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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE. OF DEED RESTRICTIONS
<br />fhe undersigned understands that this perJit lilY be subject to IIdeed restrictions II wbich laY be lOre restrictive than City
<br />regulations. the undersigned assUle& responsibility for cmpliance with any applicable deed restrictiOllS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors 'to undertake work, they lilY be required to he licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the mmer and contractor lilY be
<br />cited for a .isdelleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireJeDts lilY apply for the intended work, they are advised to CODtact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the 0IfDer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiooa of the
<br />IIContractor Sections II of this application for wbich they will be responsible. If JOU, as the OIfDer sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes fOIl to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to perJitting 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 IIFlorida's Construction Lien Law - lIoIeoImer's Protection
<br />Guidell prepared by the Florida Departlent of Agriculture and ConsIJl8l' Affairs. If the applicant is 8OIIeOD8 other than the
<br />lIownerD, I certify that I bave obtained a copy of the above described docuIent and p~ise in good faith to deliver it to the
<br />Downer' prior to COIIeDceJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infomtion in this application is accurate and that all work will -be done in COIpliance with all
<br />applicable laws regulating construction, lOlling, and land develoPEDt.
<br />
<br />Application is bereby lade to obtain a perlit to do IIOrk and installation as indicated. I certify that no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perfOIJed to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developEllt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />· DepartJent of EnvirODlelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />· Soutbwest Florida Water Ilanagl!leDt District - Wells, Cypress Baybeada, Wetland Areas, Altering Watercourses
<br />· ArIy Corps of Inqineers - Seawalls, Docks, Ravigable Waterways
<br />· Departlent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reatJent, Septic !ants
<br />t OS InvirOlllelltal Protection Agency - Asbestos abatl!lel1t
<br />I also certify that, if fill Iilterial is to be used in Flood lone IIAII or IIA,etc.", it is understood that a drainage plan
<br />addressing a IIlDpeD8ating vol..1I will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A p~it issued &ball be construed to be a license to proceed with the work and not as autbority 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. Ivery pemit issued &ball ~ invalid
<br />unless the work autboriled by such peIlit is ~ced within sil IODtbs of issuance, or if wort authorized by the perIIit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day lltensim of tile, lilY be
<br />allowed for the pemit with fee charge of $15.00. fhe 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be lilgged during each sillODth period, or the project will be considered abandoned.
<br />WAIUUHG 10 lJfDR: YOOR FAlLDRI 10 RlCORD I RO!ICE OF aJIIDCIIlIIft' MlY RlSULI II YOOR PAYIIG DICE FORDIPROVIIID'lS !O YOUR
<br />PROPIlm'. YOU mIlD !O OBt'm FIJIUCIIG, COlfSOL! WID YOOR LDDIR OR 1II1ftOR11Y BIFORI RICORDIIIG YOOIIIO!ICE OF
<br />COMMDCIMBlfI JOBS IN VALDB DO IO'f DID !O RECORD lIID POSI A 'Hor CB OF aJIIIIIICIIIIftl.
<br />
<br />
<br />
<br />StATI OF FLORIDA A
<br />coomOF . ~
<br />The foregoing instrument was acknowledged
<br />before me this 7- / I , 19~ by
<br />
<br />SIAR OF FLORIDA ~
<br />coum OF ~\
<br />The foregoing inst1'Wl8Dt was acknowledged
<br />before me this 7 - / , , 19...25:- by
<br />
<br />who is personally known to me or who has
<br />produced,
<br />as identific~~~~~~~~~ did/did Dot
<br />take an o~~c. :;r j~
<br />lOtLl~' . .....'. :.
<br />(Signature)~ -1- \ * j + ~
<br />Ylrt0k~. J.... -r.Tf9YE G
<br />(Name Typed, ~ . ~ted...~~, amped)
<br />NOTARY PUBLlt/I/,,~ Of f \\) .\\\\\\
<br />IJI{;"'lil\\\f\\\'
<br />
<br />who is personally known to me or who has
<br />produced ,..\\\\lIIIII'ttllff,
<br />as identific~~Y.SDcr.~~~did/did not
<br />take an oathf 0.... ...<'.....~
<br />~2~//~
<br />(Signature)1'J( "" / + J
<br />Yr rtlif~1"', t.. '"T~i)/1:DE L...-
<br />(Name Typed, rp{~~M'i.'~\\" amped)
<br />NOTARY PUBLIC '!llIlnnl1l\\;'\
<br />
<br />Notary Public, StiH~ u.E~<Iii.a.
<br />DIANNA L. T.R'.U"j";'-",;":.L
<br />My COlIIm. Exp. N~v. n,1 ~gJ
<br />Comm. No. CC 1 :~J '1 f.{4
<br />
<br />Notary Public, Stat~ ot r:lorida
<br />DIANNA L. TRZ:~ADEL
<br />My Comm. Exp. N~v. 11, 1995
<br />Comm_ No, CC 159184
<br />
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