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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perlit JaY be subject to wdeed restrictions. wbicb laY be lOre restrictive than City
<br />regulations. the undersigned assUles 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 work, they laY 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 lisdeJeanar violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJIents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />DContractor Sectionsw of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the vork. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />.City of Zepbyrbills.
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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 wFlorida's Construction Lien Law - HOIeowner's Protection
<br />Guidew prepared by the Florida Departlent of Agriculture and COD8UJer Affairs. If the applicant is sOleOne other tban the
<br />wownern, I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"ownern prior to cOlleJlceJIent.
<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 cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has CDIeJlced prior to issuance of a perlit and that all work will be perfoI'led to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other 9OveI1llental agencies laY apply to the intended work, and that it is
<br />I}' responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to:
<br />t Departlent of EnvirolllleJltal Regulation - Cypress Bayheads, lIetland Areas and Envirolllentally Sensitive Lands,
<br />lIater/llastewater !reat.ent
<br />t Southwest Florida lIater HanageJeDt District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
<br />t AllY Corps of EnQineers - Seawalls, Docks, Navigable lIaterways
<br />t Depart.ent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater !reat.ent, Septic ranks
<br />t US EnvirODleDtal Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill laterial is to be used in Flood Zone WAn or wA,etc.w, it is understood that a drainage plan
<br />addressing a wcOlpeJlSating wllllew will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. '
<br />
<br />A perlit 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery Perlit issued shall beCOll! invalid
<br />unless the work authorized by such perlit is COIIeJlced within six IODtbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be
<br />allowed for the peIlit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IOI1th period, or the project will be considered abandoned.
<br />IIARNING to 0IRfBR: YOUR FAILURE to RECORD A NOtICE OF COIMDCBIlBMt' MAY RESUL! IN YOUR PAYING nICE FOR IHPROVBMEMt'S to YOUR
<br />PROPBRft. IF YOU IftDD 'fO OBtAIN FIIlANCING, CONSULt IIUH YOUR LBIIDIR OR AI1 AnomY BEFORE RECORDING YOUR NotICE OF
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<br />a~A~nmm_m;~
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<br />Sl~~ III . /""GlJI . 0 R
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<br />STAIB OF FLORIDA
<br />COOMt'Y OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this JTT1SJ fl19-9..5... by
<br />
<br />StAtE OF FLORIDA
<br />coum OF.PABCO
<br />The foregoing instrument was acknowledged
<br />before me this July 7 , 19~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />a an oallI.
<br />
<br />who is personally known to me or who has
<br />produced 'Rhf)()4?~fi42120
<br />as identification and who did/did not
<br />
<br />t(:~ ~,;!~~~
<br />19 ure ='",: f07::i . :,,~ MY COMMISSION # CG447611 EXPIRES
<br />
<br />(Name Typed, prl~~lf~lOrBOM~;;iNll~:RANcE"NC'
<br />NOTARY PUBLIC
<br />
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