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<br />CONDITIONS OF PERMIT AFFIDAVIT .
<br />". -A.. --NOTICE OF DEED RESTRICTIONS
<br />.' fbe undersigned understands that this penit lay be subject to 'deed restrictions' wbieb laY be lOre restrictive than City
<br />regulations. fbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required bylaw, both the owner and contractor llaY be
<br />cited for a lisdeJeanor violation under state law. If the orner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I of this application for whieb they will be responaible. If you, as the owner sign aa the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to perJitting 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 'Plorida's Construction Lien Law - BoIeoIDer's Protection
<br />Guide' prepared by the Plorida Departlent of Agriculture and CODSUler Affairs. If the applicant is sOlleOne other than the
<br />lowner', I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lownerl prior to cOllleDcelent.
<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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit ,to do work and installation as indicated. I certify that no wort or
<br />installation baa couenced prior to iSsuance of a penit and that alllort will be perfoIJed to Met staDdarda of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lIental agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iiaited to:
<br />I Departlent of EnviroDlental Regulation - Cypress Bayheads, Iietland Areaa and EnviroDlenta11y Sensitive Lands,
<br />Water/Wastewater freatlent
<br />I Southwest Plorida Water Hanagl!lent District - lIells, Cypress Bayheada, Iietland Areas, Altering Iiatercourses
<br />I AllY Corps of Engineers - Seawalls, Docks, Havigable Iiaterways
<br />I Deparuent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill taterial is to be used in Plood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpensating volUle' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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 penit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the worl authorized by such pertit is cOllenced within six IOnths,of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a periOd of six IOntbs after the tile the work is cOIIenced. One 90 day utension of tille, IaJ be
<br />allowed for the peIlit with fee charge of $15.00. fbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each Sil IOnth period, or the project will be considered abandoned.
<br />WARNING fa OIiNER: YOUR PAILURB TO RECORD A HOrICK OF COHHBHCKHEHJ HAY RESULT III YOUR PAYING nICK FOR IHPROVBHD1'S fa YOUR
<br />PROPERTY. IF YOU IHlKlfD fa OBTAIH FIJIAlfCING, COHSULT WIlD YOUR LKlfDIlR OR AM AfTORRKY BEFORE RIlCORDIJlG YOUR JlorlCl OF
<br />COHHKIICKHKHT. JOBS UHDER $2,500 IN VALUE DO HOT HERD TO RECORD AND POST A -JlOTICE OF COHHKJlCKHKJIT'.
<br />
<br />SI~MD~~
<br />
<br />
<br />STATE OF FLORIDA
<br />COUHIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />
<br />STArE OF FLORIDA
<br />ccum 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 me or- who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name 'J;yped, Printed or Stamped)
<br />ROTARy'PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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