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<br />.. CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />~ untlr~.Jhat this perlit lay be subject to "deed restrictions" wbicb laY be lOre restrictive than City <br />_1 Q~lr 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, 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 laY be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requirel!Dts lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (BI3) <br />7BB-6611. <br /> <br />FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the <br />"Contractor Sections I 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 perlitting privileges in the <br />City of Zepbyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - HOIeowner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlBOne other than the <br />lowner", I certify that I bave obtained a copy of the above described docUleRt and prOlise in good faith to deliver it to the <br />"owner" prior to COlleRcelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land deve,lo~ent. <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 cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlellt regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other goverDIeRtal agencies laY apply to the intended wort, 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 />I Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, <br />Water/Wastewater Treatlent <br />* Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses <br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />I Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks <br />* US EnvirODleDtal Protection Agency - Asbestos abateleDt <br />I also certify that, if fill laterial is to be used in Flood Zone RA" or "A,etc.", it is understood that a drainage plan <br />addressing a DcOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit. 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 the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid <br />unless the work authorized by such perlit is cOllenced 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 COllenced. One 90 day extension of tile, lilY be <br />allowed for the perlit with fee charge of $IS.OO.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 OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COMMBHCBMBNT MAY RESULT IN YOUR PAYING 'lWICB FOR IMPROVBllBlTS TO YOUR <br />PROPBRTY. IF YOU INTBND TO OBTAIN FINAlCING, COMSULT WITH YOUR LBNDER OR AI AftORDY BBFORE RECORDIIIG YOUR IIO'fICB OF <br />COMMENCEMENT. JOBS UlmER $2,500 1M VALUE DO NOT NEED TO RECORD AHD POST A "NOTICB OF COMMBNCBMBNT". <br /> <br />~ <br /> <br />~ <br /> <br />~ ~ c--:- ~ <br />~GlfATURB: CONTRACTOR <br /> <br />c <br /> <br />-, <br /> <br />STATB OF FLORIDA ~ <br />COUNTY OF ~St!o <br />The foregoing instrument was acknowledged <br />before me this Ig~ , 19~ by <br /> <br />fEr SL1~~ Kr06L-J1W <br />who is personally known to me or who has <br />produced ~ <br />as identification nd who did~d not <br />an <br /> <br />STATE OF FLORIDA t:.. <br />COUNTY OF q;f () <br />The foregoing instrument was acknowledged <br />before me this i B"""" , 19 9'7 by <br /> <br /> <br />e r .. ...? ~'"' <br />who is personall known to me or who bas <br />produced <br />as identification and who did~ <br /> <br />t~~/~ <br />~,;;ure) . '0 fcfJV~ <br />(Name T~ Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />'\.""~ <br />S'~\r.'~~ "OFFICIAL SEAL" <br />t:rA-'. Timothy D. Pendell <br />\~~I My Commission Expns 3/14/97 <br />~":: 0' ''''~ Commission ICC 265838 <br />,,,...,, <br /> <br />1l""'1Il <br />S'~~r.n1~_ "OFFICIAL SEAL" <br />f:fili"l;.\ Timothy D. Pendell <br />\~~ii My Commission Expires 3/14/97 <br />';..':: 0' f",~~"' Commission ICC 265838 <br />"u,," <br />