<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis perait lay be subject to Ideed restrictions" wbich lay be lOre restrictive tban City
<br />regulations. !be undersigned assUles responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lay be
<br />cited for a lisdl!leanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requirelellts laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />. 788-6611.
<br />
<br />FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />IContractor Sections" of tbis application for wbich tbey 1Iill be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat laY be an indication that be is not properly licensed and is not entitled to peraitting privileges in tbe
<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, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUlel' Affairs. If tbe applicant is sOleOne otber tban tbe
<br />Immer", I certify tbat I bave obtained a copy of tbe above described docuJent and prOlise in good faitb to deliver it to tbe
<br />"owner" prior to COIII!IlCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perait to do work and installation as indicated. I certify tbat no work or
<br />installation has ~ced prior to issuance of a perlit and that all work will be perfoIled to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber governJelltal agencies laY apply to tbe intended work, and tbat it is
<br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to:
<br />t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands,
<br />Water /Wastewater !reatlent
<br />t Soutbwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb i Rebabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnviIOlllental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A,etc.", it is understood that a drainage, plan
<br />addressing a "COIpeJ1Sating volllle" will be sublitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perait issuance.
<br />
<br />A Perlit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of tbe tecbnical codes, nor sball issuance of a perait prevent tbe Building Official frOl tbereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless tbe work autborized by sucb perait is COIIeIlCed witbin sillODtbs of issuance, or if work autboriied by tbe perait is
<br />suspended or abandoned for a period of sillOJltbs after tbe tille tbe vork is ~ced. One 90 day eJtension of tille, laY be
<br />allowed for tbe perlit witb fee charge of $15.00. !be eJtension sball be requested in writing to tbe Building Official. An
<br />approved inspection lUSt be logged during each Si1 IODtb period, or tbe project will be considered abandoned.
<br />WARNIIfG fO OVNIR: YOUR FAILURE fO RECORD A NOTICE OF aJIIIDCBHm HAY RESULf IN YOUR PAYING !VICE FOR IHPROVBMBIft'S fO YOUR
<br />PROPEIIfi. IF YOU InBND fO OBt'AIN FINANCING, CONSULf "IfH YOOR LENDER OR AN AnomY BEFORE RECORDING YOUR NOTICE OF
<br />COHMBNCBHm. JOBS UNDER $2,500 IN VALUE 00 NOT NEED 'f0 RECORD AND POS'f A "NOTICE OF COHMBNCBIIBJft'".
<br />
<br />SIGNA!URB: (JJIIR OR AGm
<br />
<br />SIGNAfURB: COJmlAC'fOR
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this ~ 19____ by
<br />
<br />SfAfE OF FLORIDA
<br />COUIIIY 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 oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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