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<br />CONDIT.IONS'OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'1'he undersigned understands that this perlit JaY be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. '1'be undersigned asSUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired 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 owner and contractor lilY be
<br />cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lilY apply for the intended wort, 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 wbich they will be responsible. If JOU, as the owner sign as the contractor,
<br />you are incllcating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to penlitting privileges in the'
<br />City of Zepbyrhills.
<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 'Plorida's Construction' Lien Law - lDeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant i8 8OIeOIl8 other than the
<br />'owner', I certify that I have obtained a copy of the above described docUIIent and pr.-ise in good faith to deliver it to the
<br />'owner' prior to COIIeDCf!ll!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all wort will be done in COIPliance with all
<br />applicable laws regulating construction, Joning, and land developunt.
<br />
<br />Application is hereby Jade to obtain a perlit UJ do wort and insWlation as incllcated. I certify that no wort or
<br />installation has CDleDced prior to issuance of a perlit and that all IIOrt will be perfOlled to _t standards of all as
<br />regulating construction, City codes, Joning regulations, and land developleDt regulations 'in the jurisdiction. I also
<br />certify that I understand that the regulations of other gOY8I1IIIeDtal agencies lilY apply to the intended wort, and that it is
<br />Iy'responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not luited to:
<br />· DepartJent of BnvirOl1l8Jltal Regulation - Cypress Baybeads, Ifetland Ireas and InviroDleDtally Sensitive Lands,
<br />Ifater/lfastewater '1'reatlent
<br />· Southwest Plorida Ifater Kanagl!lellt District - Ifells, Cypress Bayheac1s, Ifetland Areas, Iltering Ifatercourses
<br />· ICIf Corps of Enqineers - Seawalls, Dods, lIavigable Ifaterways
<br />t Departlent of Health' Rehabilitative Services, BnvirOllleDtal Health Unit - Ifells, Ifastewater '1'reatlent, Septic '1'ants
<br />I US BnvirODlental Protection Agency - Asbestos abat8l8Dt
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpeJ1Sating volUle' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A PeIlit issued shall 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 shall issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Bvery p8rlit issued shall beCOle invalid
<br />unless the lIork authorized by such perlit is COIIeJlced within sillODths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tue the IIOrt is C08eDced. One 90 day utension of tile, Iilr be
<br />allowed for the peIlit with fee charge of $15.00. Tbe utension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />IfARlfIlfG '1'0 OIfIfER: YOUR FIILURE '1'0 RECORD I 1I000ICB OF CC>>lKDCBIIIIf KAY RESUL'1' III YOOft PIYIJIG NICE FOR DIPROVIKBIft'S ro YOUR
<br />PROPEJIfY. IF YOU IJI1'BIID 10 OBI111 FIIIAICIIG, COISULr lUlU YOUR LBlDBR OR AI AftORDY BEFORE RICORDIJIG YOUR 1000ICE OF
<br />COIOIENCEHEJII. JOBS UIIDER $2,500 II VALUB DO 1101' IIBD '1'0 RECORD AID POsr A 'R01'ICI OF COIIKBICEHEJII'.
<br />
<br />
<br />~
<br />SI '1'URB:
<br />
<br />S'1'1'1'1 OP FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'1'I'1'B OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me tbis , 19 by
<br />
<br />wbo is personally known to lie or who bas
<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 OiJ,th.
<br />
<br />(Signature)
<br />
<br />(Nue Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name '.\'YPed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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