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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perait aay be subject to 'deed restrictions' wbieb aay be lOre restrictive than City
<br />regulations. !be undersigned assU1e8 responsibility for CDpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey aay be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor aay be
<br />cited for a lisc1e11ea1lor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requireElts aay apply for tbe intended work, they are advised to CGQ.tact tbe City of Zepbyrllills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for wbieb tbey will be responsible. If JOU, as the owner sign as the contractor,
<br />you are inaicating that you, rather than the contractor, are responsible for tbe work. If the contractor lIis11es you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting 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 - BaIeolmer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOleODe other than the
<br />'owner', I certify that I have obtained a copy of the above described docuIent and prolise in good faith to deliver it to the
<br />'owner' prior to COIIeIlCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJition in this application is accurate and that all work lIill be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land deve1o~t.
<br />
<br />Application is hereby lade to obtain a perlit to do IIOrk and installation as inaicated. I certify that no work or
<br />installation has cmleDced prior to issuence of a peIlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develo(lll!Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDVerDlleDtal agencies aay apply to the intended work, and that it is
<br />-r responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not luited to:
<br />t Departlent of BnviroDl8lltal Regulation - Cypress Baybeads, Wetland Areas and BnviroDIIeDtally Sensitive Lands,
<br />Water /Wastewater freatJent
<br />I Soutbwest Florida Water Hanagl!l8llt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health i Rehabilitative Services, BJivirODJelltal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />I US EnviIOllleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan -
<br />addressing a 'COIpeJl8ating volUl8' will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuence of a perait prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued sball becme invalid
<br />unless the IIOrk authoriled by sueb perJlit is co.enced within ail IODths of issuance, or if IIOrt authorized by the peIlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day utension of tile, aay be
<br />allowed for the perait with fee charge of $15.00. fbe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be -logged during eaeb sil IOI1th period, or the project will be considered abandoned.
<br />WAIUUIfG to (MID: YOUR FAILURE to RECORD A NOIICH OF COIIIRCBIIIIf! MAY RlSULf IN YOUR PAYING DICK FOR DIPROVIIIII'lS to YOUR
<br />PROPmY. IF YOU IBIIfD to OBIADf FIlUCIIfG, COJfSOLf WID YOUR LlllDIR OR II AftORIIY BIFORI RICORDIIG YOUR JOIICK OF
<br />COMMDCEMINT. JOBS UKDIR '2,500 IN VALUE DO NOI IfEID to RlCORD AND lOS! A 'NOIICK OF C(JItDCIMD!'.
<br />
<br />SIGIA!U1II: OOBR OR AGBII1'
<br />
<br />SIGIIA!URI: COII!RAC'I'OR
<br />
<br />Sf AD OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />Sf AD OF FLORIDA
<br />coum 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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