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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this petlit laY be subject to 'deed restrictions' wbieb laY be .ore restrictive than City regulations. fbe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lIith state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor lilY be cited for a lisdueanor violation under state lall. If the owr or intended contractor are uncertain as to what licensing requireaenta laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departaent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for lIbieb they lIill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIiabes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILI~Y CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been prOVided lith a copy of 'Florida's Construction Lien Law - BoIeoIIner's Protection Guide' prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOleon! other than the 'owner', I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the 'ollner' prior to cOlIBDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable lalls regulating construction, loning, and land developaent. Application is bereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perlit and that all lIork will be perf OIled to leet standards of all laws regulating construction, City codes" loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govemaental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust tate to be in colpliance. Such agencies include but are not Ii.ited to: t DepartJent of EnviroDlental Regulation - Cypreas Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater !reatJent t Soutbwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seallalls, Docks, Navigable Watenays t DepartJent of Health & Rebabilitative Services, BnvirODlental Health Unit - Wells, Wastewater freatlent, Septic !anks t US BnvirODlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'cOlpensating volUle' will be subJitted lIbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOlB invalid unless tbe work authorized by such peIlit is couenced within sillOnths of issuance, or if work authorized by tbe perlit is suspended or abandoned for a period of sillODths after the tile the work is cOllenced. One 90 day extension of tile, lily be allowed for the peIlit with fee charge of $15.00. fhe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned. WAIUIING fO OWNER: YOUR FAILURE fO RECORD A HOTICK OF COHMBNCEMEHT MAY RESULf IN YOUR PAYING fWlCE FOR IMPROVEMEHfS fO YOUR . '.. .. PROPERtY. IF YOU IHfiHD fO OBfAINFlllAJlCIIG,. CONSULT WITH YOUR LBHDER OR AN AffORHEY BEFORE RECORDIHG YOUR NOTICE OF COMMENCEMENT. JOBS UHDER $2,500 IH VALUE DO 1I0'l HEED TO RECORD AHD POSf A 'NOTICK OF COMMENCEMENt". /!fJ:Ji;te; SfATE OF FLORIDA . QA 11 AI Cemy OF ~ '--eJ The foregoing inst~~ was aC~J9w~edged before me this <6 , 19$ by . po SIGNAfURE: CONTRAC'fOR SfAfE OF FLORIDA COUHfY OF The foregoing instrument was acknowledged before me this , .19_____ by known to me j)r who has who is personally known to me or who has produced ' as identification and who did/did not take an oij.tb. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC 4.~~ i .fljIIt1 'iI MELVIN JAMES MARSHAll Notay Public. State of Flolfda My Comm.Explres Sept. 3. 1996 No. CC 225760 -.