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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this penit lilY be subject to Ideed restrictions' wbich lilY be lOre restrictive than City
<br />regulations. !he undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors to undertake lIOrt, they I8Y 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 0IIJler and contractor 181 be
<br />cited for a lisdeJeallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJellts I8Y apply for the intended wort, they are advised to CQJltact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />RContractor Sections I of this application for wbich they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign
<br />as contractor that I8Y be an indication that be is not properly licensed and is not entitled to peIJitting 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 IPlorida's Construction Lien Law - BoIeolmer's Protection
<br />GuideR prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOIl!OIle other than the
<br />RovnerR, I certify that I bave obtained a copy of the above described c10cUIent and prcmse in good faith to deliver it to the
<br />lownerl prior to co.encel8Jlt.
<br />
<br />E. CONTRACTOR' S/OWNER 's AFFIDAVIT
<br />I certify that all the infOIlation in this application is accurate and that all work will be done in CDlpliance with all
<br />applicable laws regulating construction, zoning, and land developlleDt.
<br />
<br />Application is bereby lade to obtain a peIlit to do 1IOrk and installation as indicated. I certify that no IfOrt or
<br />installation bas CDlenced prior to issuance of a perlit and that all wort will be perfoIJed to _t stancJards of all lil1f8
<br />regulating construction, City codes, zoning regulations, and land c1evelopleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDVeI1II8Iltal agencies lilY apply to the intended vort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
<br />I DepartJent of InvirOl1l8lltal Regulation - Cypress Baybeads, Wetland Areas and InvirODll!lltally Sensitive Lands,
<br />Water/llaste1rater 'l'reatJent
<br />I SoutlNest Florida Water ManaQeMIlt District - Wells, Cypress Baybeads, Wetland Areas, Altering watercourses
<br />I ArIy Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />I DepartJent of Health & Rehabilitative Services, BnviIODl8Dtal Health Unit - Wells, Wastewater 'l'reatlent, Septic !ants
<br />I US InviIODl8Dtal Protection Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fill Hterial is to be used in Flood ZOne IAI or IA,etc. R, it is understood that a drainage plan -
<br />addressing a ICOllpeDSating volutel will be sublitted wbich 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 IfOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter'
<br />requiring a correction of errors in plans, construction, or violations of any coele. Ivery perlit issued shall beCCIIe invalid
<br />unless the wort authorized by such perlit is co.enced within sillOIltbs of issuance, or if wort autboriled by the perlit is
<br />suspended or abandoned for a period of sil IOIltbs after the tile the vort is co.enced. One 90 day extension of tile, I8Y be
<br />al101led for the perlit with fee charge of $15.00. 'l'be extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />mHING '1'0 OIlIER: YOUR FAILURI !O RlCORD A IO'I'ICE OF cmatDCIIIIIC'I' MAY RlSULf III YOUR PAYlIIG !IIICE FOR lMPROVIIID'I'S !O YOUR
<br />PROPIR'I'Y. IP YOU IJ'I'BJID !O OB'l'AlJI PIJlAllCUG, CONSUL'I' WI'I'H YOUR LlllDIR OR All A'I"I'OIIDY BEFORE RBCORDIJIG YOUR ROIICE OF
<br />COMMINClHBtlt'. JOBS UllDBR' $2,500 IN VALUE 00 JIO'I' mD '1'0 RECORD AID POS'I' A 'JIO'I')CB;OP
<br />//
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<br />
<br />~~~2'J, d.p~ IidP~~
<br />SIGlllf : (IIJIIR OR AGItlt'
<br />
<br />S'l'Afl OF FLORIDA
<br />coum OF Pd5ClJ
<br />The foregoing instrument was acknowledged
<br />before me this ~1.//Jf!!....;7O? , 19li- by
<br />
<br />-1h&re.r~' /77. 'l}~'
<br />who is personally known to me or Mh8 has
<br />..pradeeed
<br />aa id&Rtifi~atiQR aD~who did/did Aot
<br />
<br />~A7~~
<br />--~atu:l,
<br />-e/7 /On/? A"e/~ --#(JL!.Jhf?~'J
<br />(Rame Typed, Printed or S ed)
<br />ROTARY --PUBLIC
<br />
<br />S'l'AD OP FLORIDA
<br />COUN'I'Y 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 o~th.
<br />
<br />(Signature)
<br />
<br />(RaDle Typed, Printed or StilllPed)
<br />ROTARY PUBLIC
<br />
<br />NOl'.AItY I'OII.ICsrA'Dl OPI'I.OmQ\
<br />Y\'~IDlP.DIiC 1'_
<br />1OMOfl)1'HlW~l"t,~,l~
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