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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit .ay be subject to "deed restrictions" whicb Ey be IIOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, they .ay 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 Ey be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents .ay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that .ay be an indication that be is not properly licensed and is not entitled to per.itting 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 tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOIeOWner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOleone otber than the
<br />.owner", I certify that I bave obtained a copy of the above described docUlent and prOJlise in good faith to deliver it to the
<br />"owner" prior to couenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a penit and that all work will be perfoned to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies Ey apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Sucb agencies include but are not li.ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatleRt
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartleRt of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US BnvirOOlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone HA" or "A, etc. ", it is understood that a drainage plan
<br />addressing a "coapensating VOI088" will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A penit 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 tecbnical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOle invalid
<br />unless the work authorized by such per.it is cOBenced within six IIOntbs of issuance, or if work authorized by the penit is
<br />suspended or abandoned for a period of six IIOntbs after the ti.le the work is couenced. One 90 day extension of tiu, Ey be
<br />allowed for the penit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during eacb six IIOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF COHHBNCEHEIft' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBImlft'S TO YOUR
<br />PROPERTY. IF YOU IIft'RlfD TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN AnORNBY BBFORE RBCORDUfG YOUR NOTICE OF
<br />COHHENCEHEIft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBNCEMBIft'''.
<br />
<br />d
<br />' ~/ ,----.
<br />" "-t./~ ~A:~ J
<br />SIGNAtURE: OWHER OR AGE1ft'
<br />
<br />/-r;[ ~._'
<br />~'~A~ _ )
<br />SIGN~TURE: COIft'RACTOR
<br />
<br />STATE OF FLORID~
<br />COllN'lY OF !7lS(lo
<br />The foregOing instrument was acknowledged
<br />before me this J'J11lR ~D , 19 9-' by
<br />
<br />I h~,ee Wllbsr~/L--
<br />who is personally known to me or who has
<br />produced
<br />as identification and~d/did nnt
<br />
<br />~O.~-
<br />(Si ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA /2 .
<br />coum OF tZ!.. oS (10
<br />The foregoing in~;rument was acknowledged
<br />before me this /I'~, ~C,), 19~ by
<br />
<br />/l1eu~te~ 1v6'~crt<>~
<br />who is p~rsonallV knnwn-to me or who has
<br />produced
<br />as identification
<br />take o~th.
<br />
<br />
<br />ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1999
<br />CC 446560
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1999
<br />CC 446560
<br />
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