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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assutes 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, tbey 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 la, be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611. .
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb the, will be responsible. .If ,ou, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe work. If tbe 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 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 - HOIeowner's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and Consuter Affairs. If tbe applicant is soteone other than the
<br />"owner", I certify tbat I bave obtained a copy of the above described docutent and prolise in good faith to deliver it to the
<br />"owner" prior to cOlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced 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 developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agenCies aay apply to tbe intended wort, 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 />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t A[If Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic 'fanks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<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 .cOlpensating volute" will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit. issuance.
<br />
<br />A perJit issued sball 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 the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized b, the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cDllenced. One 90 day I!ltension of tite, aa, be
<br />allowed for the perJit 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 eacb six IOnth period, or the project will be considered abandoned.
<br />WARMIMG TO OWHER: YOUR FAILURE TO RECORD A MOTICE OF COMMEMCEHENT HAY RESULT 1M YOUR PAYIMG TIUCH FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEIfD TO OBTAIM FINAJlCIMG, COMSULT WITH YOUR LBIfDD OR AM AnORHKY BEFORE RECORDIMG YOUR MOTICH OF
<br />COMMEMCEHEMT. JOBS UlmER $2,500 1M VALUE DO MOT MEED TO RECORD AIfD POST A "MOTICE OF COMHEMCKHENT".
<br />
<br />O~
<br />S~om:R OR AGENT
<br />
<br />c/ (J~.-/~
<br />SIGHATURE: CONTRACTOR ...
<br />
<br />STATE OF FLORIDA)
<br />coum OF ~~..J
<br />The foregoing ~~rument was acknowledged
<br />before me this ~~ ~ , 19.:ti. by
<br />
<br />--3~J~~L~~~
<br />who is pers~ ~wn to me or who has
<br />produced ~~~~
<br />as identification and who did/did not
<br />take an o~~.
<br />
<br />(Signatur ,
<br />
<br />STATE OF FLORIDA Q
<br />coum OF ',~ ~ ~c oj
<br />The foregoing i<:)rument was acknowledged
<br />before me this c1 ~ , 19..5...L by
<br />
<br />~~~ ~.I~~\.)
<br />who is per~~~t:r;kQown t9!Be or who has
<br />produced L-t-u- \.\ CC\...-
<br />as identificati and who did/did not
<br />take an 0
<br />
<br />
<br />(Name T ed,Wft..Jt.~RM!l!. ~~ea)
<br />NOTARY PUBUC, STATE OF FLORlOt
<br />MYCOMM.EXP.FEB,8,1999
<br />COMM. 1# CC 437695
<br />
<br />
<br />(Name T ., Pr,in\?~ or Stamped)
<br />NOTARY PUBL'tCLLlA". 1'::. lJi:, c
<br />PUBLIC, SlATE C:' ;-: ,
<br />MY COMM, EXP, FEB 8. 199~'
<br />COMM, # CC 437695
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