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<br />,.. - .'. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis perJit lay be subject to udeed restrictions" whicb laY be lOre restrictive tban City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor 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 lay be an indication that be is not properly licensed and is not entitled to perJitting 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 tbat I, the applicant, bave been provided with a copy of uFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other tban the
<br />Downer", I certify tbat I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"ownerD prior to cOllenceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with 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 that no work or
<br />installation has cOllenced prior to issuance of a perJit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lilY 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 Departtent of HnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater Treattent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.", it is understood tbat a drainage plan
<br />addressing a uCOlpensating volute" will be sublitted wbicb 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 perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOlleDced. One 90 day extension of tite, lilY be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All AnORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS lIHDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGHATURH: OWNER OR AGENT
<br />
<br />~~s
<br />IGNATURE: CONTRACTOR
<br />
<br />~
<br />
<br />.---r
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />wbo is personally known to me or who bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ulk..t!o
<br />The foregoing instrument was acknowledged
<br />before me tbis Ie- octoby 19~ by
<br />
<br />t~< bAV; ":,.
<br />who is personally known to me or wbo bas
<br />produced P~.r>",JA-Ht K,vo<CAJ0
<br />as identification and wbo did/did not
<br />
<br />~~
<br />
<br />(Signatur
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />~,t~~'~~ "OFFICIAL SEAL.
<br />f?7;~,.\ Timothy D. Pendell
<br />~~~~11 My Commission Expires 3/14/97
<br />""',,'"i 0' ,...~~ Commis&ion tee 265838
<br />III,,,..,,,,\:
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