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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" which JaY be lOre restrictive than City
<br />regulations. fbe 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 owner and contractor JaY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perJitting 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 "Florida's Construction Lien Law - HOIeOIDer'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 coaenceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 developllent.
<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 cOlleDced prior to issuance of a perJit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developllent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJeDtal 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. Such agencies include but are not lilited to:
<br />* DepartJent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvironJental Health Unit - Wells, Wastewater freatJent, Septic Tants
<br />* US BnvirODJeDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone WAn or "A,etc.w, it is understood that a drainage plan
<br />addressing a .cOJP8Dsating volUle" will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perJit 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 shall issuance of a perJit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the work is c~ced. One 90 day extension of tiM, JaY be
<br />allowed for the perlit with fee cbarge of $15.00. tbe extension shall 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 />WARNING TO OWNER: YOUR FAILURE TO RBCORD A NOTICE OF COMHDCEMElft' HAY RESULt IN YOUR PAYING !VICE FOR IHPROVEMEMl'S YO YOUR
<br />PROPER'l'Y. IF YOU IN!'END TO OBTAIN FIMAHCING, CONSULt WI'lH YOUR LENDER OR AM AnORMEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDBR $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHDCEMEIft'''.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />StATE OF FLORIDA
<br />COUH'l'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StAtB OF FLORIDA
<br />COUH'l'Y 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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