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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cotpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they tay 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 owner and contractor laY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which 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 he is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of ZephyrhiIls.
<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 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" 'epared by tbe Florida Departlent of Agriculture and Constller Affairs. If the applicant is sOleone otber than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and protise in good faith to deliver it to the
<br />"owner" prior to coaenceaent.
<br />
<br />E. ~ONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber governJental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environaental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US InviroDlental Protection Agency - Asbestos abateaent
<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 .colpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid
<br />unless the work authorized by such perlit is coaenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a pe~od of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCBJlEU MAY RESULT IN YOUR PAYING TWICK FOR' IMPROVRJlENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORK RECORDING YOUR NOTICE OF
<br />COHKENCEHEU. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOrICE OF COHKENCRJlEU".
<br />
<br />~ bG
<br />s~~- iili~O~ ~ f\"'{k JJ
<br />
<br />STATE OF FLORID\1 \ 'fI
<br />COUNTY OF ()\
<br />The foregoing instrument was a~nOWledged
<br />before me this \\ - \\ , 19 by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as iden.tification an?\whO did/did not
<br />
<br />take~~c ~'Gf\"i l. 0 Q
<br />(Signature) \ \ . \
<br />\D~\~'::::,S D0.\"l, \ \_
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC ~..v. I>tJ THERESA HARVILL
<br />~&~ COMMISSION # CC 32~173
<br />oJ: . <' EXPIRES NOV 20,1997
<br />~{' . '7i! Atlantic Bonding Co., Inc.
<br />~Of f\..W 800- 732-2245
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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