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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this pel'lit JaY be subject to .deed restrictions. which Jay be lOre restrictive than City
<br />regulations. !be undersigned asSUles 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 JaY 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthel'lOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the OIIIler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to penlitting privileges in the
<br />City of Zepbyrhills.
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<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, have been provided with a copy of .Plorida's Construction Lien Law - HoIeoImer's Protection
<br />Guide" prepared by the Plorida DepartJent of Agriculture and ConsUlet Affairs. If the applicant is SOIeOne other than the
<br />.00000er", I certify that I have obtained a copy of the above described dOCUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COll8llCelellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a pel'lit and that all work will be perfolled to leet 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 />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnvirolllleJltal Regulation - Cypress Baybeads, Wetland Areas and EnvirollleJltally Sensitive Lands,
<br />Water/Wastewater 'l'reatlent
<br />t Southwest Plorida lIater Hanagelellt District - lIells, Cypress Baybeads, lIetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic !anks
<br />t US EnvirODleDtal Protection !!Iency - Asbestos abatl!lent
<br />, ,;I also certify that, if fill laterial is to be used in Plood ZOne IA. or "A,etc. ", it is understood that a drainage plan
<br />, addressing a .COIpenSating vollllea will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />,':;.jlorida prior to perlit issuance.
<br />
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<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 shall issuance of a petlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violatioDS of any code. Bvery pmit issued shall beCOle invalid,
<br />unless the 1fOrk authoriled by such pel'lit is c~ced within sillODtbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillODths after the tile the work is co.enced. One 90 day utension of tile, laY be
<br />allowed for the petlit with fee charge of $15.00. rbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARJlING ro omR: YOUR PAILURE '1'0 RECORD A MOrICH OP COMMDCBMDr MAY RESUL'I' 1M YOUR PAYIIfG fWICH FOR IMPROVIIIDI'S ro YOUR
<br />PROPERTY. IP YOU III'I'BRD '1'0 OB'J'AIM PlIIAJICIlfG, COISUL'I' WID YOUR LIlIDBR OR All AnOIlJllY BIPORE RICORDIlfG YOUR lforlCH OP
<br />COMMEMCEMBIft'. JOBS UlmHR $2,500 IN VALUE 00 Mor HIED ro RECORD AJID POsr A IMorlCH OP COHMERCEMBM!I.
<br />
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<br />
<br />S'I'A'I'H OP FLORIDA ~
<br />coum OF '-r-- ~
<br />The foregoing instrument was acknowledged
<br />before me this '/ - ''I' ,19? ~ by
<br />
<br />S'l'A'fI OP FLORIDA
<br />COUlfIY OP IJ,,4 sc!.. c
<br />The foregoing instrument was acknowledged
<br />before me this ~~ ~ (19~ by
<br />
<br />~e,qn ~a.~ C..DlA...Lt e ~
<br />who is personally known to me r who has
<br />produced 'M~~ ~'An -U 1"':L14!E. ~c.~nS-e
<br />a . dent. . ation and who did/did not
<br />e. oa
<br />
<br />
<br />who i personall own to me or wbo has
<br />
<br />produc
<br />as identification and who did/did not
<br />
<br />ta~~ath. O. 'fh ~- ()
<br />
<br />(Signature~ ~ J
<br />_d f't c-~ A. uoo r-
<br />(Name Typed, printed/or/stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />".~~\~~ LINDA JEANNETTE NEWSOME
<br />f.: :*E MY COMMISSION' CC <482467
<br />'~"l EXPIRES: July 20, 1999
<br />)f," 80ndIId ThIu NolaIy PubIc IMcIItwritIII
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<br />.'.D'....rpg.. N A
<br />h~..~ ancy . Mo/)(~I
<br />~~ E:ffi MY COMMISSION /I CCs:!.!.'
<br />;'J.:r'F'''~''' February 21, ~", >
<br />.JI,..fl'. IlONOeD THRII TROY FAIN IN5U:" ':,
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