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<br />CONDITIONS OF PERMIT AFFIDAVIT ,
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perlit lilY be subject to 'deed restrictions' whieb lilY be lOre restrictive than City
<br />regulations. !he undersigned assU1e8 responsibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, they lilY 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 OIJler and contractor lilY be
<br />cited for a lisdl!leallOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJenu laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for Ibieb 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 IOrk. 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 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, have been provided lith a copy of 'Plorida's construction Lien Law - lDeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OII!OI1e other than the
<br />'OlDer', I certify that I bave obtained a copy of the above described docUIent and pIOlise in good faith to deliver it to the
<br />"owner' prior to co.enCl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in cOipliance lith all
<br />applicable laws regulating construction, loning, and land developeDt.
<br />
<br />Application is hereby lade to obtain a penit to do work and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perlit and that all IOrt lill be perf01'led to leet standards of all lillS
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJental agencies lilY apply to the intended IOrt, and that it is
<br />If responsibility to identify wbat actions I lUSt tate to be in COIIpliance. Sueb agencies include but are not liJited to:
<br />I Departlent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastelater freatlent
<br />I Southwest Florida Water ManageElt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY COIPS of Engineers - Seawalls, Docks, lavigable Watenays
<br />I Departlent of Health i Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater freatJent, Septic fants
<br />t US EnvirODlll!Jltal Protection Agency - Asbestos abateElt
<br />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
<br />addressing a 'COJpeJl8ating volUJe' will be saittedlbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued shall 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 perlit prevent the Building Official f1'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCDe invalid
<br />unless the work authorized by sueb penit is COBeJlced within sillODths of issuance, or if IOrk authorized by the perlit is
<br />suspended or abandoned for a period of Sil IODths after the tile the IOrk is CDJencec1. One 90 day eltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. !be eltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />IIARRIIG fO (MIIIR: YOOR FAILURI fO RlCORD A DICE OF CCIIMIICIIIIMl' MAY RlSULf II YOUR PAYING ftlICE FOR DIPROVIIIBJIfS fO YOUR
<br />PROPERTY. IF YOU IJI'DIID fO OBlIII FIIlICIIG, CONSULf WIm YOOR LBlDBR OR II AftORDY BlFORB RBCORDIIG YOUR IIO'I'ICE OF
<br />_. JlIIS IIIDIR f2u:.IOI_1O IIItlIIIlIIID PlIS'II 'IlllICI OF _',
<br />
<br />
<br />SIGlAfURI: COII!RAC!OR
<br />
<br />SfA!1 OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this - , 19____ by
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />Tbe foregoing instrument was aCknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />wbo is personally known to me or who bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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