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<br />· CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit .ay be subject to Pdeed restrictionsP whieb .ay be lOre restrictive than City
<br />regulations. The undersigned assuaes responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake wort, they .ay 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 EY be
<br />cited for a .isdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireleDts .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wisbes you to sign .......
<br />~.contractor that Ey be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />C~~ of Zepbyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN IiAW (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 - HOIl!OIJler's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and CODSl1IIer Affairs. If tbe applicant is sOleone~ 3'tber than the
<br />Rowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"ownerP prior to couenCl!Ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT ,
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas COlleDced prior to issuance of a per.it and that all work will be perforJed to Jeet 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 goveruental agencies .elY apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroOlen18lly Sensitive Lands,
<br />Water/Wastewater rreat.ent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />t US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone RAP or "A,etc.p, it is understood that a drainage plan
<br />addressing a .cOlpensating voluaeR will be subaitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
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<br />-A peIlit 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 per.it prevent the Building Official fral thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becClle invalid
<br />unless the work authorized by such peIlit is coaenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tiE the work is coaenced. One 90 day extension of tille, .elY be
<br />allowed for tbe peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during eaeb six IOntb period, or the project will be considered abandoned.
<br />WARNING TO 0WlfER: YOUR FAILURE fO RECORD A NOTICE OF COMMENCHMElft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU Ilft'END TO OBTAIK FIMAHCING, COMSULT WITH YOUR LENDER OR AN AftORm' BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEHEMf".
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<br />"'SIGNA : CONTRA
<br />
<br />STATE OF FLORIDA
<br />COUlft'Y 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 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 />
<br />tej':;~~,
<br />. (Slgnatur
<br />
<br />(Name ,,:~Pni1liled~, ataAped
<br />NOTARY -. ~ EXPIRES: May 19, 2000
<br />. .... Bonded TI1nI Notary PubIc llrIdItwIIbll1
<br />
<br />known to me or who has
<br />
<br />
<br />
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