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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this peIlit laY be subject to 'deed restrictions' ,hieb lily be lOre restrictive than City
<br />regulatioua. !be undersigned asSUle& responsibility for CCIIpliance 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 IOrk, 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 0IIIIer and contractor laY be
<br />cited for a lisdeleaDOr violation under state law. If the OIfIIer or intended contractor are uncertain as to Ifhat licensing
<br />requirl!leDts lilY apply for the intended IOrk, they are advised to contact the City of Zephyrbills BuildiDq Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for ,bich they ,ill be responsible. If JOU, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor lisbes roo to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to penitting pri,ileges 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 'Florida's construction Lien La, - lIoIemmer's Protection
<br />Guidell prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is 8OII8ODe other than the
<br />II OlDer " , I certify that I bave obtained a copy of the above described docuent and pro.ise in good faith to deli,er it to the
<br />"OlDer" prior to co.enC8leDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all work will be done in COIPliance with all
<br />applicable laws regulating construction, zoning, and land develoIJElt.
<br />
<br />Application is heleby lade to obtain a per.it to do wort and installation as indicated. I certify that no IIOIk or
<br />installation bas co.IeDced prior to issuance of a perlit and that all IIOrk ,ill be perfOrled to l8et 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 gDVerDleDtal agencies lilY apply to the intended IOrl, and that it is
<br />If responsibility to identify ,hat actions I lUst take to be in COIPliance. Such agencies include but are not liaited to:
<br />t DepartJent of EnviIODI8Dtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /Wast8later !reatJent
<br />t Southwest Florida Water Managel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Watenays
<br />t DepartJent of Health i Rehabilitative Services, InvirODl8Dtal Health Unit - VeIls, Wastewater !reatJent, Septic !anks
<br />t US EnviIODleDtal Protection Agency - Asbestos abat8leDt
<br />I also certify that, if fIll laterial is to be used in Flood ZOne lA' or IA,etc.l, it is understood that a drainage plan
<br />addressing a 'COIPeD8ating vo1018' ,ill be sulllitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to p8rlit issuance.
<br />
<br />A P8rlit issued shall be construed to be a license to proceed lith the IIOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall i88UBDce of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of elrors in plans, construction, OI violations of any code. Every p8I1it issued shall beCOle invalid
<br />unless the IIOrt authorized by such perlit is co.enced within sillODtbs of i88uance, or if IIOrt authorized by the p8rlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the IOrk is co.enced. One 90 day utension of tile, lily be
<br />allowed for the peIlit lith fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project ,ill be considered abandoned.
<br />WARlIIG fO OIlER: YOUR FAILURI fO RECORD A DICE OF C<IIMBICEIIBI! MAY RESUL! II YOUR PAYIIG !IIICE FOR DIPROVIIIDTS !O YOUR
<br />PROPEII!Y. IF YOU ImND !O OB'fAIN FIWCING, COISUL! VIft YOUR LBRDBR OR All AftOIIDY BEFORE RECORDING YOUR DICE OF
<br />~. . . JOBS OlDER $2,500 II VALUE 00 10'1 NIED fO RECORD AID.. !'OS! I '1IlI!ICI Ill' CIMIICIIIIII\".
<br />
<br />
<br />.._ W-~~ f4J:><t- tl~
<br />
<br />IGJfA!UIIB: OIIIR OR AGm ~ SIGllAfURI: COII!RAC'lOR
<br />
<br />StArE OF FLORlDA--N
<br />coum OF ~
<br />The foregoing ip,ent was acknowledged
<br />before me this . IS- , 19 9'1 by
<br />
<br />S!A!E OF FLORIDA ~
<br />coum OF ~
<br />The foregoing i~t was acknowledged
<br />before me this I :..s-, 19~ by
<br />
<br />who is pers
<br />produced
<br />as identif ation and ho did/did not
<br />
<br />ta:~W &d
<br />(Signatur ) 11/ L
<br />bL.I1~5 . iJ "5L
<br />(Name Typed, Pri ed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />who is pers~ally known to me or who has
<br />produced G~~
<br />as identification an ho did/did not
<br />takean~/~
<br />
<br />(Signature) ~ .7 /
<br />~.4./.7 w ~ ).. /J a.a.A
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..~~ OFFiCIAL SEAL
<br />( ~' GLADYS L. BUSH
<br />:. i My Commission Expires
<br />\.. ! O~:t. 7. 1996
<br />.....~Of~.. Con.m. Nc CC 234022
<br />............
<br />
<br />/p.~. OFFICIAL SEAL
<br />t 1 \ GLADYS L. BUSH
<br />: ~ i My C0!llmission Expires
<br />\. ~ : O:;t. 7. 1996
<br />......~~OfF\.d1.=.. Comm. No. CC 234022
<br />........
<br />
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