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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.' NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pemit lay be subject to Bdeed restrictions" whicb 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 bas bired 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 owner and contractor laY be
<br />ci ted for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, 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 wbicb 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 pemitting 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 - HOIl!OWIler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sDlleOne other than the
<br />nowner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to COIlenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in coapliance with 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 COMenced prior to issuance of a pemi t and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agenCies aay apply to the intended IOrt, and that it is
<br />Iy responsibjlity to identify wbat actions I lust take to be in colpliance. Such agencies include but are not liJited to:
<br />t DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managel8nt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arly Corps of Enqlneers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Qebabilitative Services; Environtental Health Unit - Wells, Wastewater Treattent, Septic Janks
<br />t US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a .cQlpensating volDle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit_ issuance.
<br />
<br />A perlit issued sball 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 tbe technical codes, nor sball issuance of a pemit prevent the Building Official frol 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 pemit is COllenced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOll8llced. One 90 day extension of tile, lily be
<br />allowed for the pem~t 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 />WARMING TO omR: YOUR FAILURE TO RECORD A NOIICE OF COMMDCEIIINJ MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMmS TO YOUR
<br />PROPERlY. IF YOU INJEJID TO OB!AIH FIWCING, COHSULJ WIIH YOUR LENDER OR AM AnORm' BEFORE RECORDING YOUR HarICE OF
<br />COMMEHCEMENJ. JOBS UNDER $2,500 IN VALUE 00 NOI NEED TO RECORD AND POST A 'NOIICE OF COIIHEHCEMENJ'.
<br />
<br />~ <to ~)
<br />. . . SIGJIA : ~R OR AGENT
<br />
<br />SIGNATURE: CONJIlAC'J'OR
<br />
<br />STATE OF FLORIDA
<br />COUN'lY OF PASCO
<br />The foregoing instrument was acknowledged
<br />before me this Nov~t12th, 19~ by
<br />
<br />Janet L. Ri der
<br />who is personally known to me or who has
<br />produced PA Drivers I ;r.pn,p
<br />as identificat' and Wh;;r' ~t .
<br />take an oath. ~
<br />ut - U
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />(Signature)
<br />
<br />
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />OFFICIAL NOTARY SEAL I
<br />DEBRA L NALES
<br />NOTARY PUBLIC STATE OF FLORIDA.
<br />, COf\ofMISSTON NO. CC2m19._ :
<br />. ,'\. '.-'r~:'-'i' t ):/'~L"'\..' '[Xl" n;~di'; ?,1<"~t~~:'_,
<br />
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