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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pemit lay be subject to "deed restrictions" wbieb lay be lOre restrictive than City
<br />regulations. fbe undersigned assDles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections. 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 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 pemitting 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, have been provided with a copy of .Florida's Construction Lien Law - HOIe01IDer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUIeC Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developllent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOIIeDced prior to issuance of a pemit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJental agencies JaY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not 11lited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood ZOne NAif or If A, etc. ", it is understood that a drainage plan
<br />addressing a .cQlpensating VOlUleIf 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 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless tbe work autborized by such perlit is cOlEnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tile, lily be
<br />allowed for tbe pemit with fee cbarge of $15.00. fbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARNING 'l'O OWNER: YOUR FAILURE TO RECORD A NO'J'ICK OF C(JIMENCKMEN'I' MAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEllEN'l'S TO YOUR
<br />PROPERTY. IF YOU IN'I'DD TO OBfAHf FI.NAlfCING, CONSULT WITH YOUR LDDIR OR AN AftORNEY BEFORE RECORDING YOUR lfO'J'ICE OF
<br />COMMENCEMEN'I'. JOBS UNDER $2,500 IN VALUE 00 NO'J' NEED fO RECORD AND POST A "NO'rICE OF COMMENCKMEN'I'..
<br />
<br />#~~
<br />SIGIl~
<br />
<br />STATE OF FLORIDA /J
<br />COON'lY OF /" #J' t tJ
<br />The foregoing instrument was aCknowledged
<br />before me this /1' , 19..li"by
<br />
<br />/.((" )v ,{} /4/, h V
<br />who is personally known to 'e or who has
<br />produced 'k /V () tv /./
<br />as identification and who did{didn~
<br />take an oath. /) ,0./ :.;;~..
<br />/1V~A1. /L~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL .,.
<br />,,'~'iAtfiJk... DORIS K. PUlTZ
<br />~f"~'~ MY COMMISSION" CC S08944
<br />~i.~~4 EXPIRES: August 16.1997
<br />"'~.9f.,r..~;,., Bonded Thrl/ Notary Public UndelWl1tell
<br />
<br />
<br />~A-
<br />
<br />SIGNATURE: ~.;j,
<br />
<br />
<br />SrAfEOF FWRIDA ~
<br />COUN'I'Y OF / t1r c tJ
<br />The foregoing instrument was acknowledged
<br />before me this / I , 19~ by
<br />
<br />/~ 1./ /J M ~/
<br />who is perSOnal~known to m or who has
<br />produced /\I iJ LL/ ,A/
<br />as identifi atlon and who did/did not
<br />take an oa
<br />
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />Y~/Q
<br />
<br />
<br />...'~';,tP" '., DORIS K. PU
<br />fJ ,:<; MY COMMISSION" CO 308944
<br />- . .!4 EXPIRES: August 16. 1997
<br />;1..' Bollded Thrl/ Not.ary Public UndelWl1ters-
<br />
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