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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands tlJat this pemit lilY be subject to 'deed restrictions' wbieb lily be lOre restrictive than City
<br />regulations. fbe undersigned assOl8S responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas blred a contractor or contractors to undertake wort, they lilY 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 mmer and contractor IIilY be
<br />cited for a IiscleJeanOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguiruents .y 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 bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whieb they will be responsible. If JOU, as the owner sign as the ccmtractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the ccmtractor wilhes you to sign
<br />as ccmtractor that .y be an indication that he is not properly licensed and is not entitled to perlittiDg privileges in the
<br />City of Zephyrhilll.
<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, have been provided with a copy of 'Plorida's Construction Lien Law - 1IcIIeoImer'1 Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUll!1' Affairs. If the applicant is 8OIeOD8 other than the
<br />'OlDer', I certify that I bave obtained a copy of the above described docUl8Dt and prol1se in good faith to deliver it to the
<br />'owner" prior to COllenCl!l8l1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infol'liltion in this application is accurate and tlJat all work will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developlellt.
<br />
<br />Application is hereby IIiIde to obtain a perlit to do work and installation as indicated. I certify tlJat no wort or
<br />installation has ~ced prior to issuance of a perJit and that all IOrk will be perfOIll!d to I88t standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOYl!IDE1tal agencies IIilY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust tate to be in COIpliance. Sueb agencies include but are not luited to:
<br />t Departlent of InvirOlllM!Jltal Regulation - Cypress Bayheads, Wetland Areas and InvirolllM!Jltally Sensitive Lands,
<br />Water/llastewater freatJent
<br />t Southwest Florida lIater Hanag8l8Dt District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercoursea
<br />t Anly Corps of Engineers - Seawalls, Docks, Navigable lIatenays
<br />t DepartJent of Health i Rehabilitative Services, InvirODl8Dtal Health Unit - lIells, llaatewater !reatlent, Septic !ants
<br />t US InvirODJeDtal Protection Agency - Asbestos abateJeDt
<br />I also certify tlJat, if fill laterial is to be used in Flood Zone 'A' or "A, etc. " it is understood tlJat a drainage plan
<br />addressing a 'COIpenSating VOlOl8" will be saitted whieb 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 IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the. Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCCII8 invalid
<br />unless the work authoriled by sueb perlit is COII8Dced within slllOllths of issuance, or if IOrk autboriled by the perJit is
<br />suspended or abandoned for a period of slllOlltb8 after the tile the IOrk is ~ced. One 90 day atension of tile, IIilY be
<br />allowed for the peIlit with fee charge of $15.00. fbe atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb slllODth period, or the project will be considered abandoned.
<br />NAIUIlffG fO OIfffER: YOUR FAILURE TO RECORD A ffO'l'ICE or COIIIDCIIIIIfI MAY RBSULf Iff YOOR PAYIIfG rvlCE FOR I.MPROVDDrS TO YOUR
<br />PROPIRTY. IF YOU moo fO OBfW -FIIWIClIG, COISULf VIm YOOR LIIfDIR OR AI AnoRIIY BBFOBB BICORDIffG YOUR IfO'1'ICE OF
<br />allMBffCIMBIfI. JOBS OlDER '2,500 Iff VALUE DO ffO'l' ffllD TO RECORD AID POSt A 'ffO'l'ICE OF CCJEfCIMIM!'.
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<br />II fURl: '
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<br />SrArE OF FLORIDA
<br />coom OF
<br />The foregoing instI1JDlent was acu.owledged
<br />before me this , 19____ by
<br />
<br />SfA'R 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 oath.
<br />
<br />who is personally known to lie or who has
<br />produced '
<br />as identification and who did/did not
<br />take an oct.th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Bame Typed, Printed or Stamped)
<br />BOTARY PUBLIC
<br />
<br />(Bame Typed, Printed or Stamped)
<br />BOTARY PUBLIC
<br />
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