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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />Aw NOTICE OF DEED RESTRICTIONS
<br />. rbe und~signed understands that tIlis peralt laY be subject to 'deed restrictiODS' rhich lay be .re restrictive than City
<br />regulatiODS. the undersigned ass.. r88pOJl8ibility for cmpliance ritll any applicable deed restrictiODS.
<br />
<br />Bw UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the 0II18l' bas hired a contractor or contractors to undertake work, they .y be required to be licensed in accorc1ance witll
<br />state and local regulationa. If tile contractor is DOt licensed as required by lar, botll the 0IIDel' and CODtractor la' be
<br />cited for a lisdeleaDOr violation under state law. If the owner or intended contractor are uncertain as to llllat lic8D8ing
<br />requirel8l1ts laY apply for tile intended work, they are advised to contact tile City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Purtllenore, if the orner bas bired a contractor or contractors, he is advised to have the conUactor(s) sign portions of tile
<br />'Contractor Sections' of Ws applicatioo for wbich tIley will be respoosible. If JOU, as tile 0II18l' sign as the CODtractor,
<br />you are indicating that JOU, ratller tIlan tile contractor, are responsible for the rork. If the contractor li8hes you to sign
<br />as contractor that laY be an indication that he is DOt properly lic8D8ed and is not entiUed to. pmitting pd,ileges 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, tile applicant, bave been provided witll a copy of 'Florida's Construction Lien Law - lIaIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and CODSUI8l' Affairs. If the applicant is 8OI8OD8 other than the
<br />'orner', I certify tIlat I have obtained a copy of the above described docUIent and prCllise in good faitll to deliver it to the
<br />'owner' prior to co.enCl!I8Jlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infonation in tIlis application is accurate and that all work lill be done in COIpliance litll all
<br />applicable lara regulating CODStruCtion, Jooing, and land develo.-nt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no rork or
<br />installation bas cml8DCed prior to issU8Dce of a pmit and that all lOCk lill be perfOIJed to_t standards of alII..
<br />regulating CODStruCtion, City coc1es, loning regulatiODS, and land devel~t regulations in the jurisdictioo. I also
<br />certify that I understand that tile regulations of other goyerDleDtal agencies laY apply to the inteDc1ed worl, and that it is
<br />Ii responsibility to identify what actions I lUSt tale to be in COIpliance. Such agencies include but are not lilite4 to:
<br />I Departlent of BnviIODllBlltal Regulation - Cypress Bayheads, IIeUand Areas and BnviroDlBDtally Sensitive Lands,
<br />lIater/Vastewater rreablent
<br />I Southwest Florida Water Ilanagl!lBllt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArJy Corps of Ingineers - Seawalls, Docks, latigable Watenays
<br />t DePaItlent of Bealtll , Rehabilitative Senices. BnviIODlDtal Healtll Unit - lIells, Wastewater 'freablent, Septic lanks
<br />I US BnviICllll!Dtal Protectitm Agency - Asbestos BbatHellt
<br />I also certify that, iffllllaterial is to be used in Flood Zone 'I' or 'A, etc. " it is undentooc1 that a drainage plan
<br />ac1clressing a 'co.pensating vol.' will be soblitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perltt issuance.
<br />
<br />A pemit issued shall be construed to be a license to proceed vitll the IIOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of tile technical codes, nor shall issuance of a peIlit prevent the Building Official frCII thereafter
<br />rel)Uiring a correction of errors in plans, constructioo, or violations of any code. Ivery perait issued aball becme invalid
<br />unless tile rork authoriled by such perlit is co.enced vitllin slllOl1ths of issuance, or if rork autlloriled by tile peralt is
<br />suspended or abandoned for a period of sillOl1t1ls after the tile the work is ~ced. One 90 day atensilll of tile, laY be
<br />allowed for tile perait 1Iitll fee charge of $15.00. rhe atensioo aball be requeste4in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODtIl period, or the project lill be considered abaDiIooed.
<br />WmING fa (lID: YOOR PlILUIB fa RICORD I KarICK OF CCIIIDCllllllIIIY RISUL! IK YOOI PIYIIG !lIICK FOR IJI1IIJVWII8 fa YOOR
<br />PROPmY. IF YOU IJIIIID fa 0BI1II FIIIlICIIG, COISUL! WID YOOR LIIDIR OR lJIlftORIIY BIfOIIB RmDIIG YOUI DICK OF
<br />CCJlMDCIIIDr. JOBS URDU. $2,500 II YAWl DO a DID ro RICORD lID POS! I 'aICI OF CCJIIIDCIIIIIII.
<br />
<br />,~~~
<br />SIGU!URB~ OR IGIIft'
<br />
<br />~ (C ~a-
<br />SIGIfI CODRACIOB
<br />
<br />srAR OF FLORIDA
<br />coum 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 />srlll OF FLORIDA I I' I J L_
<br />coum OF H I !>wrOLl qh
<br />The foregoing instru.en~as acknowledged
<br />before me this I c:J ~ , 19 q~ by
<br />
<br /><SOhn 6. ~~
<br />who is personally known to _ or who has
<br />:~~:=ifl~t~~!K.h~~ not
<br />ta~:mA ~~~~~~
<br />~. G
<br />
<br />(Na.e Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC L g~';,}l:i!t~li~~~~~:~~~\~I:~'1
<br />1"',1 01':;~;i;;",::;i~:i CJ;j;~~i;. ~2~I ~ :i~~{iDA
<br />L~Y.E..'2::!.l'::1iSS:ON LXP DEC. I, 1999
<br />
<br />(Signature)
<br />(NilIIe .Typed, Printed or 8tuped)
<br />NOTARY PUBLIC
<br />
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