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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />'fhe undersigned understands that this peait lay be subject to Ideed restrictions I whieb 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 ONDer has hired 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 ONDer and contractor laY be
<br />cited for a lisdf!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended Ifork, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas 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 wbieb they will be responsible. If you, as the ONDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worl. If the contractor wishes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to perJitting privileges in the'
<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, the applicant, have been provided with a copy of IPlorida's Construction Lien Law _ lkIIeoImer'a Protection
<br />Guidel prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleOlle other than the
<br />lownerl, I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />lownerl prior to COlleDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, 1I0ning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit ,to do wort and installation as indicated. I certify that DO work or
<br />installation bas ~ced prior to iSsuance of a perlit and that all work will be perfoBed to leet atandarda of all lawa
<br />regulating construction, City codes, 1I0ning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!IIllental agencies JaY apply to the intended work, and that it is
<br />11 responSibility to identify what actions I lust tale to be in cOlpliance. Sueb agencies include but are not luited to:
<br />I DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater 'freatlent
<br />I Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Aay Corps of Engineers - Seawalls, Docks, lfavigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatJent, Septic fanb
<br />t US InvirODleDtal ProtectiOn Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICDlpensating volUlel 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 Iforl and not as autbority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Every petlit issued shall beCCle invalid
<br />unless the Nark autborized by such perlit is cOllenced within six IOntbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after tbe tile the vork is couenced. One 90 clay I!Itension of tile, JaJ be
<br />allowed for the perlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb sillOntb period, or the project will be considered abandoned.
<br />WARHIHG 1'0 OWRER: YOUR FAILURE TO RICORD A IOrICE OF COHHBHClMBlfJ' HAY RESULT II YOUR PAYIIG 'fIUCH FOR IHPROVIHBlfJ'S '1'0 YOUR
<br />PROPIRTY. IF YOU IIJEJID '1'0 OBUII FlHAHCIIG, COJlSULr NUB YOUR LIHDIR OR 111 AnORIIY BIFORE RECORDIIG YOUR HOTICB OF
<br />COHMIJICIHBlfJ'. JOBS UlIDER '2,500 II VALUI DO lOT IIID 1'0 RECORD AID POSf A II000ICI OF COIlHINCBKIM1'w.
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<br />dGMArURB: 0WJfER
<br />
<br />*jt11t/
<br />IGlAfURI: con
<br />
<br />
<br />STA'fE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />SrATE OF FLORIDA
<br />coom OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19_ by.
<br />
<br />who is pe.l:tnJnally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tate an oath.
<br />
<br />who is personally known to IDe or wbo bas
<br />produced
<br />as identification and who did/did not
<br />tate an oijth.
<br />
<br />(Signature)
<br />
<br />(Name. ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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