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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pertit .ay be subject to -deed restrictions" wbich .ay be lOre restrictive than City
<br />regulations. Ybe undersigned assutes responsibility for COIpliance 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, 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 tay be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />-Contractor SectionsR of this application for whicb 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 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 pertitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (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 />GuideR prepared by tbe Florida Departlent of Agriculture and Consuter Affairs. If tbe applicant is sOleone other than the
<br />-ownerR, I certify that I have obtained a copy of the above described docUleOt and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOJllenCetent.
<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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a pertit and that all work will be perforwed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies laY apply to the "intended work, and that it is
<br />.y responsibility to identify wbat actions I lUst take to be in co.pliance. Sucb agencies include but are not It.ited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Yreatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treattent, Septic Yanks
<br />t US EnviroRlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone RAN or "A,etc.", it is understood that a drainage plan
<br />addressing a RCOlpeDsating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />A pertit 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 the technical codes, nor sball issuance of a pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every pertit issued sball beCOle invalid
<br />unless tbe work authorized by such per.it is COIIeDced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is cOllellced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of $15.00. Ybe 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 />WARlfING TO 0IUfER: YOUR FAILURE TO RECORD A NOTICE OF COMHBICEMEIn' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMEIn'S TO YOUR
<br />PROPER'l'Y. IF YOU IIn'BND YO OBTAIN FIHANCING, COHSULT WITH YOUR LErmER OR AM AYYOmY BEFORE RECORDING YOUR HorICE OF
<br />COHHENCEHKlff. JOBS InlDER $2,500 IN VALUE DO Nor NEED fO RECORD AIfD POSY A "NorICE OF COHMEffCEHKIn'".
<br />
<br />SIGNAYURE: OWIfHR OR AGEIn'
<br />
<br />SIGNATURE: COIn'RACTOR
<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 />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 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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