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<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. <br /> <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. <br /> <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. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />. <br /> <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. <br /> <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. <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 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. <br /> <br />. ~-9t ff~_ <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 . <br /> <br />........,j <br /> <br />~ <br /> <br />_.RONDA <br />_..~ <br />_..-: 1oWICN-,_ <br />CClMICC'" <br /> <br />'~ <br />