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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rile undersigned understands that this penit lilY be subject to 'deed restrictions' wbieb lily be lOre restrictive than City
<br />regulatiODB. lhe undersigned asSIlles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hireel a contractor or contractors to undertake work, they lilY be required to-be licensed in accordance with
<br />state and local regulations. If the contractor is not licenseel as requireel by law, both the 0IIJlel and contractor lilY be
<br />cited for a aisc1e1eanor violation under state law. If the owner or intendeel contractor are uncertain as to wbat lic_ing
<br />reguir8lellts lilY apply for the intendeel work, they are advised to contact the City of ZepJJyrhllls BuilcUng Departaent, (813)
<br />788-6611. -
<br />
<br />Furtheuore, If the owner has hired a contractor or contractors, be Is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbieb they will be responsible. If you, as the 0IIJlel sign as the contractor,
<br />you are indicating that fOU, rather than the contractor, are responsible for the wort. If the contractor wlsbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and Is not entitled to peraitting privileges In the
<br />City of Zephyrbills. . .
<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 - lIoaeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COII8UIIer Affairs. If the applicant i. ... other than the
<br />'owner', I certify that I have obtained a copy of the above described docuIent and premse In good faith to deliver It to the
<br />"owner' prior to co.enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />- I certify that all the inforliltion in this application is accurate and that all wort will be lIone in cCJlpliance with all
<br />applicable IllS regulating CODBtruCtion, loning, and land developlent.
<br />
<br />Application Is hereby Jade to obtain a perait to do wort and InsWlation as indicated. I certify that DO wort or
<br />installation has ~ced prior to issuance of a penn and that all wort will be perforJed to _t stan4ards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations In the jurlsdictioa. I also
<br />certify that I understand that the regulations of other gOYeIDlental agencies lilY apply to the intended wort, and that it is
<br />ay responsibility to Identify wbat actions I at tate to be in COIpliance. Sueb agencies include but are not liaited to:
<br />t Departlent of IDviIODleDW Regulation - Cypress Bayheads, Wetland Ireas and IDvlrOllll8Dta11y Sensitive Lands,
<br />lIater/lfast8llater IreatleDt
<br />t Southwest Florida lIater ManaQl!I8Dt District - lIells, Cypress Bayhea4s, lIetland Ireas, Altering lIatercourses
<br />t Ira, Corps of lDQineers - Seawalls, Doc", lavigable Waterways
<br />t Departlent of Health i Rehabilitative Services, InvirODlental Health Unit - Wells, Wastewater lreataent, Septic lants
<br />t US Invil'OlJlental Protection Agency - I8best08 abatl!l8Dt
<br />I aiso certify that, if fIll laterial is to be used in Flood Zone 'A' or 'A,etc.-, it is understood that a drainage plan
<br />addressing a 'COIIpenSating vol_' will be sDitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />I perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor &ball Issuance of a penit prevent the Building Official fa thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Ivery perait Issued &ball becme invalid
<br />unless the wort authoriled by sueb penit is ~ced within BUlOIlths of issuance, or if wort authorbed by the penit is
<br />suspended or abandoned for a period of sUlOIlths after the tile the wort is ~ced. ODe 90 c1ay utensloa of tiM, Iill be
<br />allowed for the penit with fee charge of tI5.00. tbe utenslon shall be r8lJUl8ted in writing to the BuUlIing Official. An
<br />approved inspection aust be logged during eaeb .il aonth period, or the project will be considered abanc1oned.
<br />WARlIIG to CIIIIR: YOUR FAILURI to RICORD A lorlCE OF CCIIIDCIIlIIft' MAY RlSULt II YOUR PAYIIIG !IIICE fOR IIIPROVIIIIDS to YOUR
<br />PIOPIRIY. IF YOO IDDD 10 OBIAD FIJIIICIIG, COISULI WIIB YOUR LIIDII OR D AnoJIDY BIFORI RlCOJIDIIG YOUR JOIICE OF
<br />OIIIIIII:IIIIJI. _1IIIlIJI12,500 11_ 00 lOr 11III fO 111113111I1l:1 I ~CI ~
<br />
<br />
<br />
<br />SIGlAtURI: CIIIIR OR AGJn ~ CofiRAC'l'OR
<br />
<br />SrAD: OF FLORIDA
<br />COOllY OF
<br />Tbe foregoing instru.ent was acknowledged
<br />before me this , 19____ by
<br />
<br />SrAD: OF FLORIDA
<br />COOllY OF
<br />Tbe foregoing instru.ent was acknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification andwbo did/did not
<br />take an oatb.
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Na.e Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
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