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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 "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. Tbe undersigned assOles responsibility for cOlpliance 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 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 mmer and contractor lay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (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 />IContractor Sections. of this application for wbieb they will be responsible. If you, as the mmer 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 aay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhills.
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<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 "it!! a copy of .Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" p{epared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOHOne other than the
<br />.owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the,
<br />"owner" prior to cOJleDcelent.
<br />
<br />E. CONTRACTOR' SlOWER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 bas cOllenced 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 goveIDIeDtal agencies aay apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not luited to:
<br />t DepartJent of EnvirODlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater 'freatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIly Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, 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 "AI or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volOle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to procned 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 peIlit prevent the Building Official frOJ 'thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCOle invalid
<br />unless tbe work authorized by such peIlit is colleDced within sil IOnths of issuance, or if wort authorized by the-peIlit is
<br />suspended or abandoned for a period of Sil IOnths after the tHe the work is coaenced. One 90 day extension of tHe, JaY be
<br />allowed for the peIlit 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 sillOntb period, or the project will be considered abandoned.
<br />liARNING TO MER: YOUR FAILURE TO RECORD A NOTICE OF COHHEHCEHBHT HAY RESULT IH YOUR PAYIHG TWICE FOR IHPROVEHElft'S TO YOUR
<br />PROPERTY. IF YOU ID'EHD TO OBIAIJf FlKAlCIHG, COHSULT WIfH YOUR LEHDER OR All AnORm' BEFORE RECORDIlfG YOUR JfOTICE OF
<br />C.DHHEHC!HEH!. JOBS UHDER $2,500 IH VALU HOT HERD TO RECORD AJID P031' A "NOTICE OF COHHEHCEHm".
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<br />STATE OF FLORIDA ~
<br />COUH'fY OF tr ~
<br />The foregoin~ inst~~> was aCknowledged
<br />h~fcre m~ thIS ~l~ , 19~ by
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<br />who is p nally Jmo to me or who has
<br />produced ~
<br />as identification and who did/~ ~~
<br />take an oath f'-
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<br />who is
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<br />as identification and who did/~
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<br />(Signa
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<br />(Name Typed, Printed 0 Stamped)
<br />NOTARY PUBLIC
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<br />W~ ~EJBURKE
<br />MYCo~nCC~
<br />~ ~ Expires Mar. 31, 2000
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<br />(Namf! Typed, Printed r tamped)
<br />NOTARY PUBLIC
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<br />... BOBBIE J BURKE
<br />* * My Comml.sion CC543871
<br />~ ~~ Expires Mar. 31. 2000
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