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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit laY be subject to "deed restrictions" wbieb laY be lOre restrictive than City
<br />regulations. !'he undersigned assUJeS responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,_
<br />If the owner bas bired 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 lisdeJeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611. '
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whieb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 with a copy of "Florida's Construction Lien Law - HOJeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOleone other tban the
<br />"owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COJJellCetellt.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that' all work will be done" in co.pliance with all
<br />applicable lalls regulating construction, laning, and land developlBDt.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation has CDIl!Dced prior to issuance of a peIlit and that all work will be perfoIJed to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlBDt regulations in the jurisdiction. I also
<br />certify that' I understand that the regulations of other goveruental 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. Sueb agencies include but are not luited to:
<br />t Deparblent of EnvirODJelltal Regulation - Cypress Baybeads, Wetland Areas and KnviroDJentally Sensitive Lands,
<br />Water/Wastewater !'reablent
<br />t Southwest Florida Water Hanagel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater !reattent, Septic ranks
<br />t US EnviIODJelltal Protection Agency - Asbestos abatl!lellt - . ,
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is und~tood that a drainage plan
<br />addressing a "cOJpell8ating vol_" will be saitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becoIe invalid
<br />unless the 1Iork authoriled by sueb peIlit is COII8Jlced within slllOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day l!ltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. !be l!ltension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />WARIIING !O omR: YOUR FAILURB !O RECORD A Not'lCE OF cmtllBlCEMm HAY RESUL! IN YOUR PAYING filCE FOR IMPROVEMmS TO YOUR
<br />PROPKR". IF YOU ImHD !O OB!AIN FIHAIICING, CONSUL! wua YOOR LINDER OR AM AnORlBY BKFORE RECORDING YOUR Not'lCB OF
<br />COMMENCBMm. JOBS UNDER .2,500 IN VALUE DO Not' NOD !O RECORD AND POS! A "Not'ICK OF COMMElfCIHBIl!".
<br />
<br />SIGHA'fURI: COIITRACfOR
<br />
<br />SIGJlAtURB: OOIR OR AGm
<br />
<br />StAtK OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAtK 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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