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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this pemit laY be subject to Ideed restrictions I wbich laY be lOre restrictive than City
<br />regulations. !be undersigned asSUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 lisdelll!anOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiruents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sectionsl 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 work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to petlitting 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 "ith a copy of IFlorida's Construction Lien Law - H(II8OIfJler's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is BOI8ODe otber than the
<br />lownerll, I certify that I bave obtained a copy of the above described docUleDt and p~ise in good faith to deliver it to the
<br />"owner I prior to C~Cl!l8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance "ith all
<br />applicable la"s regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a petlit and that all work will be perfolled to Ret standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDl8Jltal agencies lilY apply to the intended work, and that it is
<br />Ii responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not luited to:
<br />t Departlent of BnvirOlll8Dtal Regulation - Cypress Baybeads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />Water/llastewater !reatlent
<br />t Southwest Florida Water Manag8l8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic !ants
<br />t US EnviIODlental Protection Agency - Asbestos abat8l8Dt .
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AI or IIA,etc.", it is understood that a drainage plan
<br />addressing a lCOJpeJ1Sating VOlUleIl "ill be sDitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A pemit issued sball 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 issuance of a pemit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued shall becOIe invalid
<br />unless the work authoriled by such pemit is COlleJlced within sil IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of sil IOnths after the tHe the work is co.enced. One 90 day extension of tile, lilY be
<br />allowed for the peIlit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or the project "ill be considered abandoned.
<br />WARKING !O 0IIIfIR: YOUR FAILlJRK !O ,RECOJ.D A. NorICE OF COIIMIIICEIID! MAY RESUL! IN YOUR PAYING DICE FOR IIIPROVIMD!S !O YOUR
<br />PROPEIlfi. IF YOU ImMD !O OB!AIN FDlBCING, CONSUL! IUH YOUR LINDER OR AX AnoRm BEFORE RECORDING YOUR lforICI OF
<br />COMMENCEMENt'. JOBS WIDER $2,500 IN VALUE DO Nor IiIID !O RECORD AHD POS! A -NorICE OF COIIJIENCBIIBJf'lI.
<br />
<br />~~t, ~\5j-
<br />SIGJlAtlJRK: ami OR AGm
<br />
<br />~~ ~J?~\f
<br />SIGJfA!lJRK: COIft'RAC!OR
<br />
<br />S!ATE OF FLORIDA Q
<br />coum OF tk..- "5(1.-<)
<br />The foregoing ins~entJwas a~~Wledged
<br />before me this D~ ~c(, 19 by
<br />
<br />0~H&:d?#~
<br />who is. 1 own to me r who has
<br />produced
<br />as ification and who did/did not
<br />
<br />
<br />SlAtE OF FLORIDt../~
<br />coum OF . . ... ():0cq'J
<br />The fOregping~trument was a~kn~edged
<br />before me thi 7 ~ , 19 by
<br />~
<br />
<br />,
<br />
<br />~ure) __ ~.
<br />f.J75E/~ ~ , ( wEll-/)ih
<br />(Name. Typed, Printed or St ped)
<br />NOTARY PUBLIC
<br />"',i!'U~ Bobble S. SWetland
<br />;,,;!'Ji.'."::% fN( COMMISSION' CC534927 EXPIRES
<br />~,~,~ff FebIUlllY 22. 2000
<br />"lj"iif.~'<f,.' BONDED THRU TROY FAIN INSURANCE, INC.
<br />
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