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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to 'deed restrictions' wbicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired 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 lisdl!leanor violation under state law. If the olfller or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to have the 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, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 - BOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture ,and ConsUler Affairs. If tbe applicant is sOleone other tban the
<br />"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCl!lellt.
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<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a peIlit and that all work will be perforJed to leet standards of all laws
<br />requlating construction, City codes, loning regulations, and land developlent 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 />* Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroOlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managl!lellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODl9Dtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroOlental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle. will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent tbe Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becoae invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day extension of tile, laY be
<br />allowed for the peIlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEJfCEMElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEIfTS TO YOUR
<br />PROPERTY. IF YOU IN'l'IND TO OB!AIN FINANCING, CONSUL! WITH YOUR LIXDIR OR AM AnOmy BlFORE RECORDIHG YOUR HOTICH OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCHMEN'l'".
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<br />SIGNAtURE: OVIfIlR OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATI OF FLORI~
<br />COUNTY OF ~
<br />The foregoing instrument was aCknowledged
<br />before me this 11 - r2 9 , 19~ by
<br />
<br />
<br />o me or who has
<br />L _.s3-asy-(J
<br />as identification and who id/did not
<br />
<br />take~tb. a .?1z::j
<br />ISignature~ . / A . /1 tJ p
<br />(Name Typed, prin~ or Stamped) 7
<br />NOTARY PUBLIC
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />NIIICY A. Moody
<br />'OMM/SSION II CC53480B EXPIRES
<br />Februa!y 21, 2000
<br />IiUNDEO THRU TROY FAIN INSURANCE, INC.
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