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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit laY be subject to 'deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired 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 laY be
<br />cited for a lisdeJH!anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact tbe 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 bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for which 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 wishU you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to per.itting 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 witb a copy of 'Florida's COnstruction Lien Law - BoIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is sOIH!One other than the
<br />'owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COllBDCelent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in CDJpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has c~ced prior to issuance of a pertit and that all work will be perfol'led to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land devel.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlleDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not 11l1ted to:
<br />. Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Vetland Areas and EnvlroDleDtally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />. Southwest Florida Vater Managetent District - Wells, Cypress Baybeads, Vetland Areas, Altering Watercourses
<br />. ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />. Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - VeIls, Vastewater Treatlent, Septic Yanks
<br />· US EnvironteDtal Protection Agency - Asbestos abate.ent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpeDsating volute" will be subtitted wbieb 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 witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a pertit prevent the Building OffIcial frOJ,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall beCOle invalid
<br />unless the work authoriled by such perlit is cOllenced within sillOnths of issuance, or if work authoriled by the pertit is
<br />suspended or abandoned for a period of sil IOntha after the tile the work is co.enced. One 90 day l!Itension of tile, lily be
<br />allowed for the pertit with fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sillOlltb period, or the project will be considered abandoned.
<br />WARNING fO OIfBER: YOUR FAILURE TO RECORD A NOTICE OF C<IlMENCEMBNI MAY RESULT IN YOUR PAYING I1IICI FOR IMPROYBIIIIfS TO YOUR
<br />PROPERTY. IF YOU INlBID TO OBTAIN FIIlAXCING, CONSULT WITH YOOD LENDER OR AM AnORJlBY BEFORE RiCORDING YOUR NOTICI OF
<br />COMMENClMBNr. JOBS UNDER $2,500 IN VALUE 00 NOT NUD fO RECORD AND POST A "NOTICE OF COMIIIIfCBMINI".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGMATURi: OWNER OR AGBNI
<br />
<br />STATE OF FLORIDA
<br />COUIIIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAfE 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 me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY' PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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