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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands tbat this perJit lay be subject to "deed restrictions" which tay be lOre restrictive than City <br />regulations. fhe undersigned assUles responsibility for cOlpliance 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, tbey 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requiretents tay apply for tbe intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) <br />788-6611. <br /> <br />Furthertore, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the <br />"Contractor Sections" of this application for which 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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, have been provided with a copy of "Florida's Construction Lien Law - HoteOIDer's Protection <br />Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sQleOne other than the <br />"owner", I certify that I have obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the <br />"owner" prior to COllellcetent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify tbat all the infor.ation 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 c08enced prior to issuance of a perJit and that all work will be perforted to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is <br />If responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not Iilited to: <br />t DepartJent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater TreatJent <br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses <br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />t DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />t US BnvirODlental Protection Agency - Asbestos abatetent <br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A, etc. " , it is understood that a drainage plan <br />addressing a Ucoapensating volute" will be subtitted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall 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 per.it prevent the Building Official frOt thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid <br />unless tbe work authorized by such per.it is cOlleDced within six IOnths of issuance, or if work authorized by the perJit is <br />suspended or abandoned for a period of six IODths after the tilE! the work is c~enced. One 90 day extension of tite, tay be <br />allowed for the peIIIlt with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An <br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. <br />WAIUIING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMElICBMEM'f MAY RESULT IN YOUR PAYING TWICB FOR IMPROVBIIElft'S TO YOUR <br />PROPBRTY. IF YOU Ilf'fBIfD TO OBTAIN FINAlfCING, CONSULT WITH YOUR LBIfDBR OR AN AnORNBY BBFORE RECORDING YOUR NOTICE OF <br />COMMEf!9MBlf'f. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCBMElf'f". <br />ri11:'/Iffn, ,tJj-~ /" <br /> <br />' ... ~tlt /- ~~'~ <br />...--- j /04A -= / t/: <br />*' SI~OO6 011 J / 'SIGllIUBE: IIJIlCtOII ' <br /> <br />STATE OF F~IDA <br />coum OF S6 () <br />The foregoing instrument was acknowledged <br />before me this/jAV /~ __~ 19~ by <br />/ <br /> <br />STATE OF FLORIDA <br />coum OF Pasco <br />The foregoing instrument was acknowledged <br />before me this May 13 , 19~ by <br /> <br /> <br />'Rnhin '-T.~e Silverest <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />who is personally known to me Qr who has <br />produced /<i. ~~ L. i(.... <br />as identification and who did/~ <br /> <br />~~~~"ff' <br /> <br />IA~ 0 P~~/2zT <br />(Name TyPed, Prin d or Stamped) <br />NOTARY PUBLIC <br />""""~"" JUDY 0 p,ant.>e'l"l' <br />"'~I:.~'~ . 1Wl;I"" <br />~*! :*~ MY COMMISSION' CC3694511 EXPIRES <br />\~. rif."i May 31.1998 <br />...')fR....~'f-... BONDED THRU mY FAIN INSURANCI,INC. <br />, t"U' <br /> <br />~'J:.:l:-" ROBIN LEE SILVEMST <br />:"'~ MY COMMISSION' CO .-4 <br />W EXPIRES: DeoembIr 14, 1117 <br />~ IIot*I TIIIu ....., NIl INIIWIIII <br />