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<br />CONDITIONS OF PERMIT AFFIDAVIT. <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive tban City <br />regulations. Tbe undersigned assUles responsibility for cOlpliance witb 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, both tbe 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 />requirelents 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 has 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 tbey 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 he is not properly licensed and is not entitled to perlitting privileges in the <br />City of Zepbyrbills. <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 tbat I, tbe applicant, bave Deen provided witb a copy of "Florida's Construction Lien Law - HOIeowner's Protection <br />Guide" prepared by tbe Florida Departlent of Agricultur~ and Consuler Affairs. If the applicant is sOleone other than the <br />"owner", I certify tbat I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the . <br />"owner" prior to co..encerJent. <br /> <br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT <br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, 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 has co..enced prior to issuance of a perlit and that all work will be perforJed to .eet standards of all laws <br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also <br />certify that I understand that the regulations of otber govefDIental agencies lay apply to the intended wort, and that it is <br />IY responsi~ility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: <br />* Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways <br />* Departlent of Health & Rehabilitative Services, EnviroDJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks <br />* US EnviroDJental Protection Agency - Asbestos abate.ent <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 volUle" will be subtitted which is prepared by a professional engineer registered in the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall 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. Every perlit issued sball becOle invalid <br />unless the work authorized by such perlit is co..enced within six IOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, Jay be <br />allowed for the perlit with fee charge of $15,00. The extension 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEMTS TO YOUR <br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORHEY BEFO RECORDIHG YOUR NOTICE OF <br />COHHENCHHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE 0 NCEMRHT". <br /> <br />SIGNATURE: OWNER OR AGENT <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 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 />