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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pel'lit lay be subject to Hdeed restrictions" which JaY be lOre restrictive than City
<br />regulations. fhe undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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 laY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents JaY apply for the intended work, they are advised to contact the City of Zepbyrbil1s Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for whicb 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 pel'litting 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 .Florida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I bave obtained a copy of the above described dOCUlM!llt and prOlise in good faith to deliver it to the
<br />"owner" prior to co_ncelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 COlleDCed prior to issuance of a pel'lit and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in colpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Al'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, HnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone HA- or -A,etc.H, it is understood that a drainage plan
<br />addressing a .c~pensating VOlUieH will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pel'lit 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 pel'lit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pel'lit issued shall becOJe invalid
<br />unless tbe work authorized by such pel'lit is cOlleDced 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 c_enced. One 90 day I!Itension of tile, lilY be
<br />allowed for the pel'lit with fee charge of $15.00. rbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWHER: YOUR FAILURB ro RECORD A MorICB OF COMHEMCBIIBtrr MAY RESULr IN YOUR PAYING fWICE FOR IHPROVBHBtrrS TO YOUR
<br />PROPBRTY. IF YOU IIft'BRD TO OBTAIN FIIWICING, CONSULT WITH YOUR LENDER OR AN Af'fORMBY BBFORE RECORDING YOUR NOTICE OF
<br />COHHHNCEHBlft' . JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NO!ICB OF COHMBNCEHBlft'".
<br />
<br />
<br />J~~o :X~&fMJ
<br />S GIlATURE: OIfIfBR OR AGBIft'
<br />
<br />Y1!l1 ~ _
<br />: COIft'RACTOR /J?/?kL~/ Iff. ~~
<br />
<br />STATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArB OF FLORIDA
<br />COUNTY 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 me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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