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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tbat tbis pel'lit lay be subject to Ideed restrictions" wbich lay be lOre restrictive than City
<br />regulations. The undersigned assOles responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />"Contractor Sections. of tbis application for wbich tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrbills.
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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 tbat I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - BOIeOw.Der's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOleone otber than tbe
<br />lIowner", I certify tbat I have obtained a copy of tbe above described docUlent and prOllise in good faith to deliver it to tbe
<br />"owner" prior to cOlleDcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infol'lation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation has cOllenced prior to issuance of a pel'lit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber govel1llental agencies laY apply to tbe intended work, and tbat 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 Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb i Rebabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone IAII or "A,etc.", it is understood tbat a drainage plan
<br />addressing a .cOlpeDsating volOle" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perlit. issuance.
<br />
<br />A perlit issued shall 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 tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after tbe till! tbe work is cOllenced. One 90 day extension of tile, lilY be
<br />allowed for the pel'li~ witb fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WADING '1'0 0WlfflR: YOUR FAILURE TO RECORD A NOTICE OF COMMDCBHEliT HAY RESULT IH YOUR PAYING TWICE FOR IHPROVlMDrS TO YOUR
<br />PROPERTY. IF YOU IliTEIfD TO OBTAIN FIHAHCING, CONSULT WITH YOUR LErmER OR Alf A11011MEY BEFORE RECORDIHG YOUR NOTICE OF
<br />COMMENCBHEHT. JOBS UlfDER $2,500 IN VALUE 00 NOT NEED 1'0 RECORD AJfD POST A "NOTICE OF COMHDCBHElft'".
<br />
<br />SIGNA'fURB: CMD:R OR AGENT
<br />
<br />SIGNATURE: COlft'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlfTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19 by
<br />---
<br />
<br />STATE OF FLORIDA
<br />COmy OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<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 />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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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