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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this penit aa, be subject to 'deed restrictions I wbich aa, be lOre restrictive than Cit,
<br />regulations. The undersigned assUles responsibility for coapliance with an, applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, they la, be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required b, law,' both the owner and contractor la' be
<br />cited for a lisdeJeanor violation under state law. If the olDer or intended contractor are uncertain.as to wbat licensing
<br />requirl!lents iii' appiy for the intended wort, they are advised to contact the Cit, of Zepbyrhi~ls Building DepartJent, (813)
<br />188-6611.'
<br />
<br />Furthenore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich the, will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that la' be an indication that be is not properly licensed and is not entitled to perlitting 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 'Plorida's Construction Lien Law - lIoIeoImer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />'owner' prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlellt.
<br />
<br />Application is bereby Jade to obtain a penit to do wort and installation as indicated. I certif, that no wort or
<br />installation bas ~ced prior to issuance of a penlit and that all wort will be perfoIlecl to Met standards of all law8
<br />regulating construction, Cit, codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies iii' apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust tate to be in coapliance. Such agencies include but are not liaited to:
<br />t DepartJent of BnviroDleDtal Regulation - Cypress aa,beads, Wetland Areas and HnvirollleDtally Sensitive Lands,
<br />Water/Wastewater 'freat:Jent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Depart:Jent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater !reatJent, Septic rants
<br />t US HnvirODlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll IiIterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a lCOIpensating volUJe' will be subJitted wbich 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 an, provisions of the tecbnical codes, nor shall issuance of a penit prevent the Building OffIcial frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the wort authoriled b, such penit is COIIeIlced within sillODths of issuance, or if wort authoriled by the penit is
<br />suspended or abandoned for a period of sillODths after the tiae the wort is COIIeI1cecl. One 90 day utension of tile, lilY be
<br />allowed for the perJit with fee charge of $15.00. 'fhe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WWIIIG 'fO OWHIR: YOUR FAILURE 'f0 RECORD A NO'fICE OF COHHDCEMEIfJ HAY RESULT III YOUR PAYIIIG !VICE FOR IHPROVHHmS 'fO YOUR
<br />PROPHRfY. IF YOU mElD 'f0 OB!IDI 'IWCrIG,. COIfSUL! WI'fH YOOR LBlfDHR OR 1K AnORIIBY BEFORE RECORDIIG YOUR IfO'fICIl OF
<br />lUOIIIICIIIm~ f2'SiAWll ~ JIlr - ro - lID 1m A 'IIllrICE or 2
<br />
<br />
<br />SlmMr:~~'~ SI~~
<br />
<br />STATE OF FLOR~
<br />coum OF ' ~'d~
<br />The foregoing instrument was acknowledged
<br />before me this t1cl~ /'1, 19 /liP by
<br />
<br />:\..", PI/,(
<br />~n1-
<br />~JiI~
<br />
<br />""t Of f\.lII~
<br />
<br />KATHLEEN J BROWN
<br />My Commls8lon CC449029
<br />ExpIr.. Apr. 02. 1999
<br />
<br />STA'fE OF FLORIDA A /1
<br />coumOF ~~
<br />The foregoing instrument was aCknowledged
<br />before me this tJc~ pi , 19~ by
<br />
<br />Ih-f3e7<- T .s / H S
<br />who is personally known to me er who haa
<br />'I'Sda.('6d
<br />as id8Rtificatien and who ~/did not
<br />
<br />take ~f}~~
<br />
<br />(Signature)
<br />k'ATI-\ l ~lJ J bRt/wt-J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC :\..", PI/,( EEN J BROWN
<br />~ n'to KATHL
<br />WI My Commission CC449029
<br />* * ExplresApr.02.1999
<br />~ ~...
<br />"t OF f\.1II
<br />
<br />A~B~-'- S I H,.s~
<br />who is personally known to me Gr ......A hN
<br />produ~e(l'
<br />, as ideat:ificaLlu11 and who 4.i4l-/did not
<br />
<br />talt~~ Fl. 8~
<br />(Signature)
<br />kATHI ~EJJ J. DROWN
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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