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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />the undersigned understands that this pemit lay be subject to 'deed restrictions' which lay be .re restrictive than City
<br />regulations. the undersigned asSUles responsibility for co.pliance 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 lay be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!leDts lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparblent, (813)
<br />788-6611.
<br />
<br />FurtherJore, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for "hich they will be responsible. If you, as the owner sign as the COD~actor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entiUed 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, have been provided with a copy of 'Florida's COnstruction Lien Law - lIaIeoImer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOEHle other than the
<br />'owner', I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />'owner' prior to COIIenCl!leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoCliltion in this application is accurate and that all wort will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a Perlit to do wort and installation as indicated. I certify that DO wort or
<br />installation bas CDleDced prior to issuance of a perJit and that all wort Ifill be perfOllec1 to .et standarda of alllillfs
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYeI1III8Dtal agencies laY apply to the intended IfOlt, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in co.pliance. Such agencies include but are not lillited to:
<br />t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/lfastewater !reatlent
<br />t Southwest Florida Water Hanagyent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I AllY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />I Departlent of Health & Rehabilitative Senices, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic I_
<br />I US EnviI'OllleDtal Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpensating volUle' will be saitted wbich 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 with 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 frill thereafter
<br />requiring a correction of errors in plans,' construction, or violations of any code. Ivery pmit luued aJIall becaIe invalid
<br />unless the wort authorized by such pemit is co.enced Ifithin ail IOJlths of issuance, or if IIOrt autlloriJed by tile peoit is
<br />suspended or abandoned for a periOd of sil IOJltbs after the tile the wort is C08eJ1ced. One 90 day atension of tile, lily be
<br />allowed for the pemit with fee charge of $15.00. Tbe 8ltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil .nth period, or the project Ifill be considered abandoned.
<br />WAllHIlfG TO OIIHER: YOUR FAILURE TO RECORD A KOIICK OF COHMEIfCBJlEM'l HAY RESULT III YOUR PAYIKG DICE FOR IHPROVIIIDIS 10 YOUR
<br />PROPIR'lY. IF YOU umm fa OBlAIH FIlIAIICIIIG, CONSUL! WI!H YOUR LlJlDIR OR All AnoRIIBY BEFORE RICOJIDIKG YOUR IIOIICK OF
<br />mDlDCBJIEM'l. JOBS UIIDIR $2,500 III VA B DO KOIIfEED TO RECORD AHD POST A 'KOIICE OF COHMEIfCBJlEM'l'.
<br />
<br />
<br />SIGJIA
<br />
<br />SIATI OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this ___, 19__ by
<br />
<br />STarE OF FLORIDA
<br />coum 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 oCJth.
<br />
<br />(Signature)
<br />
<br />(Name 'J;yped, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
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