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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe underaJgned UDderataDds that this penit lay be subject to 'deed restrictions" which laY be lOre restrictive than City
<br />regulations. rhe UDderligued asSUles responsibility for co.pllance with anJ applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 'RESPOHSIB.IL.ITIES \ ;"\' ';
<br />If the ower' has 'hired a contractor or contractors to undertale wort, they laY be required to be liceuecJ In accordance with
<br />state and local regulations. If the contractor is not licensed ,as required by law, both the ... and cmtractor .J be
<br />cited for 'a 1i8deleanor vlolaUon under Itate law. . If ~e Owner or Intended contractor are uncertain as to what licensing
<br />requirelents IiIJ apply for theintended work, they are advised ~ contact, the City of ,Zepbyrhilll Building DepartleDt, (813)
<br />788-6611. ' " \ . " ' \.
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<br />FurtherlOre, if the GlIDer has hired a contractor or contractors, be is advised to' ha,e' the conUactor(l) Ilgn portions of the
<br />"Contractor Secti~" of this application for which .theJ wUI be responeible: ,~f fPU, as: the JllDer 81gn 88 the c:oatractor,
<br />you are indicating that you, rather than the contractor, are responsible . for the wort. It'the contractor lllhes you to sign
<br />as contractor that IaJ be an indication that he is not properly licensed and is not entitled to perlitt.Jn9. privileges in the'
<br />City of Zephyrhllls. . . I ' ...
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<br />C. TRANSPORTAT.ION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certifJ that I, the applicant, have been provided with a COPJ of 'Plorida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida DepartJent of Igriculture and COnsUler Affairs. If the applicant is 8OI8ODI other than the
<br />"owner", I certify that I have obtained a copJ of the above described docUJent and pr~ise In good faith to deliver it to the
<br />"owner" prior to COII8Dcetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the iDfor.tion in this application is accurate and that all work will be done In COIpliance 11th all
<br />appllcable laws regulating construction, loning, and land develo.-nt.
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<br />Application is hereby .de to obtain a perlit ~o do wort and installation as indi~ted. I cerWy ~tno IOrt or.,
<br />lnsWlaUon lias ~cec1 prior to issuence of a perlit and that 111 wort IUI be perf ODed to _t ..ltaDI1arda of I1llal
<br />regulating construction, City codes, loning regulations, and land cle,elopleDt regulaUonsin 'tile judsdicUoo. I also
<br />certifJ that I underatand that the regulations of other goveruental agencies .y applJ to the Intencled IOlt, and that It ia
<br />I' responsibillty to identify what actions I lust tale to be in COIpliance. Such agencies include but are not lilitec1 to:
<br />t Departlent of IDvirouental Regulation - Cypress Bayheads, lIetland Areas and IDviroDJeDWly Sensitive Landa,
<br />lIater/llastewater freatleDt
<br />t Southwest Florida later Jlanageaent District - lIells, Cypress Baybeada, lIetlanclAreas, Altering lIatercourses
<br />t ArJ)' COlliS of lDoineera - Sealalls, Docks, lavigable lIaterways
<br />t DepartJent of Health' Rehabilitative Services, InvirOllleDtal Health Unit - Vella, lIastewater freallent, Septic ranb
<br />t us EnvlroDJeDtal Protection Igency - Asbestos abatl!leDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "I' or "A,etc.", it is understood that a drainage plan
<br />addressing a "COIpensating volute" will be sublitted wbich is prepared bJ a professional engineer registered in the State of
<br />F~orlda prior to perllt issuance.
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<br />I perlit issuec1 shall be construed to be a license to proceed lith the IOrt and not as authority to dolate, cancel alter, or
<br />. set aside anJ 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 violatiOll8 of any code. Ivery peuit iaauec1 shall beCClle in,alid
<br />unless the IOrl' authorbed by such pertit is coaenced within sillODtbs of issuance, or if IOrt authorilecl by tile pmit is
<br />suspended or abandonec1 for a periOd of sil IODtbs after the tile the IOrk is ~ced. ODe 90 day atenaion of tile, .y be
<br />allowec1 for the perlit with fee charge of '15~00. Ibe atenaion shall be requested in ,dUng to the Builc1ing Official. An
<br />appro,ec1 inspection IUIt be loggec1 during each sillODth period, or the profect 1111 be conslderec1 abandonec1.
<br />lIAIUIIIG ro 0IfIIB: YOOR FAILURI 'f0 RlCORD A IOTICE OF CCIIIIDCIIIIU lilY RlSULr II fOOl PIIIIG DIeI FOR IJtPmi1111118 fO fOUl
<br />PROPUfI. IF IOU umo ro OBTIII FIJIUCIIG, COISUL' VIIH fOOl LBIIDII OIl1lnot1UY BI10JII ,RICOIDIIG fOUl IOfleI OF
<br />llIIEICIIIlII. lIIIS _12,500 II YILUIl DO 101 DID III _lID I'OI'lI 'IOIICE Cll CCIIIIDCIIIIU'." ~
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<br />L6.i >>f.~/ u"~%4
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<br />STlfl OF FLORIDA
<br />coum OF
<br />The foregoing instl'Ullent was acknowledged
<br />before 119 this ' , 19_ by .
<br />
<br />STIR OF FLORIDA
<br />coum OF
<br />The foregoing instrwaent'was acknowledged
<br />before IDe this ' '.,- - "', " 19 .: by', \
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<br />who is personally knOND tOile or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally kn01fD to .. or who haa
<br />produced .
<br />as identification and who did/didnot
<br />take an Oif,th.
<br />
<br />(Signature)
<br />
<br />(R_ Typed, Printed or Stuped)
<br />ROTARY PUBLIC .
<br />
<br />(Signature)
<br />
<br />(Rue 'J:yped, Printed or Stuped)
<br />ROTARY PUBLIC
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