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<br />, .
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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that this perlit JaY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
<br />regulations. fbe undersigned a&8UIeB responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the 0lIIJler bas hired a contractor or contractors to undertake IIOrk, they JaY be required to be licensed in accordance with
<br />state and local regulationa. If the contractor is not licenaed as required by law, both the owner and contractor JaY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requ1reJents laY apply for the intended "Prt, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611,
<br />
<br />Furtberlore, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .
<br />'Contractor Sections' of this applicatioo for wbich 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 "isbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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 - lIoIeoImer's Protection
<br />Guide' prepared by the Plorida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is lKIIeOIl8 other than the
<br />'owner', I certify that I have obtained a copy of the above described docUJellt and promse in good faith to deliver it to the
<br />'owner' prior to cmleDCeJeIlt. .
<br />
<br />E. CONTRACTOR' S/OWNER I S AFFIDAVIT
<br />I certify that all the infOIlatioo in this application is accurate and that all wort ,ill be done in COIpliance ,ith all
<br />applicable laws regulating construction, loning,. and land developleDt.
<br />
<br />Application is hereby Jade to obtain a peIJit to do work and iDsWlation as indicated. I certify that DO IIOrt or
<br />installation has a.-enced prior to issuance of a peIIIit and that allllOrt will be perfOIJed to _t ataDdarda 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 goveruenW agencies laY apply to the intended IIOrt, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and InvironaenWly Sensitive Landa,
<br />Water/Wastewater 'freatlent
<br />t Southwest Plorida lIater HanagMeDt District - lIells, Cypress Baybead8, lIetland Areas, Altering Watercourses
<br />I AIIY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater 'l'reatlent, Septic tanks
<br />I US BnvirODJel1tal Protection Agency - Asbestos abateJellt
<br />I also certify that, if filllaterial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'coapensating volUJe' "ill be sublitted "hich is prepared by a professional engineer registered in the State of
<br />Florida prior to petlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed ,ith the WIt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical coclea, nor aball issuance of a perait prevent the Building Official frOl thereafter
<br />requirirlg a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOll! invalid
<br />unless tbe wrk authoriled by such peIlit is ~ced "ithin slllODtha of i88uaDCe, or if wort authoriled by the petlit is
<br />suspended or abandoned for a period of WlODths after the tile the 1IOIk is ~ced. ODe 90 day l!Itension of tile, laY be
<br />allowed for the peIJit with fee charge of $15.00. '!'be l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection ..t be logged during each WlODth period, or the project will be considered abandoned.
<br />IlARJfING '1'0 (MID: YOUR PAILDRB '1'0 RECORD A 10'l'lCE 0' aIIIIDCEIIBI'I' MlY RBSUL'I' II YOUR PAYlRG 'l'lfICK FOR DIPROVIMII'I'S '1'0 YOUR
<br />PROPER'I'Y. IP YOU mIlD '1'0 OBfW PIUKCIIG, COISUL'I' WIU YOUR LDDBR OR All A'I"I'08JIBY BEPORB RICORDIHG YOUR KO'I'ICE OP
<br />COHMEICIlHIK'I'. JOBS UKDBR '2,500 III VALDI DO 110'1' KIBD '1'0 RECORD AND POST A 'RO'I'ICK OP aJlMEHCBHBII'I".
<br />
<br />
<br />SIW~:' s~J
<br />
<br />S'I'A'I'E OF PLORIDA
<br />coum OP J'Ast7 0
<br />The foregoing instrument was acknowledged
<br />before me tbiS.JA.Aldty If, 19~ by
<br />
<br />JJ. t-b::-iGI at ~J1::>
<br />who is personally known to me or who has
<br />produced '
<br />as identification and who did/did not
<br />
<br />~9-3.o-r~
<br />
<br />(Signature) .
<br />~~A71.j U?JiZ AJ .;r. 13 RtJ rJlJ
<br />(Rame'Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />S'I'A1'E 0' FLORIDA 14.
<br />coum OF JJ. s e--D
<br />The foregoing instrument ~as acknowledged
<br />before me this ~t41eY 'I ' 19tf ~ by
<br />.
<br />
<br />AI-BE:/<.T ~/ HMoS
<br />who is ~erSOnallY known to 118 or who has
<br />produce
<br />as identification and who did/did not
<br />
<br />take~~,J p >b.~
<br />(Signature)
<br />KAm~JJ .;..;r. BRt1kJAl
<br />(Rame Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
<br />, :\,,\\y "II(I(
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<br />
<br />KATHLEEN J BROWN
<br />My Commlnlon CC449029
<br />Expltes Apr. 02. 1999
<br />Bonded by NFNU
<br />800-224-8368
<br />
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<br />
<br />KATHLEEN J BROWN
<br />My cornminlon CC449029
<br />Expires Apr. 02.1999
<br />EIortded by NFNU
<br />800-224-8388
<br />
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