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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 "deed restrictions" wbieb lilY be lOre restrictive than City
<br />regulations. tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbieb they will be responsible. If you, as the OlDer 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 lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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 with a copy of "Florida's Construction Lien Law - HOII!OIIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sDleQne other than the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUlent and prOllise in good faith to deliver it to the
<br />"owner" prior to cDIIeDcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas CDIIeDced 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 developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies lily apply to the intended wort, and that it is
<br />IY responsibjlity to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater TreatleDt
<br />* Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />* DepartJent of Health & ~ebabilitative Services; EnvirODlental Health Unit - Wells, Vastewater treatJent, Septic tants
<br />* US EnvirODlental Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill laterial is to be used in Flood ZOne "All or "A, etc. ", it is understood that a drainage plan
<br />addressing a .cOllpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is COlleJlced. One 90 day extension of tile, laY be
<br />allowed for the perll-twith fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARMIMG TO OWlfER: YOUR FAILURE TO RECORD A MorICE OF COHHEIfCEJlElfT HAY RESULT IIf YOUR PAYIIfG !VICE FOR IHPROVEIIElfTS TO YOUR
<br />PROPERTY. IF YOU IlfTEHD TO OBtAIM FIMAlfCIIfG, COISOtT WITH YOUR LBIIDER OR AM AnOIlRBY BBFORE RECORDIMG YOUR NOTICE OF
<br />COMHEICBHBlfT. JOBS UNDBR $2,500 1M VALUE 00 MOT MEED TO RECORD AIID POST A "lforICE OF COHHEMCKHBlfT".
<br />
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<br />/ S nURB: ~R OR AGBlfT
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<br />, SIGIfATURB: COlfTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COmy OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />-----
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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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