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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.': NOT I CE OF DEED RESTR I CT IONS:. .
<br />
<br />The under5ign~d understinds that this perlit lay be sub~ect to "deed restrictions" which ~ay b~ m~r~ res,rlctlve than City
<br />regulations, The unde~slgned assules responsibili\J.f!~ co.pliance'~ith any applicable deed r~strlctions,
<br />. :. ':.~ " . '. . .
<br />
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the ONner has hired a contractor Dr contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not 1icens~d as requir~d by lilW, be,th the ollner and contracte,r nay be
<br />cited for a aisdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, theY are advised to contact the City of Zephyrhil1s Building Departeent, (8131
<br />78tH!'ll.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. 1f 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per~itting privileges In the
<br />City of Zephyrhil1s.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provid~d ~ith a copy of "Florida's Construction Lien LaK - Homeowner's Protection
<br />Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the appllcilnt is soeeone other than the
<br />'owner", 1 certify that I have obtained a copy of-the above described document and promise in good faith to deliver it to the
<br />'owner' prior to co.~encement,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 certify that all the information in this application is accurate and that all wor~ will be done in co~pllance with all
<br />applicable laws regulating construction, zoning, and land develop~ent.
<br />
<br />Application is hereby .ade to obtain a ,erait to do work and installation as indicated. ] certify that no work or
<br />installation has to&~enced prior to issuance of a perait and that all work will be performed to meet standards of all laws
<br />r'9,1.'i'9 """,,'i,', "'y """ ",i'9 r'9,1.li"', ." )." ""I,p.'" "9,1.'i," i, 'h' ",i,'i,'i." I .1"
<br />",'ify 'h.' I ,,',',',,' 'h.' 'h, r'9,1.'i," ,l ,Ih,r 9"""",.1 '9",i" ,., ."ly " 'h, i."",,, "", .", 'h., i' i,
<br />.y mpoe"ibi I ity " "eoli fy ,h" .<li '" I .usl h" to b, i, mp Ii"", S"h .""d 0; i "d ,', b" l '" ,,,' \ i. it,' I"
<br />
<br />I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L3nds,
<br />Hater/Wastewater Treatment
<br />I Southwest Florida \later ManaQe~ent District - Yells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Ar~Y Corns of EnQineers - Seawalls, Docks, Havigable Waterways
<br />. ",.".", ,f H,.I'h , R,h.bili,.'i" S"""', '"i""",.1 H,.I'h U,i' - H'I\', H."".I,' '"al,"', S"li, ","
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, If fill latedal Is to be used in Flc.od Zone "A" or "A,.etc.' I it is underste.od tl"t il drainage plan
<br />""""'9 . .".p"""" "I",. ,'II h' "b."", ,bi,b " "",r,d by . ,eof,,'ioo.f ,",i,'" ,o,',f';" io Ih, 51." .f
<br />Florida prl~r to permit issuance.
<br />
<br />A "r.i' ,,",' ,h.II h, "",,," ,. h' . I""" I. pr,."d .i'h Ih, "~,I .,d ",I " ..lh.,I'y I' .1.1.", .",,1 .1"" "
<br />", .,1" ,'y pr..""" ,f ,., ".h".,1 .,d,., '" ,b.11 ,.""" ,f . p."" p""" Ih, "i1'i'9 Off",.l fe.' Ih",.f'"
<br />",.ir", . "r,,"'" of ",or. " P"'" .o,,'r.""', .r ",I.'i'" ,f '" ,.d,. E.,e, .,e.il i"",' ,h.11 b"'" i"."d
<br />,,'," Ih, .". .,'h.ri." hy .,.h p"'" i, .,.",." ,ilh" ". ",Ih' ,f "''''''', " if ",' .,Ih.".od hI 'h, p".il "
<br />,"p'"'" oe .b"d,." foe . poriod 'f ,i. ."lb' ,n" lb' "" th, "'" i. ",,,,,,, , '"' ", dl' "tor"i'" ,f "", "y b'
<br />.110"d f" ,., p"'" ,"h f,' ,h.r,' ,l 115.00, lh' ,.""io, ,h.'1 h' e,.,"'" i, .e"i" t. Ih' ','I'i'9 Off',i.1, Ao
<br />approved inspectie.n l!Iust be le.ggeddurlng each six 1lI0nth period, C<T the project \iill be cc.nsider!ed dboiide,ned.
<br />
<br />WARNING TO OWNER:
<br />
<br />
<br />YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
<br />
<br />SIGNATURE
<br />
<br />DATE
<br />
<br />NOTARY AS TO
<br />CONTRACTO~
<br />
<br />MY COMMISSION
<br />
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