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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ihe undersigned understands that this penit tay be subject to 'deed restrictions' wbich tay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~er bas hired a contractor or contractors to undertake work, they .ay 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 tay be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents tay 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 bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to penitting privileges in the
<br />City of Zephyrbills.
<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 copy of 'Florida's COnstruction Lien Law - BoIeowner's Protection
<br />Guidell prepared by the Florida Deparl:lent of Agriculture and ConsUlleI' Affairs. If the applicant is SOleOlle other than the
<br />'owner", I certify that I bave obtained a copy of the above described docuIent and protise in good faith to deliver it to the
<br />"01fnerll prior to cOllenceaent.
<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 cOJpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation bas ~ced prior to issuance of a perllt and that allwor1 will be perfoDll!d to .et standards of alllillfs
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies tay apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I lUst take to be in coapliance. Sucb agencies include but are not 11Ilted to:
<br />t DepartJent of BnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Ireattent
<br />t Southwest Florida Water Hanageaent District - lIe11s, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
<br />t DepartJent of Bealth & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ,ants
<br />t US BnvirODleDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll taterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'c0JpeD8ating volute' will be subtitted 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tecbnical codes, nor shall issuance of a perlit prevent the Building OffIcial frot.thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued &ball becoIe invalid
<br />unless the wotk authoriled by such perlit is COlleDCed within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the u. the work is ~ced. One 90 day eltension of tile, laY be
<br />allowed for the pertit with fee charge of $15.00. Ibe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eacb sillODth period, or the project will be considered abandoned.
<br />WARlllffG 10 OIlIER: YOUR FAILURE 10 RECORD A 1I001eB OF aJDIBffCIJIBWl lilY RESULI Iff YOUR PAYlIIG !lIICK FOR IIIPROVIIIInS 10 YOUR
<br />PROPBRIY. IF YOU IIDJID TO OBrAIlf FIlfAIfCIIIG, COIISULr WIIB YOUR LIIDD OR All AnORIBY BIFORE RECORDIIfG YOUR DICK OF
<br />COHHBIICBHBffT. JOBS UIIDBR $2,500 III VALUI 00 liar IfBBD TO RECORD ARD POS! A 'II01ICB OF COHHBIICBIIBJiI'.
<br />
<br />SIGlfArURE: aIIIBR OR AGBffT
<br />
<br />SIGNArURI: COffTRACIOR
<br />
<br />SrAT! OF FLORIDA
<br />COUIf1'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIATB 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 .e or who bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY' PUBLIC
<br />
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