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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tbat tbis perait lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance 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, botb the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for tbe intended work, they are ad;iaed to contacl lhe City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for tbe work. If tbe contractor wishes 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 ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify tbat I bave obtained a copy of the above described dOCUJeDt and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance 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 perait and that all work will be perforaed to aeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goverDIeRtal agencies lay apply to tbe'intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<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 "cOlpensating voluae" will be sublitted wbicb 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 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 tbe Building Official frOl 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 perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perait is
<br />suspended or abandoned for a period of sillOnths after tbe tiae the work is cOllenced. One 90 day extension of tiae, laY be
<br />allowed for the perait with fee charge of $15.00. 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 />WARJlING TO OWIIER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERtY. IF YOU INTBND TO OBTAIJI FINANCING, CONSULT WITH YOUR LENDER OR AN AftORRBY BEFORE RECORDING YOUR NOTICE OF
<br />
<br />
<br />~. N~L~-roRmDIIDAmA~" ,
<br />
<br />SIGNATURB:~ 4 SIGNATUR2: CONTRACTOR
<br />
<br />STATE OF FLORIDA A
<br />COUNTY OF .~
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />STATE OF FLORIDA~
<br />COUNTY OF ~
<br />The foregoing instrument was a~Wledged
<br />before me this '(p , 19 by
<br />
<br />
<br />or who has
<br />
<br />who is
<br />produced
<br />as identifi ion and who
<br />tak t .
<br />
<br />
<br />has
<br />
<br />(S:J!;ltu
<br />r.ifuy (J11ft1 feLt:;
<br />(Name Typed, Printed or stamped)
<br />NOTARY PUBLIC
<br />~ Randy Allen Daniels
<br />Nolarv Public, State of Florida
<br />. My Comm. Exolres Jan 16.2001
<br />No. CC614195
<br />Bonded Thru: Official Notary Service
<br />1-(800) 723-0121
<br />
<br />~ Randy Allen Daniels
<br />Notarv Public. State of Florida
<br />My Comm. Exolres Jan 16,2001
<br />. No CC614195
<br />Bonded ihru: Official Notary Service
<br />1-(800 723-0121
<br />
<br />_"""":_..-,JZ"'l",-....".
<br />
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