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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' wbieb laY be lOre restrictive than City
<br />regulations. rbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance witb
<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 lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat lic80sing
<br />reguireJeDts laY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the ONner bas bired a contractor or contractors, be is advised to bave tbe 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 wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<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 witb a copy of 'Florida's Construction Lien Law - BoIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsDler Affairs, If the applicant is sOJeOne otber than the
<br />"owner", I certify that I bave obtained a copy of the above described c10cUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleDCeJeDt,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<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 bas cOlleDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goveIDIeDtal 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. Sueb agencies include but are not lilited to:
<br />t Departlent of EnviroOJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic fanks
<br />I US EnvirODlental Protection Agency - Asbestos abateJeDt
<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 'cOlpeDsating volDle' will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the IIork 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 frOJ,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perllt issued shall becoIe invalid
<br />unless the IIOrk authoriled by such perlit is COIIllnced within sillOnths of issuance, or if work authoriled by tile perlit is
<br />suspended or abandoned for a period of slllOntbs after the tile the work is COlleDCed. One gO day I!Itension of tile, laY be
<br />allowed for the perlit with fee charge of $15,00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIflfBR: YOUR FAILURE TO RECORD A NOTICE OF COMHBNCHMBIf1' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIDt'S TO YOUR
<br />PROPERTY. IF YOU IIf1'DO TO OBTAIlf FIlfAlCING, CONSULT WITH YOUR LDOER OR AI InORlD BEFORE RECORDING YOUR DICE OF
<br />COMMENCBHBNT. JOBS UlDER $2,500 IN VALUE 00 NOT NEED TO RECORD AID POST I 'NOTICE OF C(JfHElfCIMIIf'.
<br />
<br />
<br />Y/U4<f/~/U-i t:u-L44'rl2.-c~
<br />SIGNATURE: OIfIIER OR AGlIf1' I SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUIf1'Y OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />coum 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 identification and who did/did not
<br />take an o~th.
<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 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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