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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 Rdeed restrictionsR which laY be lOre restrictive than City
<br />regulations. The 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, both the owner and contractor lilY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what 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 />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor SectionsR of this application for wbich they 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 wort. If the contractor wisbes you to sign
<br />as contractor that lily be an indication that be 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 that I, the applicant, bave been provided with a copy of RFlorida's Construction Lien Law - HOIeOIIDer's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the
<br />RomerU, I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />.owner. prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance 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 instailation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in ~e jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable,Waterways
<br />t Departlent of Health << Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US BnvironJental Protection Agency - Asbestos abatl!lent
<br />I also certify that, ,if fill laterial is to be used in Flood ZOne UAR or "A,etc.., it is understood that a drainage plan
<br />addressing a .cOlpensating volUleR will be sub.itted 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 is~uance of a perJit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball becOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day I!Jtension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The I!Jtension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each Sil IOnth period, or the project will be considered abandoned.
<br />VAIUIING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCBHEH'J' HAY RESULf IN YOUR PAYING 'fIUCR FOR IHPROVEMmS TO YOUR
<br />PROPER'l'Y. IF YOU IIft'EHD fO OBTAIN FIWCING, CONSULT WIrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENf. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AND POST A "NOTICE OF COHMBNCBHEHru.
<br />
<br />SIGNATURE: OVHER OR AGEHr
<br />
<br />SIGNATURE: COHrRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />Sf ATE OF FLORIDA
<br />COON'l'Y 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 />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 />
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