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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!'be undersigned understands tbat tbis pemit JaY be subject to .deed restrictions" wbieb .y be lOre restrictive tban City
<br />regulations. !,he undersigned assUIeB responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake wort, tbey lay be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor .y be
<br />cited for a lisdeJeanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireteDts .y apply for tbe intended work, tbey are advised to contact tbe City of Zephyrbills Building Departtent, (813)
<br />. 788-6611.
<br />
<br />FurtbeIlOre, if tbe owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
<br />RContractor Sections. of tbis application for wbieb tbey lIill be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating tbat you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor tbat .y be an indication that he is not properly licensed and is not entitled to pertitting privileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of .Florida's Construction Lien Law - HOIl!01Oler's Protection
<br />GuideR prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant is sOleone otber than tbe
<br />.ownerR, I certify tbat I bave obtained a copy of tbe above described docUJeDt and protise in good faitb to deliver it to tbe
<br />"owner" prior to COIIenCeteDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe infoIJation in tbis application is accurate and tbat all work will be done in cDlpliance witb all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation has co.enced prior to issuance of a pemit and tbat all wort will be perfoI'led to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtellt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber goveIDJental agencies JaY apply to tbe intended wort, and tbat it is
<br />If responsibility to identify what actions I lUst tate to be in colpliance. Sueb agencies include but are not lilited to:
<br />* Departtent of EnvirollleJltal Regulation - Cypress Baybeads, Wetland Areas and Envirol1JeJltally Sensitive Lands,
<br />Water/Vastewater !'reattent
<br />* Soutbwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, liavigable Waterways
<br />t Departtent of Healtb , Rebabilitative Services, EnvirOllJelltal Healtb Unit - Wells, Wastewater !'reattent, Septic !'ants
<br />t US Envil'Olllental Protection Agency - Asbestos abatetent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone NA. or RA,etc.', it is understood tbat a drainage plan
<br />addressing a .COIpeIlBating volUte' will be sublitted wbieb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to pemit issuance.
<br />
<br />A pemit issued shall be construed to be a license to proceed witb tbe wort and not as autbority to violate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor sball issuance of a pemit prevent tbe Building Official frOJ tbereafter
<br />requiring a correction of errors in plans, constructiOn, or violations of any code. Every pertit issued shall beCOll! invalid
<br />unless tbe work authorized by sueb pemit is COIIenced witbin six IOntbs of issuance, or if work authorized by tbe perlit is
<br />suspended or abandoned for a period of sillODtbs after tbe tile tbe wort is co.enced. One 90 day !!Itension of tile, .y be
<br />allowed for tbe pertit with fee ebarge of $15.00. !'be !!Itension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODtb period, or tbe project lIill be considered abandoned.
<br />WARlfING 'fa 0IIlfER: YOUR FAILURE 'fa RECORD A liO'fICE OF CCJlHDCEllEII! HAY BESOL!' Iii YOUR PAYIliG !lflCE FOR IHPROVEHEII!S 'fa YOUR
<br />PROPER'fY. IF YOU I.N'lElfD !'O OUIII FlKAHCIIG, COISOL!' wlm YOOR LllDER OR 11 AftORDY BEFORE RICORDIliG YOUR lfO!'lCE OF
<br />COHHEICEMEN'f. JOBS OlDER $2,500 IN VALUE DO 101' HEED 'fO RECORD AID POS!' A UNOI' ICE OF C(JfHEHCEMmu.
<br />
<br />SIGIfA!'URE: OWNER OR AGEJI
<br />
<br />SIGlfA'fURE: COIl'fRAC'fOR
<br />
<br />S!'AR OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'fAR 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 o~th.
<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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