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<br />CONDITIONS OF PERMIT AFFIDAVIT:
<br />A.- NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to Ideed restrictions" wbieb lay be lOre restrictive than City
<br />regulations. 'be 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 accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor tay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for whieb 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 IIOrk. If the contractor lIishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting 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 that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - Hoteowner's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is soteone other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develoPftllt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
<br />installation bas C08eDced prior to issuance of a pertit and that all work will be perfoI'led to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />IJ responsibility to identify what actions I lUst take to be in colpliance. Sueb agencies include but are not litited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvironteDtally Sensitive Lands,
<br />Water/Wastewater 'reatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'reattent, Septic Tanks
<br />t US Environtental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZODe IAI or MA,etc.l, it is understood that a drainage plan
<br />addressing a "cQlPeDSating volute" will be subtitted wbieb 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by sucb perlit is cOlleDced lIithin six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOlltbs after the till! the work is co.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee ebarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eaeb sixlOnth period, or the project will be considered abandoned.
<br />WARNING TO OIflfER: YOUR FAILURE '0 RECORD A NOYICE OF COMMEICBIIEIft' MAY RESULT IN YOUR PAYING DICE FOR IMPROVEMEIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'EIfD fa OB'l'AIlf FlIIAICING, COlfSUL' WIR YOUR LENDER OR 1M AftORIEY BEFORE RBCORDIlfG YOUR lfOYICE OF
<br />llIIIIEIICIIlm. _ IR $2,500 II VILUIlIlO 110I HIRD 10 IIIIOlIlIlIRD ~ _'.
<br />
<br />
<br />
<br />SI /'SI 'fORE: COIft'RAC'rOR
<br />
<br />
<br />STATE OF FLORIDA ^"
<br />coum OF Hf5&J
<br />The foregoing instrument was acknowledged
<br />before me this 3\ Ocr, 19-9.5::'" by
<br />
<br />lLh:/Linm Po~
<br />who is p~TAnnally knq~ to me or who has
<br />prod ced
<br />as 'd tification
<br />ta oath.
<br />
<br />
<br />STATE OF FLORIDA P
<br />COlJIft'Y OF 'f/ 8to
<br />The foregoing instrument was acknowle.dged
<br />before me this .3/ OCtT, 19 q~ by
<br />
<br />lJULt'llm Jb0
<br />who is p'ersonallv kn~ to me or who has
<br />produced
<br />as id ification
<br />take ath.
<br />
<br />(8
<br />
<br />
<br />:'$\':f..~:r;;~. DANA M. G1ElLA
<br />~./'Ql*~ MY COMMISSION" CC301855 EXPIRES
<br />~.~~~ July 14, 1997
<br />"'~P.f.;r...", SONDeD THRU TROY fAIN INSUllANCf, INC.
<br />
<br />'fS.':f..~'r;;"'" DANA M. G1ELLA
<br />f~."~~;~ MY COMMISSION /I CC301855 EXPIRES
<br />~~.~:Q'~ July 14. 1997
<br />";jJ:;,'{f."i:'t-~" saNDED THRU TROY fAIN INSURANCE, INC.
<br />
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