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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait JaY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
<br />regulations. lbe undersigned asSUle& responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors ~ to undertake IOrk, they IIY 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 OlDer, and contractor JaY be
<br />cited for a lisdelleaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJellts JaY apply for the intended IOrk, they are advised to cou.tact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlllre, if the owner bas bired a contractor or contractors, be is advised to bave ~ 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 JOU, rather than the contractor, are reiponsible for the IOrk. If the contractor wishes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlittlng privileges in the
<br />City of ZepbyrbilIs.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 'Plorida's COnstruction Lien Law - a...er's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is 8OII!OI1a other than the
<br />'owner', I certify that 1 bave obtained a copy of the above described docUIent and premse in good faith to deliver it to the
<br />'owner' prior to co.enC8l8llt.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infOIliltion in this application is accurate and that all work will -be done in COJpliance with all
<br />applicable laws regulating construction, loning, and land develo(ll8llt.
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<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no IOrk or
<br />installation bas CDlenced prior to issuance of a perlit and that alllOrk will be perfoIled to I88t standards of alii_
<br />regulating construction, City codes, loning regulations, and land developll8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies IIY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />I Departlent of EnvirODll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnvironElltally Sensitive Lands,
<br />Water/Vastewater Ireatlent
<br />I Southwest Florida Water Manag8lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I ArJy Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />I Departlent of Health i Rehabilitative Smites, BnvirODl8l1W Health Unit - Wells, Vastewater rreatlent, Septic lanks
<br />I US BnviIODl8l1tal Protection Agency - Asbestos abatl!ll8llt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.", it is understood that a drainage plan
<br />addressing a '9P8D88ting volUl8' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A ~it issued sball be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued aball bec:oIe invalid
<br />unless the IIOrk authoriled by such perlit is COIIeDCed within sillODtbs of issuance, or if work authoriJed by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day utension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. !be utension shall be requested in lf1'iting to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />IWUUlfG !O (MER: YOUR FAILURE 10 RECORD A IOrICI OF aJIMIICIIIII! lilY RESULr II YOUR PAYIIG !lIICI PORDIPROVIIIIftS fO YOOR
<br />PROPBRrY. IF YOO IIUIID fO OB'fIIK PIlAlCIIG, COISUL! WID YOUR LIIDIR OR 11 ArroBDY BIP01II RICORDllfG YOUR MOrICI OF
<br />ClIIIIIICIIIIIr. JOIIIIIII1JIJII2.500 II VlI.IIII 00 lOr IBID 10 1IIlOIIIl1lll1llS'l1 'IDrICIl lIP ~
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<br />m~~~ m~ami
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<br />sIAn OF F~I sIAn OF FLORIDA 0 (\ ii\
<br />mum OF, h coom OF 1 &U.2
<br />The forego ng intltI'WIent was ~~owledged The foregoing instrwaent. was a~owledged
<br />before me this ~ ~ , 19~Y before me tbi~V\Q ~ ' ~9 .s;- by
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<br />J \xN?_ ~ ~JA)c0 4J
<br />. to me or wbo bas
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<br />Signature) lk
<br />~~L, lY\~ ~~
<br />(Name Typed, rinted or St )
<br />NOTAH L
<br />
<br />
<br />SHERRV L. MCCARTY
<br />MY COMMISSION' CC SS7IM3
<br />EXPIRfS: Decembllr 19. 1997
<br />P.onded 'RIll NlIlIIy NIc lhIII'MIIIlI
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