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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this pertit lilY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City
<br />regulations. !he undersigned assUleS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accorc1ance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
<br />cited for a lisdeleallOr violation under state law. If the owner or intended contractor are uncertain as to wllat licensing
<br />requiretentJ lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />.788-661f.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which 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 work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is saeone other than the
<br />RownerR, I certify that I bave obtained a copy of the above described docUJent and pIOlise in good faith to deliver it to the
<br />"ownerR prior to co.enCetent.
<br />
<br />E. cONTRAcTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby Iilde to obtain a pertit to do work and installation as indicated. I certify that no IIOrk or
<br />installation has CDlenced prior to issuance of a perlit and that all work will be perfOlled to I88t standarc1s of all as
<br />regulating construction, City cocIes, zoning regulations, and land developlleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!l'DleDtal agencies laY apply to the intended_ll, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not luited to:
<br />* Departlent of EnvirODlll!Jltal Regulation - Cypress Bayheac1s, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /Wastewater Treatlent
<br />* Southwest Florida IIater Managl!l8llt District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Kavigable IIatenays
<br />t Departlent of Health , Rehabilitative Services, Envirouental Health Unit - IIells, IIastewater !reatlent, Septic !ants
<br />t US Envirouental ProtectiOn Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood ZOne 'A' or RA,etc.', it is understood that a drainage plan
<br />addressing a 'COIP8IISating voluteR will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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 sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violatiODS of any cocIe. Ivery pmit issued shall becOIe invalid
<br />unless the IIOrt autboriled by such pertit is ~ced within slllODtbs of issuance, or if IIOrt autboriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the wort is co.encecJ. One 90 day atension of tHe, laY be
<br />allOlfed for the perlit witb fee charge of $15.00. fbe extension sllall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />WmIKG fO OIIRIR: YOOR FAILURE fO RlCORD A NOTICE OF aJIIIBICIIIIII1 MAY RISUL! 1M YOUR PAYlHG !IIICK FOR IMPROVIIIDIS fO YOUR
<br />PROPERTY. IF YOO lIDIID fO OB!AII 'IIWICIIG, COISUL! IIID YOUR LBIDIR OR AI AnomY BlFORB RICORDIMG YOUR JOnCK OF
<br />llMIICIIIIII!. _ 0 l~ VI .110101 lIED IV IlIII3IlIIIJ POST I 'IOIICI OllllllllllClllll'.
<br />
<br />
<br />.,..--
<br />OR AGIO' SIGlllfURE: COII!RACTOR
<br />
<br />SfATI OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfATE OF FLORIDA
<br />coum 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 lie or who bas
<br />produced
<br />as identification and who did/did not
<br />take an oit-tb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(NiUB9 Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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