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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />lhe undereigned ueder,tend, that thie peDlit ..y be 'ubject to 'deed reetrictioo,' wbicb .ay 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 ....r ben hired a contractor or contractors to undertale worl, tbey .ay be reguired to be licensed in accordence with
<br />state and local regulations. If the contractor is not licensed en required by law, both the owner and contractor ..y be
<br />cited for a lisdeoeanor violation under stete law. If the owner or intended cootractor are uncertaio as to wbet licensiog
<br />requiresents .ay apply for the intended worl, they are advised to cootect the City of Zepbyrhills BUilding Departlent, (813)
<br />788-6611.
<br />
<br />PUrtheDlore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for whieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are iOdicating that you, rather tben the contractor, are responsible for the worl. If the contractor wisbes you to sigo
<br />ae coetractor that .ay be en indication that be is not prnperly licensed and is not entitled to per.itting 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 oectify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien taw _ Bcoeooeer's Frotection
<br />Guide' Prepared by the Florida Departsent of Agriculture end Cons"", Affairs. If the applicant ie SOlOone other than the
<br />'OlIOer", I certify that I beve obtaioed a copy of the above described dOCllllent and pr"i" in good fai th to deli ver it to the
<br />"owner" prior to couenceJent.
<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 compliance with all
<br />applicable laws regulating construction, zoning, and land developJent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation ben COIIenced prior to I880ance of a perlit and that ell worl will be perfoDled to leet standards of all IONS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to tbe intended work, and that it is
<br />IY responsibility to identify wbat actions I must take to be in compliance. Such agencies include but are not lilited to:
<br />* Department of Environmental Regulation - Cypress Baybeads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De artJent of Health & Rehabilitative Services RnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatement
<br />I also certify that, if flII .aterial is to be used in Flood Zooe 'A" or "A, etc. ", it is understood tbat a drsinaqe pi"
<br />addressing a "cOlpensating volUle" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per,it issued shall be construed to be a license to procoad with the worl and not as authority to violate, ceoceI alter, 0'
<br />set aside any provisions of th. technical codes, nor sball issuanc. of a peroit pr.vent th. Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per..it issued shall be cOle invalid
<br />unless the wort authorized by sueb peroit is COIIenced withIn siz IOnths of i,suaoc., or if wort authorIzed by th. peroit is
<br />anspeoded or abandon.d for a period of siz IOntha after th. ti.e the worl Is COIIeJJced. One gO day ..tensioo of u.e, lay be
<br />allowed for the perJit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCKHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COliJIENCSJm/II" JOBS ONDBR 12:500 IN V?Ol NEEO 10 RNCORD AlID POSl A 'NOllCE OF COJlJO!NCIDIEN!". .
<br />
<br />\/~~~ /~, ~~/ ~ ~
<br />~..~ p~~-'-. J ~~~
<br />SIGNATURE: A E SIGNATURE: CO RACTOR '.
<br />
<br />STATE OF FLORIDA %?
<br />COUH7Y OF \~ )~
<br />The foregOing instrument was acknowledged
<br />before me this ,~~ \"i , 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF _ ~~ r-,,~ ~
<br />The foregoing ins~rum~
<br />before me this~ t)~\1
<br />
<br />was acknowledged
<br />, 1932- by
<br />
<br />who is personally know to me or who has
<br />produce
<br />as identification and who did/did no~
<br />
<br />ta~n ~ j\~ '-___/__
<br />~ ~~, "-
<br />(Signature)
<br />
<br />who is~sonally~O me or who has
<br />produced -----"'~
<br />as identification and who didY~cGlof)
<br />
<br />ta~an~.~
<br />--:.... S;'\, - ~ ') K", K~ "---
<br />(Signature)
<br />
<br />(Nam~ Typed, Printed g,t; S..t,am~~dl(}
<br />NOTARY PUBLIC #'6"'" nne . ~nner
<br />~.~MY CommIssIon CC703125
<br />....,....." Expires December 16. 2001
<br />
<br />(Name Typed, Printed >>eQ,};SSion CC703125
<br />NOTARY PUBLIC ~....,..,., ExpIres December 16, 2001
<br />
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