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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pentt laY be subject to ldeed restrictionsl which laY be lOre restrictive than City
<br />regulations, The undersigned asSUll!8 responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, 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 owner and contractor liar be
<br />cited for a liscleaeanor violation under state law, If the owner or intended contractor are uncertain as to llhat licensing
<br />reguirl!lellts liar apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611,
<br />
<br />Furthenore, if the OIner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for wbich they ,ill 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 ,ishes 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 the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided ,ith a copy of l,lorida's construction Lien Law - lDeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs, If the applicant is 8OI8OIl8 other than the
<br />lIownerll, I certify that I bave obtained a copy of the above described docUl8llt and pro.ise in good faith to deliver it to the
<br />"owner I prior to COll8llCl!lellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work ,ill be done in COIPliance ,ith all
<br />applicable la,s regulating construction, loning, and land deve1opleDt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COMeIlced prior to Issuance of a Perlit and that all IOrk ,ill be perfoJ:Jed to l8et stanc1ards of all laws
<br />regulating construction, City codes,. loning regulations, and land developleDt regulations in the juriscliction. I also
<br />certify that I understand that the regulations of other goveIDleDtBl agencies IaJ apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
<br />A Departlent of Envirolll8lltal Regulation - Cypress Baybeads, htland Areas and Envirolll8lltally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />A Southwest Florida Water HanagellRt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />A A[IJ Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />A Departlent of Health i Rehabilitative Services, EnvirOlll8lltal Health Unit - WellS, Wastewater !reatlent, Septic !anb
<br />A US InvirODleDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone III or II,etc.l, it is understood that a drainage plan
<br />addressing a lCOIpeDsating voluell ,ill 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 shall be construed to be a license to proceed with the wort 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 />reguiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall be..,. invalid
<br />unless the IIOrk authoriled by such perlit is co.enced within sil IODtbs of issuance, or if IOrk autboriled by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the till the work is C088Ilced. One 90 day utension of tile, IaJ be
<br />allowed for the perlit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODtb period, or the project will be considered abandoned.
<br />WARNING !O omR: YOUR FAILURI !O RICORD I NonCK OF C<IIIIDCIIIBIft MAY RlSULI IN YOUR PIYDlG ftllCK FOR lMPIlOVIIIIIIIS !O YOUR
<br />PROPmY. IF YOU InDO !O OB!m PJ)IA.cIIG, COJISUL! WI!H YOOR LlMDIR OR U AnD1IDY BIFORB RICORDDIG YOUR IIO'IICK OF
<br />OIIMIBClMltl!, JOBS UlDIR $2,500 IN VILUI 00 lar 1110 !O RlCORD AID POS! A IKarICK OF aBIIMCIIIIIl!I.
<br />
<br />
<br />Sl~~pq~ ~~<
<br />
<br />
<br />SfA!E OF F~
<br />CDUm OF tSeo
<br />Tbe foregoing instrument was acknowledged
<br />before me this ...::T~ j 'I , 19 ~ by.
<br />
<br />~ ~#I<tRt',v
<br />'s erso ally known to e or wbo bas
<br />duced
<br />as identification and wbo did/did not
<br />
<br />tak~~ ~..
<br />(S' are)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />S!Afl OF ~ . '
<br />CDUm OF e-e
<br />The foregoing instrument was acknowledged
<br />before me this ;;/;IN. '71 , 19..2.C:... by
<br />
<br />~~ ~~/P~tIlr'.N
<br />who is oer nally known to me or who has
<br />....
<br />produced
<br />as identification and who did/did not
<br />
<br />take;J;- g ~
<br />(~u e)
<br />(Rame Typed, Printed or stamped)
<br />ROTARY PUBLIC
<br />
<br />JAMES A, STONE
<br />Notary Public, State of ~Iorld~
<br />My comm. expires May 16, 1995
<br />CC1 '10274
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1995
<br />CC110274
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