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<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 />