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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />o A. "NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit la, be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. 'fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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, both the owner and contractor JaY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requirBlents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised t~havethe contractor(s) sign portions of the
<br />"Contractor 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 wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges 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, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeOWner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlIBnCBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat 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 developaent.
<br />
<br />Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water {Wastewater TreatJent
<br />* Southwest Florida Water ManagBlent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic ranks
<br />* US EnvirODlental Protection Agency - Asbestos abatBlent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a RCOlpensating volUleR 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 witb 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid
<br />unless tbe work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is c~ced. One 90 day eJtension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARJUNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICK FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIH FIIlAliCING, COMSULT WITH YOUR LENDER OR AN A'f'I'ORIJEY BEFORE RECORDIHG YOUR HO'I'ICK OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEHEM'I'''.
<br />
<br />~~ ';-;en ~~
<br />51 : OWNER OR AGENT
<br />
<br />~~ :Lf)/
<br />SIGNA : CO RAcrr~
<br />
<br />STATE OF FLORIDA
<br />COllHTY OF
<br />The foregoing i
<br />bafr\ tbts
<br />
<br />_. \ aJ,,~ L ~~~
<br />who is persolULL~wn to ~e~or who has
<br />produced , \--\..: .Ju- \ \ C;Qv--.-
<br />as identification and who did/did not
<br />take an ~~.
<br />
<br />(Signatur
<br />
<br />(Name IL PAW . ~A'tampeQ)
<br />NOTAR UBUC, STATE OF FLORIDt
<br />MYCOMM. EXP. FEB, 8.1999
<br />COMM. # CC 437695
<br />
<br />
<br />STAll OF FLIlIIIOA R
<br />COUNTY OF '1>--':. c.....
<br />The foregoing On trument was acknowledged
<br />before me this l, 19 ~( by
<br />
<br />W .~.J '~
<br />
<br />who is personal~own to me or who has
<br />produced """"R.. v~- \.,l c.C"~~
<br />as identification and who did/did not
<br />take ~.
<br />
<br />(Signature)
<br />
<br />(Name Typed, i Pri~~I~fli ~tfflJ?ed)
<br />NOTARY PUBL f0JTARY PUBLIC S':;AT' E~ ''''r. ,..
<br />MY "\.,..,.,
<br />COMM, EXP, FEB Rl en-
<br />COMM. # CC 4376'95' i
<br />
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