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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 than City
<br />regulations. rhe undersigned assuaes 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 laY be
<br />cited for a lisdeleanor violation under state IaN. If the ONner 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 tbe ONner 'Ias bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whicb tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating tbat you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor that lay be an indication tbat 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 ~~
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<br />D. CONS TRUC'I' I ON LIEN Lf\.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowner'. Protection
<br />Guide~ prepared by the Florida Deparllent of Agriculture and Consuaer Affairs. If the applicant is sOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />, \
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or
<br />installation has 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 the jurisdiction. I also
<br />certify that I understand that the regulations of otber governaental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Deparllent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />I Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways
<br />I Departlent of Health' Rehabilitative Services, BnviroRlental Health Unit - Wells, Wastewater Treatlent, Septic !ants
<br />I US InviroRlental Protection Agency - Asbestos abatelent
<br />I also certIfy that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volOle" will be sublitted wbich 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 sball is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Svery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cDlienced. One 90 day eatension of tile, III be
<br />allowed for the perlit witb fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project W!l he considered abandoned.
<br />WARRIRG TO ONRER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEHlRT HAY RESULT IN R PAYIRG. ICE FOR IHPROViMllrS TO YOUR
<br />PROPERTY. IF YOU IITERD TO OBTAIR FINARCIRG, CONSULT,WITH YOUR LENDER OR AN ATTO it BEFO~'~~ORDING YOUR NOIlCE OF
<br />COKMERCEHENT. JOBS URDER $2,500 IN VALUE DO ROT REED TO RECORD ARD POST A MROTICE OF COHHBH~Rr".
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<br />
<br />SIGRATURE: OWNER OR AGBRT
<br />
<br />I
<br />
<br />SIGNATURB: CORTRACTOR
<br />
<br />STArK OF FLORIDA
<br />COURn OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />COURn 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 />
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