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<br />.~....' ~ CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />fhe unc1ersigne;d understands that this perlit liar be subject to .deed restrictions' which lily be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance lith any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfDer has hired a contractor or contractors to undertate work, 'theYIilY be required to be licensed in accordance ,ith
<br />state and local regulations. If the contractor is not licensed. as required by law, both the 0IfDer and contractor lilY be
<br />cited for a lisdueanar violation under state law. If the owner or intended contractor are uncertain as to ,hat licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the OIfner has hired a contractor or contractors, be is advised to have the contractor(s) sign portiODS of the
<br />'Contractor SectiODS' of this application for which they will be responsible. If you, as the owner sign as the amtractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor ,ishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and Is not entiUed to pt!IIittfng privileges. in the'
<br />City of ZephyrhiIls.
<br />
<br />C. TRANSPORTATION IMPACT. FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMBHDED)
<br />I certify that I, the applicant,bavebeen'provided lith a copy of 'Florida's Construction Lien Law - lmeowDer'a Protection
<br />Guide' prepared by the Florida Departlent of Agriculture.and ConsUI8I Affairs. If the applicant is SOleOD8 other than the
<br />lownerl, I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lownerl prior to co.aencelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT,
<br />I certify that all the inforaation in this application is accurate and that all work ,ill be done in COIpliance lith all
<br />applicable lals regulating construction, Joning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit ~o do lork and installation as indicated. I certify that DO worl or
<br />iDstallation lias ~ced prior to i8S~ce of a perI1t and that alllfOrl will be perfoIJed to .et .taDdarda of alII..
<br />regulating construction, City codes, loning regulations, and lanel developleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended IOrk, and that it is
<br />IY responsibility to identify lhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Envirolllel1tal Regulation - Cypress Blyheads, Wetland Areas and EnviroDl8Dtally Sensitive Lands,
<br />lIaterfWastewater !reatlent
<br />I SoutJnrest Florida lIater Hanag8lellt District - lIells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY COIPS of Engineers - Seawalls, Docts, lavigable lIaterways
<br />I DepartJent of Health & Rehabilitative Services, KnvirODlental Health Unit - lIells, Wastewater freatlent, Septic lanls
<br />I US BnvfrODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood ZOne lA' or IA,etc.l, it is understood that a drainage plan
<br />addressing a 'cOlpensating vol_I lill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pmit isaued shall be construed to be a license to proceed lith the IOrk and not as authority to violate, cancel alter, or
<br />, set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Every perait issued shall beCQ18 invalid
<br />unless the work authorized by sueb perlit is couenced within sillOnths of issuance, or if worl autborlled by the pmit is
<br />suspended or abandoned for a periOd of sillOntba after the tile the work Is C08enced. One 90 day utension of tile, lilY be
<br />allowed for the peIlit with fee ebarge of $15.00. Tbe utension shall be requested in writing to the Builting Official. In
<br />approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WARJIUG fa OIflfKR: YOUR FAILURE fa RECORD A KOrICE OF C(JOfBHCBJWI1' HAY RESULf IK YOUR PAYIKG fIIlCE FOR IHl'ROVIIfDIS fa YOUR
<br />PROPIIm'. IF YOU IJIDID fO OBrAlK FIJlAHCIJlG, COIISULJ VIIB YOUR LBJlDER OR 111 AJrORIBY BEFORE RiCORDIJlG YOUR IOfleR OF
<br />COHMEXCBJWI1'. JOBS WIDER $1,500 II VALUE DO liar HEED fO RECORD AlfD POS! A -KaTICE OF C(JIHElfCBJWl1'I.
<br />
<br />~~~
<br />
<br />
<br />SIIII OF FLORID!
<br />coom OF
<br />The foregoing instrument was aCknowledged
<br />before me this. , 19.=-- by
<br />
<br />SlAfE OF FLORIDA
<br />coum OF
<br />The foregOing instrument was. aCknowledged
<br />b,efore 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 knOWll to me or who has"
<br />produced
<br />as identification and who did/did not
<br />take an oQ.th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(NUle b'Ped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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