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<br />.( .~_..... ,-~,....."~..,, <br /> <br />CONDITIONS OF PERMIT AF#IDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />!be undersigned understands that this penit aay be subject to 'deed restrictions" wbich aay be lOre restrictive than City <br />regulations. !be undersigned il88UIIe& responsibility for COIpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br />If the owner bas hired a contractor or contractors ~ to undertake work, they JaY be required to be licensed in accordance with <br />state and local regulation,s. If the contractor is Dot licensed as required by law, both the owner and mntractor aa, be <br />cited for a lisdeleallOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requirelellts aay apply for the intended work, they are advised to CODtact the City of Zepbyrhills Building DepartleDt, (813) <br />788-6611. <br /> <br />FurtherlOre, 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 wbich they will be responsible. If JOU, as the owner sign as the contractor, <br />you are inclicating that JOU, rather than the contractor, are responsible for the wort. If the contractor .iabes JOU to sign <br />as contractor that lilY be an indication that be is Dot properly licensed and Is not entitled to peraitting 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, the applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lkIIeoImer's Protection <br />Guide' prepared by the Plorida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOIeODe other than the <br />'owner', I certify that I bave obtained a copy of the above described dOCUleDt and prClUse in good faith to deliver it to the <br />"owner' prior to co.enceleJlt. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the infoIlation in this application is accurate and that all wort will'be done in COIpliance with all <br />applicable laws regulating construction, loning, and land developleDt. <br /> <br />Application is hereby lade to obtain a peIlit to do wort and installation as indicated. I certify that no work or <br />installation baa CDIeIlCed prior to issuance of a penit and that all work will be perfOIJed to leet standarlls of all 1_ <br />regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdictiOll. I also <br />certify that I understand that the regulations of other goverDlleDtal agenCies IilJ apply to the intended worl, and that it is <br />If responsibility to identify wbat actions I lUst take to be in COIPliance. Such agencies include but are not lialted to: <br />t Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, <br />lIater /liastewater freataent <br />I Southwest Florida lIater Hanageaent District - lIells, Cypress Baybead8, lIetland Areas, Altering lIatercourses <br />I Ally Corps of Engineers - Seawalls, Docks, Ravigable lIaterways <br />I Departaent of Health i Rehabilitative Services, Environaental Health Unit - lIells, Wastewater freataent, septic lants <br />I US Environaental Protection Agency - Asbestos abateaent <br />I also certify that, if fill aaterial is to be used in Plood ZOne 'A' or "A,etc.", it is understood that a drainage plan <br />addressing a 'coapensating volae" will be sublitted wbich is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A ~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a petlit prevent the Building Official frol thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becme invalid <br />unless the work authoriled by such perlit is ~ced lIithin sillODtbs of issuance, or if work autboriJed 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 eltensiOll of tile, IIilJ be <br />allowed for the perait with fee charge of $15.00. !be stension shall be requested in writing to the Building Official. An <br />approved inspection at be logged during each SDlOIlth period, or the project will be considered abanc1oned. <br />IIAlUIING !O WID: YOUR PAILURE !O RECORD A ROIICE OF aIIIIDCBIIU! MAl RlSULI IN YOOR PAIIIG niCE FOR IIIPROVIIIDIS !O lOOK <br />PROPEII'lY. IP YOU IIDID !O OBfIIN PIlIIICIIG, COIISUL! 111m YOOR LIIIDIR OR AI AnomY BIPORE RICORDDG YOURlOIlCE OP <br />allMDCEHm. JOBS UJlDIR $2,500 III VALUE DO IOIIDD !O RECORD AID POSf A 'IOIICE OF aJIIDCBIIIII'f'. <br /> <br />SIGIIA!URB: (JftIIR OR AGD'l <br /> <br />SIGIIA!URI: COlI!BAC!OR <br /> <br />SfAfE OF FLORIDA <br />coum OF <br />The foregoing instrument was acknowledged <br />before me this , 19____ by <br /> <br />SIAn OP FLORIDA <br />room OF <br />The foregoing instl'Ullellt was acknowledged <br />before me this , 19_ by <br /> <br />who is personally known to lie or who has <br />produced <br />as identification and who did/did not <br />take an oath. <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oiJth. <br /> <br />(Signature) <br /> <br />(Na.e Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />