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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersignecl understands that this penit JaY be subject to 'deed restrictions' whieb JaY be lOre restrictive than City
<br />regulations. !be undersigned il88UIe8 responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas hirecl a contractor or contractors ~ to undertake work, they .y be reguired to be licensed in accorc1ance with
<br />state and local. regulations. If the contractor Is not licensecl as requirecl by law, both the owner and contractor Jar be
<br />citecl for a lisd8leallOr violation under state law. If the owner or intendecl contractor are uncertain as to wbat licensing
<br />reguirelel1ts JaY apply for the intended work, they are addsecl to CORtact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />PurtherlOre, if the owner has hired a contractor or contractors, he is advisecl to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whieb they will be responsible. If you, as the OIDIer sign as the contractor,
<br />you are inc1icating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />. as contractor that JaY 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. LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been providecl with a copy of 'Florida's COnstruction Lien Law - lIoIeoImer's Protection
<br />Guide' prepared by the Flori~a Departlent of Agriculture and ConsUlet Affairs. If the applicant is ~ other than the
<br />'owner', I certify that I have obtained a copy of the above described docuJent and pr~ise in good faith to deliver it to the
<br />'owner' prior to COIIeIlCel8l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all work will-be done in COIpliance with all
<br />applicable laws regulating construction, lORing, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as inc1icated. I certify that no IIOrk or
<br />installation has CDlenced prior to issuance of a perlit and that all work will be perfolled to leet stanc1arda of all_
<br />regulating construction, City codes, zoning regulations, and land develOpll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYerDleDtal agencies lilY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COJpliance. Sueb agencies include but are not luited to:
<br />t Departlent of InvirOJlllelltal Regulation - Cypress Bayheads, Wetland Areas and Invirolll8Jltally Sensitive Lands,
<br />Water /Wastewater '1reablent
<br />t Southwest Florida Water Managelel1t District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t lIlY Corps of Ingineers - Seawalls, Docks, Ifavigable Watenays
<br />t Departlent of Health , Rebabilitative Services, IndrOllllllltal Health Unit - Wells, Wastewater '1reablent, Septic '1ants
<br />t US InviIODll!lltal Protection Agency - Asbestos abatell!llt
<br />I also certify that, if fill 88terial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COJpeDsating volue' will be sublittecl wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme invalid
<br />unless the work autboriled by sueb perlit is COII8Jlced within sillODths of issuance, or if IIOrk authoriJed by the perlit is
<br />suspended or abandoned for a period of sillODths after the tile the work is co.enced. One 90 day 81tenaion of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. '1be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />WARlfIIfG '10 <<*DR: YOUR FAILURI '10 RECORD llfO'lICE OF CCIIMDCIIIIIfI MAY RISUL'I IIf YOUR PIYDlG !IIICH FORIMPROVIIIII'IS '10 YOUR
<br />PBOPBR'IY. IF YOU IIl'IIHD '10 OB'fW FIMDCIJlG, COJISOL'I wlm YOOR LBIIDIR OR lR 1'l'lOBllY BIFORB DCORDDlG YOUR DICE OF
<br />motDCBMKIf'I. JOBS UXDIR. '2,500 IIf V1LUI 00 10'1 mD '10 RICORD lIfD 1'08'1 I 'IO'IICI OF aJIIIIfCBIID'Il.
<br />
<br />
<br />SI-!.~~
<br />
<br />Ii&~ A ~-6~
<br />SI 'URI: ~ OR lGIII'I ~
<br />
<br />S'IA'fI OF FLORIDA
<br />coum OF Th~ t L)
<br />The foregoing instruaent was acknowledged
<br />before me this Jl),(~~ ' 19.i1- by
<br />.I
<br />VM'l(~.~
<br />who is personally known to me or who has
<br />produced
<br />as identifica'J;.ion.,and wh
<br />take an o~~~
<br />
<br />(Signature)
<br />
<br />S'lA'fI OF FLORIDA
<br />COUIf'IY OF Pt\SlO
<br />The foregoing instrument was acknOWledged
<br />before me this l5-M{~19~ by
<br />
<br />\/ ~l,t L. v\t\\~
<br />who is personally known to me or who has
<br />produced
<br />as identification and who lIIiIIrtIid not
<br />take an oatbp~;;t(;;fwdI
<br />(Signature) ~
<br />
<br />
<br />(Rame Typed, Pri
<br />ROTARY PUBLIC
<br />
<br />
<br />OOVE .~
<br />Notary P . ic, S(aJe~1 ;~o~o~o
<br />My comm. e~e~~72916
<br />Comm. ..v.
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />~~"c.
<br /><.; .,.
<br />o -
<br />% ....
<br />
<br />CU'!IA A. LOVETT . ."
<br />Notarj f'uQlic. :>tate 01 flonua
<br />My comm. expires July ,8, 2000
<br />Clmm. No. CC572916
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