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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe undersigned understands that this Perlit Jay be subject to 'deed restrictions' wbieb lay be lOre restrictive than City
<br />regulations. Ibe undersigned assU18S responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner lias lIired a contractor or contractors to undertake work, tIIey JaY be reguired 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 wbat licensing
<br />reguireaents IIilJ apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departllent, (813)
<br />788-6611. ;
<br />
<br />Furthenore, if tile owner bas bired a contractor or contractors, be is advised to have tile contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whieb 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 JOU to sign
<br />as contractor that IIilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI~ 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 - BcIIeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOleODe other than the
<br />'owner', I certify that I have obtained a copy of the above described docu.nt and pro.ise in good faith to deliver it to the
<br />lowner' prior to co.enceaent.
<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 COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby Jade to obtain a perlit to do worlt and installation as indicated. I certify that DO work or
<br />installation has cmleDced prior to issuance of a perlit and that all work will be perforaed to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies laY apply to the intendedlOrl, and that it is
<br />IY responsibility to identify what actions I lust tue to be in COIpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnvirOllJelltal Regulation - Cypress Baybeads, Wetland Areas and Envirouentally Sensitive Lands,
<br />Water/Wastewater !reatllent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Kavigable Watenays
<br />I Departlent of Health & Rehabilitative Services, InvirOllleJltal Health Unit - IIells, Wastewater !reatlent, Septic !anb
<br />I US InvirOJJJelltal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or IA,etc.', it is understood that a drainage plan
<br />addressing a lcoapensating voluae' will be subltitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance. .
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becme invalid
<br />unless the work authorized by sueb penit is co.enced within sillOntbs of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IOrt is ~ced. One 90 day atension of tile, JaY be
<br />allowed for the penit with fee charge of $15.00. !be utension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARHUG 'fO 0IfKIR: YOUR FIILURI 'fO RlCORD I KorICE OF aJIIIBKCIIIINI MlY RlSULr IK YOUR PIYIIG rIIICE FOR DIPROVIIIDrS 'fO YOUR
<br />PROPBm'. IF YOU IIUIID 'fO onm -FIIWICIlG, COISUL! tUu tOOil LBIIDIR OR II InoRIIY BIFORI RICORDIIG YOUR MoriCi OF
<br />COHHDCBHBIIt'. JOBS;:UJfDIR $2,~0 ~AL 00 lor lIED !O RECORD lID POS! A llIO'lICI OF COIIIDCIlIIIII!I.
<br />
<br />ot>.:'-..)~j( .'d ./:, ...,,/ j/~ ) 4;J~~~tJ
<br />
<br />~ ~~~ ALl/M I/IlC/
<br />
<br />SIGJIA!URI: (MID OR I8BIft' SIGJIA!URI: COIIt'IlAC!'OR
<br />
<br />srArl OF FLORIDA
<br />COUlIrY OF ~ \
<br />The foregoing instrument
<br />.. before me this &7 j\M.o ,
<br />
<br />
<br />s acknowledged
<br />19~ by
<br />
<br />S!A!I OF FLORIDA
<br />coum OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />wbo is perSO~lY. known to me or wbo bas
<br />produced~ "\A.l.U.<A/l ~uu.. ~
<br />as identification and wbo'1itiW{did not
<br />take an oaiJ- ~.~
<br />~ \to ... L (', ~ "'-l l..a:> lA.. I~ $; '^-.A.
<br />('~
<br />'t \h"r...t uE: ~~fl\}J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC OMPSON
<br />YVONNE TH
<br />Notary Public, Stale of Florida
<br />My comm. expires Nov. 22, 1996
<br />Comm. No. CC 242742
<br />
<br />wbo is personally known to me or wbo bas
<br />produced ..
<br />as identification and wbo did/did not
<br />take an oc"tb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or StiUllped)
<br />NOTARY PUBLIC
<br />
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