<br />-. . CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perait laY be subject to .deed restrictions. wbieb lay be lOre restrictive than City
<br />regulations. rhe undersigned assDles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they laY 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 laY be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJIents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portiODB of the
<br />.Contractor Sections" of this application for wbieb 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 wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pemitting 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 - lkIIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is 8OIeODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlBDt and prOtise in good faith to deliver it to the
<br />lIowner" prior to COlleDCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a per.it to do wort and installation as indicated. I certify that DO wort or
<br />installation bas cOlleDced prior to issuance of a perait and that all work will be perforJed to teet standards 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 goveIDIeDtal agencies laY apply to the intended work, and that it is
<br />,y responsibility to identify what actions I lust take to be in colpliance. Sueb agencies include but are not lilited to:
<br />t Depart:lent of EnviroDlental Regulation - Cypress Baybeads, lIetland Areas and EnvirOl\lH!lltally Sensitive Lands,
<br />lIater/lfastewater rreatJent
<br />t Soutbwest Florida Water HanageleDt District - lIells, Cypress Baybeads, lIetland Areas, Altering watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Havigable lIaterways
<br />t DepartJent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater rreatlent, Septic lants
<br />t US EnvirODlental Protection Agency - Asbestos abateleDt
<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 "cQJpensating volDle" will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit 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 technical codes, nor sball issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoIe invalid
<br />unless tbe worl authorized by sueb perait is co.enced within sillOntbs of issuance, or if wort authorized by the petlit is
<br />suspended or abandoned for a period of sillOnths after the tHe the work is co.enced. One 90 day utension of tHe, laY be
<br />allowed for the perait with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. In
<br />approved inspection .ust be logged during eaeb SillODth period, or the project will be considered abandoned.
<br />WWIHG fO OIiHER: YOUR FAILURI 'f0 RECORD A HOflCE OF COIlHDCBMD'f MlY RESUL'f IH YOUR PAYIHG, nIa FOR IHPROVEMDIS 'fO YOUR
<br />PROPERTY. IF YOU IJft'ElfD 'fO OB'fAIH FlIiAICIHG, COHSULT IIITH YOUR LlllDER OR III InoRIIY BIFORE RBCORDIHG YOUR HOna OF
<br />C Rt'. OBS ORDER $2,500 IH VALUE DO IfOt' HEED 'fO RECORD lND POS'f .HOfla F aJlHDCBMD'fl.
<br />\
<br />
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COURt'Y OF ~~
<br />The foregoing ~ent was acknowledged
<br />before me this )....~ , 19~ by
<br />
<br />STAlE OF FLORID! ~
<br />coum OF ~~
<br />The foregoing ~rument was aCknowledged
<br />before me this ~L ~ , 19 ~ by
<br />
<br />who is ~ersonally known to me or who has
<br />produced
<br />as identification and who did/did Dot
<br />take an c
<br />
<br />wbo is personallY known to me or wbo bas
<br />produced
<br />as identifi ation and who did/did oot
<br />take an h. (
<br />
<br />
<br />
<br />(Name Typed, rioted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, ioted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~~~
<br />'JilUYo
<br />
<br />KATHV C, MONTIETH
<br />Notcrv Public. State of RorIdo
<br />My Comm. Exp. Jon. 3. 1999
<br />No CC 431231
<br />
<br />~~~
<br />'.tJIItt Yo
<br />
<br />KATHV C MONTIETH
<br />Notav Public. State of Florida
<br />My Comm, Exp. Jan. 3.1999
<br />No CC 431231
<br />
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