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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS .
<br />Tbe undersigned understands that this pertit lay be subject to "deed restrictions" wbich Jay be IDre restrictive than City
<br />regulations. rbe undersigned assutes 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, 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 JaY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has bired a contractor or contractors, be 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, 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 pertitting 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 that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoJeowner's Protection
<br />Guide" prepared by the Florida Depart:Jent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
<br />Rowner", I certify that I have obtained a copy of the above described docUJellt and protise in good faith to deliver it to the
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has ~enced prior to issuance of a pertit and that all work will be perf01'led 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 govl!IDleJ1tal agencies Jay apply to the intended work, and that it is
<br />Iy responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to:
<br />t Depart:Jent of EnvirollleJltal Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Vastewater TreatJent
<br />t Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Enqineers - Seawalls, Docks, liavigable Waterways
<br />t Depart:Jent of Health & Rehabilitative Services, EnvirORJental Health Onit - Wells, Wastewater IreatJent, Septic ranks
<br />t OS EnvirODlental Protection Agency - Asbestos abateleDt .
<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 "cOlpeDSating volute" will be sublitted which 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 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 pertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless the Ifort authorized by such perlit is cOllellced within six IOnths of issuance, or if work authoriled by the pertit is
<br />suspended or abandoned for a period of six IODtbs after the tile the work is co.Jenced. One 90 day l!Itension of tile, JaY be
<br />allowed for the perJit with fee charge of $15.00. fhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six IODth period, or the project will be considered abandoned.
<br />WARlfIliG TO OWlfER: YOUR FAILURE 10 RECORD A liOlICH OF C(JIMDCDm HAY RESULI Iii YOUR PAYING BlCE FOR IMPROVEIIElfIS YO YOUR
<br />PROPERTY. IF YOU ImND 10 OBfllN FINlICING, CONSULI wlm YOUR LINDER OR IN AftORRBY BEFORE RECORDING YOUR HorlCE OF
<br />COHHENCEMElft'. JOBS OWER $2,500 Iii VALUE 00 lior NEED 10 RECORD AND POsr A IINOIlCE OF COHHDCEHEIIT".
<br />
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<br />
<br />STATE OF F~DA
<br />COmy OF 1/>06 CO
<br />The foregoing instrument was acknowledged
<br />before me this30 (V/""y , 19~ by
<br />
<br />::JOtiN !v1, K&L Vj
<br />who is personally known to me or who has
<br />producea.
<br />as identification and who diQldid not
<br />
<br />t")rY'~"!t~d>,
<br />~ure) /
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />S!A!E OF FLORIDA \.
<br />coum OF ~A5u:>
<br />The fore oing instrument was acknowledged
<br />before me this ,30 HAJ ' 19-1.L by
<br />
<br />12OB8L/7 A. fc- LeU ":d.. '
<br />who is personallYknoWn to me or who has
<br />proaueed --
<br />as identification and who ~did not
<br />
<br />ta"fh a:)(Jfh fJ; t/J1d2- --
<br />~gnature)1
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />i->...,~
<br />Ear.
<br />
<br />DAVID RONDA
<br />COlI 8TATE Cll' I'l.OItoI
<br />1l&..~M=:r'_
<br />
<br />r;t~r.
<br />
<br />~, . './~-, ;~or..;;.;;\
<br />STATE OF F~ORIOo'.
<br />COM EXMEs: MARCH 27, 3llllI
<br />COM ICe lI4I4a2
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