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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this perait laY be subject to Ideed restrictions I wbich laY be lOre restrictive than City
<br />regulations. 'fbe undersigned assllleS responsibility for COIpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they JaY 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 0III1er and contractor laY be
<br />cited for a lisdelleallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!llenu laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbich 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 work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 IFlorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guidel prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OMOI1a other than the
<br />lownerl, I certify that I have obtained a copy of the above described dOCUleDt and pIOlise in good faith to deliver it to the
<br />lownerl prior to C08enCl!llent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developleJlt.
<br />
<br />Application is bereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation baa CDleDced prior to issuance of a perai t and that all work will be perfoIJeCl to Jeet standards of all laws
<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 gOYeIJIIeIltal agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not liaited to:
<br />. Departlent of BnviIOllllelltal Regulation - Cypress Baybeads, Vetland Areas and Envirolllelltally Sensitive Lands,
<br />Vater ,Vastewater treatlent
<br />· Southwest Florida Vater Managl!ll!l1t District - VeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />t Departlent of Health' Rehabilitative Services, Env1rODlelltal Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />t US BnviIOlllental Protection Agency - Asbestos abatl!llent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a lCOIpeIl8ating vol_I will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A PerJit 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 shall issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued &ball beCOle invalid
<br />unless the IIOrk aUthoriled by such peIlit is COIIIlDced within sillOnths of issuance, or if work autboriled by the perait is
<br />suspended or abandoned for a period of sil IODtbs after the tHe the work is co.enced. One 90 day stension of tille, laY be
<br />allowed for the perait with fee charge of $15.00. tbe stension shall be requested in writing to the Building Official. An
<br />approved inspection at be logged during each sil IODth period, or the project will be considered abanc1oned.
<br />WARIIIMG YO 0VIfER: YOUR FAILURE YO RECORD A MOtICH OF CCIIMDCBIIIR'J' MAY RESULt lIf YOUR PAYIMG DICE FOR IMPROVEIIBI!S to YOOft
<br />PROPER'IY. IF YOU III!BIfD to OBIIIM FlMAlfCllfG, COMSOLt IUtH YOOR LDDII OR U InORIIY BIPORE RICORDIMG YOUR JOrlCE OF
<br />aJOIDCEMBIfI'. JOBS IJIfDER '2,500 1M VALUE 00 lOt IfEED 10 RECORD un POSt A 'NOtICE OF C<llllElCEm!I.
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<br />S OF FLORIDA /J StAtE 0 IDA /J
<br />comm OF r pL ...J' C. <.J Coutm OF ~...o c. )
<br />The foregoing instrument was acknowledged The foregoing in trument was aCknowledged
<br />before me thi(jp/rf~ ' 19~ by before me this , 19~ by
<br />
<br />J1 /D<! L u ?J. /(j..,~ .7_
<br />who is personally kn to me or who has wh is personally known to me or who has
<br />produced,/.o c.. /( ..Io<.o -fJ/ 7' -~-() produced" I,(J L.. /( ~r ~ 0 -(</ # -or / -..1 yfl-d
<br />as identification and who did/ d n as identification and who did/did not
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<br />~~~~ ~€~2~
<br />
<br />(Hame Typed, Printed or Stamped) (Hame Typed, Printed or Stallped)
<br />HOT . _ HOTARY PUBLIC
<br />,,'~rr.~'r~", LISA L, EDMISTON
<br />l! ''f~ MY COMMISSION' CC 349593
<br />~~. g EXPIRES: March 3. 1998
<br />~.::~ Bonded Thn.I No1BIY PublIc ~
<br />
<br />
<br />~ ....~rr.~t;:.."~.., LISA L. EDMISTON
<br />I{f" .'t~ MY COMMI~ION , CC 349593
<br /><f: EXPIRES. March 3. 1998
<br />" .,- Bonded thill Nollly Public lJndeMIIlIII
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