COIpliance with all
<br />applicable law. regulating construction, zoning, and land deyeloplellt.
<br />
<br />Application is hereby IIilde to obtain a pmit to do work and installation as indicated. I certify that DO IOrk or
<br />installation has CDlenced prior to issuance of a penit and that alllOrt lill be perfODled to Met standards of all laws
<br />regulating construction, City codes, BOning regulations, and land developll!llt regulations In the jurisdiction. I also
<br />certify that I understand tIIat tile regulations of other gOYerntental agencies IIilY apply to the Intended work, and that it is
<br />Iy responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnyirOlllental Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />t Southwest Florida Water Hanagl!lent District - Wells, Cypress Baylleads, Wetland Areas, Altering Watercourses
<br />t Any Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health' Rehabilitative Senites, IDviIODlental Health Unit - Wells, Wastewater 'I'reatlent, Septic I_
<br />t US IDYiIOlllll!lltal Protection Agency - .Asbestos abatetent
<br />I also certify that, if fillllaterial is to be used In Flood ZOne 'A' or 'A,etc.", it is understood that a drainage plan
<br />addressing a 'COIpeIl8ating volute' lill be sublitted Ihiell is prepared by a professional engineer registered In the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A ~it issued shall be construed to be a liceD8e to proceed lith 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 penit prevent the Building Official flCll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery penit issued aball becoIe Invalid
<br />unless the IOrk authorized by suell penit is coaenced litllin sillODths of issuance, or if IOrk authoriled by the penit is
<br />suspended or abandoned for a period of sillODths after the tile the wort is co.enced. One 90 day eltension of tile, llay be
<br />allowed for the penit lith fee charge of tI5.00. 'l'be eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaell sillODth period, or the project lill be considered abandoned.
<br />IWUlIIG '1'0 (101: YOOR FAILDRI to RECORD A DICE OF aIIIIDCIIIDI JIlY IBSUL'I' II YOUR PIYIG DICE POI IMPROVIIIIDS '1'0 YOUR
<br />PROPBR'lY. IF YOU ImRD '1'0 OBIIIR FI_IIG, COJfSDL'I' WI'I'H YOOI LIIIDIJI OIl U A'I"I'ORIIY BI10JII RICORDIIG YOUR IO'I'ICE OF
<br />aJIMIRCBHD!. JOBS ORDER '2,500 II VALUB DO 10'1' JIBED '1'0 RICORD lID POS'I' A 'RO'I'ICE OF COIIDCIIIDI'.
<br />
<br />~~if-~
<br />
<br />~d~~_
<br />
<br />8'1'A'I'1 OF ~
<br />coum OF ()~t: 0
<br />Tbe foregoing inst~ent was acknowledged
<br />before me this ;ll.._~ f<\.~19~bY
<br />
<br />\\ ~ 'f.~ ~ 'r \;;'~e or
<br />wbo fR pArann~11y ~ftn~ to me or wbo bas
<br />produced
<br />as identification and wbo di~~ n01:~
<br />
<br />~8D!r~~~y,~:::
<br />\ ~~~k~~ Y"2-~'?..'I. A~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~
<br />
<br />........., DEBORAH R. PERKINS
<br />I ", .' Pu ", 221715
<br />;,~f';;,:.!t~.,\ MY CO"-MISSiON # CC
<br />1\~~~.1i;,@);} EXPiRES: August ~6. 1996
<br />",:lii"?:'~i.l Bonded Thru NotarY PublIC Und81W1\t811l ~
<br />lj"i'f9fll\~\"
<br />
<br />'~1~!:"':fi:{:~ DEBORAH Fi:PERKiNS =
<br />N .~.. H MY COMM!SSION Ii ti."C 22'775
<br />.~. "p EXP'RE
<br />l ~%"1;,,;\}' ~,., S: August 16,1996
<br />.'i........ Bond!ld Thill Notary Public Und!llWlltem
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