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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A." NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to "deed restrictions" wbich JaY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, they JaY 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 owner and contractor JaY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 wisbes you to sign
<br />as contractor that Jay be an indication that be is not properly licensed and is not entitled to pellitting privileges in the
<br />City of Zepbyrhills.
<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 tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIl!owner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COllenCBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has coaenced prior to issuance of a pellit and that all work will be perfolled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llleDtal agencies JaY apply to the intended work, and that it is
<br />,y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DeparOOt of Health i Rehabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater TreaOOt, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cQlpensating VOIUlen 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 sball 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 violations of any code. Every pellit issued sball becOle invalid
<br />unless tbe work authorized by sucb pellit is coaenced within six IOnths of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, Jay be
<br />allowed for the pellit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEJICEJlEIft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEllElft'S TO YOUR
<br />PROPERTY. IF YOU IIft'ElfD TO OBTAIN FIIWfCING, CONSULT WITH YOUR LODER OR AM AnORMBY BEFORE RECORDING YOUR NOTICE OF
<br />COMKENCEHENT. JOBS UlfDER $2,500 IN VALUE 00 NOT lfEED TO RECORD AMD POST A "NOTICE OF COHMENCEJlEIft'".
<br />
<br />
<br />~~rj
<br />
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<br />SIGJf TU: R OR AGElfT
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y OF Hillsborough
<br />The foregoing instrument was acknowledged
<br />before me this 10/9 , 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y OF Hillsborough
<br />The foregoing instrument was acknowledged
<br />before me this 10/9, 1~ by
<br />
<br />Michael B. Lynch
<br />who is personally known to me or who has
<br />produced personally known
<br />as i tification and who did/did not
<br />tak n oath.
<br />
<br />EXPIRES
<br />
<br />
<br />(Name Typed,
<br />NOTARY PUBLIC ~ . :
<br />~.'tkt;.~
<br />
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