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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait JaY be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for COIpliance 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 JaY 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 JaY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents JaY apply for the intended work, they are advised to contact the City of Zephyrhil1s Building DepartJent, (813)
<br />. 788-6611.
<br />
<br />Furtheraore, if the OIner 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 wbich 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 peraitting 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 - HOIeOIfner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOIeone other tban the
<br />"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />uowner" prior to cOll8llcl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation bas cmlenCed prior to issuance of a perait and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and laud developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gDVeI1III8Jltal agencies tay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in COIPliance. Such agencies include but are not luited to:
<br />* DepartJent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllel1tally Sensitive Lands,
<br />Water/lfastewater TreatJent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArIY Corps of Engineers - Seawalls, Docks, liavigable Waterways
<br />* Departlent of Health i Rehabilitative Services, EnvirODl8Dtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvirODl8Dtal Protection Agency - Asbestos abatl!lel1t
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOJpellsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit 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 sball issuance of a perait prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued sball beCOle invalid
<br />unless the work authoriled by such perait is ~ced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOntha after the tile the 110[11: is co.enced. One 90 day extension of tile, tay be
<br />allowed for the perlit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each slllODth period, or the project will be considered abandoned.
<br />WARlflliG TO 0IfRIR: YOUR FAILURE TO RECORD A DICE OF CCIIMDCIIIIIft' MAY RESUL! Iii YOUR PAYIIiG TWICH FOR IMPROVIMBITS TO YOUR
<br />PROPBRTY. IF YOU IJImD TO OBTAIH FIMAlClIiG, COISULT WITH YOUR LBIIDER OR AIf A'l'fORDY BEFORE RECORDIHG YOUR HOIlCE OF
<br />COMMBHCBMBIft'. JOBS UNDER $2,500 Iii VALUE 00 HOI mo 1'0 RECORD AIfD POsr A -IiOlICB OF COHMBNCBMBIft'".
<br />
<br />SIGlfATURE: COIfTJIACTOR
<br />
<br />SIGllAfURB: (MIIR OR AGBIIT
<br />
<br />srATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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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