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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS -
<br />Tbe undersigned understands that this pecait JaY be subject to .deed restrictions" wbieb Jaf be lOre restrictive than City
<br />regulations. Ibe undersigned assUles responsibility for COIpliance with anf applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, thef Jaf 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 JaY be
<br />cited for a lisd_anor violation under state law. If the OlDer or intended contractor are uncertain as to "bat licensing
<br />requireaents Jaf apply for the intended work, thef are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections' of this application for "hieb thef "ill be responsible. If fOu, as the owner sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor "isbes you to sign
<br />as contractor that JaY be an indication tbat be is not properly licensed and is not entitled to pecaitting 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 with a COPf of 'Florida's construction Lien Law - BoIemmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUll!1' Affairs. If the applicant is sOftOlle other than the
<br />"owner", I certiff that I bave obtained a cOPf of the above described docuIent and prOlise in good faith to deliver it to the
<br />"owner' prior to couenCl!ll!llt.
<br />
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby Jade to obtain a pecait to do work and installation as indicated. I certify that no work or
<br />installation has COMeIlced prior to issuance of a pecait and that all work will be perforaed to leet standards of all laws
<br />regulating construction, Citf codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies laf apply to the intended work, and tbat it is
<br />If responsibilitf to identify what actions I lust take to be in coapliance. Sueb agencies include but are not lillited to:
<br />t Departlent of EnvirOlllll!Jltal Regulation - Cypress Baybeads, Wetland Areas and EnviroIllelltally Sensitive Lands,
<br />Water/Wastewater Ireatlent ,', '
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arlf Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health , Rebabilitative Services, EnvironJeDtal Health Unit - Wells, Wastewater !reattent, Septic ranks
<br />t US Environlental Protection Agency - Asbestos abatl!ll!llt
<br />I also certiff tbat, if fill aaterial is to be used in Flood ZOne "A' or "A,etc.", it is understood that a drainage plan
<br />addressing a 'coapensating volUJe" will be sublitted whieb is prepared bf a professional engineer registered in the State of
<br />Florida prior to peIlit issuance. .
<br />
<br />A perlit issued sball 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 sball issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pecait issued shall beCOle invalid
<br />unless the work authorized bf sueb pecait is COIIeIlCed within sillOlltbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOIltbs after the tile the work is C088I1ced. One 90 day stension of tile, laY be
<br />allowed for the pecait with fee ebarge of $15.00. !be stension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abandoned.
<br />WARKING TO omR: YOUR FAILURE 10 RECORD A NOIICK OF COIMDCEIIBM! MAY RESUL! IN YOUR PAYING !VICK FOR DIPROVEIImS TO YOUR
<br />PROPUn. IF YOU IIIIIIID !O OB'lAIN illIAHClKG, COISUL! wlm YOUR LIIIDIR OR 1H AnoRm' BlFORE RECORDIJlG YOUR 1f000lCE OF
<br />
<br />
<br />d~2,~~~BnuroUD~~
<br />
<br />"11 'lURE: OWIltlR OR ~ s~: comAC'lOR
<br />
<br />T-t~~
<br />SIAIE OF !liOK~' 1
<br />coom OF D QS
<br />The foregoing instrum~~.was a~~owledged
<br />before me this No L~" ~ 19-=t:t. by
<br />
<br />~~O~FFLORlDA ~ ~
<br />
<br />The foregoing iDstrum~t was acqn~ledged
<br />before me this / , 19 by
<br />. --
<br />
<br />/1 )OfJ"Uk./ {b (' 1'\ <7 e
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~an Oil? 'r{~
<br />C"... ()/Vr.~
<br />(Sr~ ture)
<br />~ fYL f1'\ \ 1 VV n17/1rA~ / F
<br />(Name Typed,rprinted or Stamped)
<br />NOTARY PUBLIC TA MMY W'. METCALF
<br />NOTARY puBLIC, STATE OF FLORIDA
<br />My commission expires Aug, 17, 1996
<br />Commission No. C C 2 2 1 9 7 4
<br />
<br />S 'bAllE ~ {.. N1AyW..GC,(.. 1C-
<br />who is personally known to me or who has
<br />prod ed D/L I VeA.-f c. / c:.L,q~C/'L
<br />as' tific1tton and who did/did not
<br />a oath V
<br />
<br />S1 atur~ ')
<br />~L;\c:;;,A . ( ~e....
<br />(Hame Typed, Printe or Stamped)
<br />N . UBLIC
<br />
<br />
<br />
<br />LISA V. SHARPE
<br />Notary Public. State of Texas
<br />My Comm. Exp, 8.}3.98
<br />
<br />....~~.
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