<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit laY be subject to .deed restrictions. which laY be lOre restrictive than City
<br />regulations. the 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 the contractor is not licensed as required by law, both the ower and contractor laY be
<br />cited for a lisdeleanor violation under state law, If the ower or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611, '
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, he is advised to have the 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 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 .Florida's Construction Lien Law - HOIeowoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs, If the applicant is sOleone other than the
<br />.ower", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"ower" prior to couenceJellt,
<br />
<br />E. CONTRACTOR'S/OWNER'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 bas COJIeDced prior to issuance of a perlit and that all work will be perforJed to !eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in tq~ 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 wbat actions I lUst take to be in cOlpliance, Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />t Soutbwest Florida Nater Hanagelent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - NeIls, Nastewater TreatJent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatelent
<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 volUle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance,
<br />
<br />A perJit 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 is~uance 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 shall becOle invalid
<br />unless the 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 six IOntbs after the tile the work is cOJlenced. One 90 day extension of tiE, JaY be
<br />allowed for the perJit with fee charge of $15,00, The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />NARMING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIff HAY RESULT IN YOUR PAYING !NICE FOR IHPROVEHEIflS TO YOUR
<br />PROPERTY, IF YOU IIffEND TO OBTAIN FINANCING, CONSULT NITH YOUR LINDER OR AN AnOmY BEFORE RECORDING YOUR HO'rICE OF
<br />COMHENCEHBIff, JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHHIff",
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<br />SIGNATURE: COIffRACTOR
<br />
<br />SIGNATURE: ONHER OR AGEIff
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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 />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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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