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COND I T IONS or: PERM I T AFF I DPl') I T A. NOTICE OF DEED RESTRICTIO~S The undersigned understands that this perlit .ay be subiec~ to "d~ed restrictions" which may be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS ANr C8NTRACTOR RESPONSIBILITIES If the owner has hired a contract"f!lrCo!,ltraciors to c1ertakp- work, thl!Y lay be required to be licensed in accordance with state and local regulations. If the contractor isnDtlicense~ as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. If the owner or ~ntended contractor are uncertain as to what licensing requirelents eay apply for the intended worl:, they are advised to Cl\!':"~ct the City [If Zep,hyrhills Building Deparhent, (813) 788-6611. Furtherlore, if the owner has hired a contrartor or contractors; he is advised to have the contractor(s) sign portions of the 'Contractor Sections" of this application for ~hich they will hp responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are r~5ponsible for thE~ work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in 'the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTI~iTY CONNECTION FEES. D. CONSTRUCTION LIEN LAW (C~l~PI~R ~~3, ~LORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction ,Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Ccnsuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtriined a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to COltenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit tu do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit anu that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypr~ss Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wellsj Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,., it is understood that a drainage plan addressing a "colpensating volume' will be 5uhl!tted which is Jrepared by a professional engineer registered in the State of Florida prior to perlit issuance. A permit issued shall be construed to be ~ license to proceed ~ith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro. thereafter requiring a correction of errors in plansrconstruction, or vi~lations of any code, Every perlit issued shall becole invalid unless the work authorized by such perlit is commenced within six .onths of is~uance, or if work authorized by the permit is suspinded Dr abandoned for a period of six lonths after the tile the work is [omienced. One 90 day extension of ti.e, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"HENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.. STATE OF FLORID~ COUNTY OF ~ (~ The foregoing instrument was acknowledged before me thiS~... ~ ,Ai, 19~ by 1'\\ ~ P' ~ ~ ..,- who is personally known to me or who has prc1duced ~ \J~s. I lC'6\'l ~F as identification and who did/did not tak~ an oath. .~, CJ eA OCL_~ ~ -ll A..~ (Signature) ~ ~~ (\'\ '- lS~''.:1 ~~O()3147 (Name Typed, Printed or Stamped) ---- NOTARY PUBL I C t,lfJi~S:'r rr.:!UC STATE ,OF :LCRI~^ .", ;','n"'~"l(':': [i'P. t.t5,,/ 21,1994 !"; '..'J' ..'11 ".. ~"., ..,., NS UND i:::,FiJ,;D Tdilll GtCc.ll:;... L.. , . ~<i~ SIGNA URE: CONTRACTOR fL~L~L3~~-J+~s.-c';3--d ~-U STATE OF FLORIDA () COUNTY OF +J:' 'S. Co The foregoing )nstrument was acknowledged befclre me thi~ ~.;,).I , i9~ by ~\~ep~ E. LDe\'ScA:tt-:<<- who is personally known to me or who has produced D~..\. vf.S"fL ') J.-\(" f?J'1 ~ ~ as identification'and who did/did not t a:):' e an CI a t h . 12... "'"'il-:- -C_O..l 00-_ ~ ,~ J I, LV (Signature) ~ X, . I C~~ rv\.. ~~",n-'-f ~ (Ccf)):I-1'-+ 7 (Name Typed~ Printed 01 Stamped) NOTARY PUBLIC Nor.~RY PUBLIC S MY,,~Ci;';:'lISS!ON E;~Tf OF FlORIDA BO',UED THRU Ct"'t"n: M,W 21,1994 , ,,,,"..,L INS. UNO.