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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to ndeed restrictionsn which lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOJpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to vbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have 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 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 peIlitting 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 - HOIIeOWIler's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOJleOne other than the
<br />'owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to co_ncelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<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 cOlleDced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJeDtal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in cOJpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater !reableDt, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abateJel1t
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. " it is understood that a drainage plan
<br />addressing a .coapensating volUJe" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit. issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless tbe work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is CQIIeBced. One 90 day eltension of tile, lilY be
<br />allowed for the peIli~ with fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NO'UCE OF COMMEIICEHBMf MAY RESULT IN YOUR PAYING filCE FOR IMPROVEMmS to YOUR
<br />PROPERlY. IF YOU IMfEMD TO OBTAIN FINANCING, CONSUL! WITH YOUR LEIIDER OR All ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UHDER $2,500 IN VALUE DO NO'l HEED TO RECORD AIID POSt A "NO'rICE OF CQMMENCEMEMf".
<br />
<br />SIGNAtURE: COMfRACTOR
<br />
<br />SIGllAtURE: OVtlER OR AGEMf
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 />(Name Typed, Printed or stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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