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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that this pemit JaY be subject to 'deed restrictions' whieb Jay be lOre restrictive than City
<br />regulations. !he undersigned asSUle& 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 JaY be required to be licensed in accordance with
<br />state and local 'regulations. If the contractor is not licensed as reguired by law, both the OlDer and contractor JaY be
<br />cited for a lisc1f!1eaDOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelellts Jay apply for the intended work, they are advised to COIItact the City of Zepbyrhills Buildlng Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb 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 lliabes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of 'Florida's COnstruction Lien Law - lReoImer's Protection
<br />Guide" prepared by the Floricla Departlent of Agriculture and ConsUIeI Affairs. If the applicant is 8OIl!OI18 other than the
<br />'owner", I certify that I bave obtained a copy of the above described c10cUJent and prcmse in good faith to deliver it to the
<br />'owner' prior to COII8IlceEnt.
<br />
<br />E. CONTRACTOR' SlOWER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will-be done in COIpliance lith all
<br />applicable laws regulating construction, soning, and land develoPElt.
<br />
<br />Application is hereby tade to obtain a perJit to do work and installation as indicated. I certify that no work or
<br />installation bas CDIenCec1 prior to issuance of a perait and that all work will be perfolled to I18et standards of all 1_
<br />regulating construction, City cocles, loning regulations, and land develo(ll8llt regulations in the jurisc1ictilll. I also
<br />certify that I understand that the regulations of other goveIlll8lltal agencies Jar apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not lialted to:
<br />I Departlent of BnvirODlental Regulation - Cypress Baybeads, Wetland Areas and Bnvirollll!lltallr Sensitive LaDds,
<br />Water/Vastewater !reatlent
<br />I Southwest Florida Water Hanagelellt District - llells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, lIavigable Watenars
<br />I DepartJent of Health i Rehabilitative Services, BnvirODl8J1tal Health Unit - Wells, Wastewater !reatlent, Septic lanks
<br />I US BnviroDllelltal Protection Agency - Asbestos abatelellt
<br />I also certify that, if fill Jaterial is to be used in Flood Zone 'A' or "A, etc. ., it is understood that a drainage plan
<br />addressing a 'COIP8D8ating VolUle' will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to petlit issuance.
<br />
<br />A ~it 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 tecbnical codes, nor sball iaauance of a petlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any cocle. Ivery petlit iaaued sball becDe invalid
<br />unless the work authoriled by sueb perlit is ~ced within sillODths of iaauance, or if work authoriled by the pemit is
<br />suspended or abandoned for a period of sil IODtba after the tile the work is co.enced. One 90 day atension of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. the atension shall be requested in writing to the Buil4ing Official. An
<br />approved inspection lUSt be logged during eaeb sillOl1th period, or the project will be considered abandoned.
<br />WARMUG !O lMfIR: YOUR FAILURE !O RECORD A IIOIICE OF COIIIDCBllUlIlAY RBSUL! III YOOI PAYIIle; fiICE FORDIPROVIIIIIIS !O YOUR
<br />PROPERTY. IF YOU IJmD 10 OBIAII FlIlUCIIG, COISULI WID YOUR LBRDIR OR II AftOBDY BIFORB RBCORDIHG YOUR DICE OF
<br />/ JlIlS UIIlIJI $2.500 II YILIlIl DO IIJr 11III !O _ lID POll! I 'lOll or _.
<br />
<br />s~dd-J SI _:anJLU~~
<br />
<br />SUfI OF FLORIDA
<br />coum OF '~u,,)
<br />The foregoing instrument was acknowledged
<br />before me this 9rf::!14!tJv, 19~ by
<br />
<br />(J.p~ J..iI:/J;.
<br />who is personally known to lie or who has
<br />produced
<br />as iden fic ti
<br />take oa ~
<br />
<br />gn ture)
<br />GAIL Y. GRINDLE
<br />(N ""'"'ed p. turaar"fI!~of neFida
<br />NOTa:y"PUBLIC r1n,..,y camm. exprrfiMir. 25, 1998
<br />Oomm. No. CC 368560
<br />
<br />
<br />S'lAR OF FLORIDA
<br />coum OF .asc C/
<br />The foregoing instl'Ullellt was acknowledged
<br />before me thistf)l.l' 1 , 191,)" by
<br />
<br />IhrAAR L J/t:/to-
<br />who is personall known to lie or who has
<br />pr.cMlu.eed 'P-
<br />as identif. not
<br />take an
<br />
<br />
<br />(Signature) GAIL Y. GRINDLE
<br />~tary Public State of Florida
<br />(Nue Typed, Prin c6WmS~r. 25,1998
<br />NOTARY PUBLIC Comm. No. CO 368560
<br />
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