<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to Ideed restrictionsl wbieb laY be lOre restrictive than City
<br />regulations. The undersigned asSUJes responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake wort, they laY be reguired to be licensed in accorc1anc8 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reljUirl!.lents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Depart:Jent, (813)
<br />788-6611.
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<br />FurtherJOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the'
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - 8cIIeoImer's Protection
<br />Guidel prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOIoone other than the
<br />lownerl, I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />lownerl prior to COJJeDCl!.lent.
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<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit ,to do work and installation as indicated. I certify tbat DO Ifork or
<br />iQtallation bas CDIeI1ced prior to issuance of a peIlit and that all work Ifill be perfoaec1 to Ret stanclarda of alias
<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 govemJental agencies laY apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not IlIited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagl!.lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIJ Corps of Bnqineers - Seawalls, Docks, Havigable Waterways '
<br />I DepartJent of Health & Rebabilitative Senices, EnvirOl1lental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />I US EnviIOl1lental ProtectiOn Agency - Asbestos abatl!.lent
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpensating volUJel will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<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 issuance of a pellit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Every perJit issued shall becoae invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if Ifork authorized by the peIlit is
<br />suspended or abandoned for a periOd of sillOntbs after the tile the work is coaenced. One 90 day eItension of tile, lilY be
<br />allowed for the perlit with fee ebarge of $15.00. The eItension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOntb period, or the project Ifill be considered abandoned.
<br />WARKIHG TO OWNER: YOUR FAILURE TO RECORD A HOnCE OF COHKBICBHBIlt' HAY RESULT II YOUR PAYIHG rwIa FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU Illt'ilfI) fO OBrAIH FlIlAHCIHG, COISULT WITH YOUR LEIDER OR AI ArfORHRY BEFORE RECORDIHG YOUR HarlCl OF
<br />COHHBKCBHB!I1'. JOBS UHDER $2,500 II VALUE DO HOT NEED fO RECORD AlfD POST A IHOTICE OF COHHBH I.
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<br />SIGHA~ 0IfJIIR ~----
<br />
<br />
<br />SlATE OF FLOjlDA
<br />coum OF ..f A5 o..c>
<br />The foregoing instrument was acknowledged
<br />before me this }-/tt~ b , 19-2.f.. by .
<br />
<br />.
<br />
<br />3oHJ,J' n.A. ~
<br />who is perscSiiailY'kndwn to me or who has
<br />proauced
<br />as identification and who did/~ot
<br />take an o~~-L1d ~cb---
<br />(Signature) - /
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF lDA
<br />ccum OF ~~ '.
<br />The fore oing instrument was acknowledged
<br />before me this ~~i.CfI b , 19 ftg by
<br />
<br />
<br />W~D~~~ to me or who haa.
<br />produced
<br />as identification and who did/did not
<br />
<br />t~~(Jh. --
<br />(Signature) ~{rtl do -
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />
<br />DAVID RONDA
<br />llTATIi OF FLOIlDA
<br />COM EXPIRes: MARcH 27 2OnO
<br />COM lIICC 543432 .
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