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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. A. .NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands tbat this perait lay be subject to "deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. !be undersigned assOles 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 the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdl!leanor violation under state law. If the olfIler or intended contractor are uncertain as to wbat licensing
<br />reguiretents laY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberaore, if the O1fner 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 perlitting 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 DepartJent of Agriculture and ConsOler Affairs. If tbe applicant is sOleODe other than the
<br />Downer", I certify that I bave obtained a copy of the above described docUleDt and prDlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<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 has cOllenced prior to issuance of a perlit and that all work will be perforJed to teet 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 governtental 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 />* DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - VeIls, Wastewater !reatlent, Septic ranks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a DcOlpeDsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait, issuance.
<br />
<br />. A perait 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 is~uance of a perait prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOle invalid
<br />unless the work authorized by such perait is cOllellced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day eltension of tile, lilY be
<br />al101fed for the perait with fee charge of $15.00. fbe eltension shall 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 />VARHIHG fO omR: YOUR FAILURB fO RECORD A NOfICE OF COHHENCHMm HAY RESULf IN YOUR PAYING TWICE FOR IHPROVIIIBIfS fO YOUR
<br />PROPERTY. IF YOU III'I'EID fO OB'l'AIN FINANCING, CONSULf IU!H YOUR LEIDER OR AN AftOlINBY BEFORE RECORDING YOUR )fO!ICB OF
<br />COHHENCEHBII'I' . JOBS UlmER $2,500 IN VALUE DO NO! NERD fO RECORD AND POST A "NOfICR OF COHHENCHHEII'I'".
<br />
<br />SIGlfAfURB: OWNER OR AGED
<br />
<br />SIGNATURE: COII'I'RAC'fOR
<br />
<br />STA!E OF FLORIDA
<br />COUII'I'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUII'I'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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