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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that tbis perlit lilY be subject to -deed restrictions- wbieb lilY be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for cmpliance witb any applicable detc1 restrictions.
<br />
<br />,
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIIler bas bired a contractor or contractors ' to undertake IIOrt, tbey lilY be required to be licensed in accordance ,itb
<br />state and local. regulationa. If tbe contractor is not licensed as required by law, botb the 0III1er and contractor lilY be
<br />cited for a lisdeleallOr violation under state law. If tbe 0IfI18l' or intended contractor are uncertain as to lIbat licensing
<br />reguir8I8Du lilY apply for tbe intended wrt, tbey are advised to CORtact the City of Zepbyrbil1s Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the OIfIler bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portioua of tbe
<br />-Contractor Sections- of tbis application for whieb tbey will be responsible. If JOU, as tbe lJIIIler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrt. If tbe contractor wishes IOU to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges. in the
<br />City of Zephyrbills.
<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 ,itb a copy of -Plorida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guide- prepared by tbe Plori4a Departlent of Agriculture and ConsUl8l' Affairs. If tbe applicant is 8OIeODe other than the
<br />-OIIIlerD, I certify that I bave obtained a copy of the above described docUIent and prcaise in good faitb to deliver it to tbe
<br />-OIIIler- prior to COIIIIlC8ll8llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infolliltion in tbis application is accurate and tbat allwrt will-be done in cmpliance witb all
<br />applicable laws regulating construction, loning, and land developElt.
<br />
<br />Application is hereby lade to obtain a perlit to do IIOrt and installation as indicated. I certify that no wrk or
<br />installation bas CDIeIlced prior to issuance of a perlit and that all wrk will be perfOlled to .et staDdards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(llBJlt regulationa in tbe jurisdiction. I also
<br />certify that I understand that tbe regulations of other goverDl8l1tal agencies lilY apply to the intended II01't, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COIpliance. Sueb agencies include but are not luited to:
<br />I Departlent of EnvirOlll8l1tal Requlation - Cypress Baybeads, Wetland Areas and EnviroDl8lltally Sensitive Lands,
<br />lIater /Wastewater 'I'reatlent
<br />I Southwest Plorida Water Hanagl!l8llt District - lIells, Cypress Bayheac1s, lIetland Areas, Altering lIatercourses
<br />I AllY Corps of Engineers - Seawalls, Docks, lavigable lIatenays
<br />I Departlent of Healtb i Rebabilitative Services, EnvirOl1l8l1tal Healtb Unit - lIells, lIastewater 'I'reatlent, Septic lants
<br />I US Envi1'ODl8lltal Protection Agency - Asbestos abatl!lll!llt
<br />I also certify that, if fllllilterial is to be used in Flood Zone -A- or -A, etc. -, it is understood that a drainage plan
<br />addressing a -COIP8D8ating vol.- ,ill be sublitted ,bieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~it issued sball be construed to be a license to proceed "itb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the tecbnical codes, nor shall issuance of a perlit prevent the Building Official fllll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued &ball becoIe invalid
<br />unless tbe work authoriled by such perlit is co.mced witbin sillOl1ths of issuance,. or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOlltbs after tbe tile the II01'k is ~ced. One gO day atenaion of tile, lilY be
<br />allowed for tbe perlit witb fee charge of $15.00. the atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IOIltb period, or tbe project ,ill be considered abandoned.
<br />IlARlfIlfG '1'0 0IfIIR: YOOR PAILURB '1'0 RlCORD A 10UCK OF CCIIlDCBIIIHf MAY RlSUL'I' III YOOR PAYlIfG NICK FORIHPROVIIIII'I'S '1'0 YOOR
<br />PROPIRIY. IP YOU IftDD '1'0 OB'IIII PIUlICIlfG, CONSULI IUD YOOR LIRDIJl OR All A'I'IORIIY BBPORB RICORDIIG YOOR IiOfICK OP
<br />COHMIM JOBS UNDER $2,500 III VALUI DO 101 mD '1'0 RECORD AID POS'I' MIIOIICK OF CCJIIDCIIIIIII..
<br />
<br />
<br />
<br />S'I'A'I'I OF FLORID1~
<br />COOllY OP :s C!- c::>
<br />The foregoing instrument was acknowledged
<br />before me this /.?ef, .Q- , 19 9s- by
<br />
<br />}UY/itJI.4 14~
<br />who is personally kn 0 me or who has
<br />produced I( /l.I tJ tV J1J
<br />a. ift:1ion and who did/did ot
<br />an ~. ~
<br />/ "'- ~
<br />igna ure)
<br />I
<br />/
<br />(Name , Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />S!A!I OP FLORIDA ()
<br />coum OP rJ/5 t:! 0
<br />The foregoing instrument was aCkn9Wledged
<br />before me ~is tJt!-I 5' , 19 tJ6 by
<br />
<br />Lv. Y/l/ll J} J.. A JlJ ~
<br />who is personally knmril to lie or who has
<br />produced K iJ (J oJ d
<br />as iden . 1C tion and who did/did not
<br />'o.~
<br />L5,nze
<br />atur I . A /
<br />L ;' /J/ [/ A -::] t:A' /II JII&r /1/ ,,-tJ.5CJ M~
<br />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.~~\riJ;;;" LINDA JEANNEm NEWSOME
<br />I . :.~ MY COMMISSION' CC 482467
<br />{<Ii EXPIRES: July 20. 1_
<br />R~" BondId ThnI NolaIy PublIc ~
<br />
<br />"'~~'&:" LINDA JEANNmE NEWSOME
<br />.~,. . -"'3/'
<br />i.:" :;; MY COMMISSION' CC <482467
<br />\~. :,;i EXPIRES: July 20. 1999
<br />".')i,Rf. .' BondId nvu NolaIy PublIc UnderMIIIre
<br />
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