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<br />regulations. 'he undersigned assU1e8 responsibility for COJIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they lilY be required to be lieeDIed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor Iil' be
<br />cited for a aiadeJeallOr violation under state law. If the owner or intended contractor are uncertain as to what lic8D8ing
<br />reguireJenta aay apply for the intended work, they are advised to contact the City of Zepbyrb111s Building DepartElt, (813)
<br />788-6611. .
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If JOU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes rou to sign
<br />as contractor that lilY be an indication that he is not properly lieeDIed and is not entitled to peraitting 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, have been provided with a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUll!l' Affairs. If the applicant is 8OIeOIl8 other than the
<br />'owner', I certify that I have obtained a copy of the above described docuJent and prolise in good faith to deliver it to the
<br />'owner' prior to coaenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIPliance with all
<br />applicable lilllS regulating construction, loning, and land developElt.
<br />
<br />Application is hereby Iilcle to obtain a perlit to do wort and installation as indicated. I certify that no work or
<br />installation has CDlenced prior to issuance of a perlit and that all work will be perfOIJed to I188t st:andaIds of all laws
<br />regulating construction, City codes, loning regulations, and laDd develo(lMl1t regulations in the juriadictiOll.. I also
<br />certify that I understand that the regulations of other goveIDll8l1tal agencies aay apply to the intencled work, and that it is
<br />IY responsibility to identify what actions I lUSt tue to be in COJpliance. Such agencies include but are not liaited to:
<br />I DepartJent of Envirolll8l1tal Regulation - Cypress Bayheads, Wetland Areas and Envirolll8l1Wly Sensitive Lanc1s,
<br />Water/Wastewater 'reatlent
<br />I Southwest Florida Water JlanageJellt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />I AIly Corps of Engineen - Seawalls, Docks, lavigable Waterways
<br />I DepartJent of Health i Rebabilitative Services, EnvirODl8lltal Health Unit - Wells, Wastewater Ireablent, Septic lanks
<br />I US InvirODJeJltal Protection Igency - Asbestos abateJellt
<br />I also certify that, if fill aateriaI is to be used in Flood ZODe 'I' or 'I,ete.', it is understood that a drainage plan
<br />addressing a 'COIP8D8ating volllle' will be suhtitted which is prepared by a professional engiDeer registered iD the State of
<br />Florida prior to perlit 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 an, provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official f~thereafter
<br />requiring a correction of errors in plana, construction, or violationa of any cocle. Ivery perait issued shall bec:me invalid
<br />unless the work authorized by such peIlit is COII8IlCed within sUlOIlths of issuance, or if work authoriJed bl the perlit is
<br />8U8pended or abaDdoned for a period of sil IOIlths after the tile the work Is C08enced. ODe 90 day utenaion of tile, Jily be
<br />allowed for the peIlit with fee charge of $15.00. !be utension sball be requested iD writing to the BuiWng Official. In
<br />approved inspection lUSt be logged during each sillOllth period, or the project will be considered abandoDed.
<br />IfIlUJING 'fO (JfDR: YOUR FIILURI 'fO BICORD I IOIICI OF aJllllCllllNllIIl RISUL' U YOUR PIIIIG IIICI fOR IIIPROVIIIIIIS 10 100ft
<br />PROPIIIIY. IF YOU IIIDD 10 OBIIU FIIIIIICIIG, COISULI IIIIB YOUR LlRDD DB IR II'fORIIY BIPOBI RICOBDIIG 100ft JOIICI OF
<br />aIlMIMCIMIIII. JOBS UIDD '2,500 IN VILUI DO 101 HIED 10 RICOID lID POS' I .IDICI OF aJIIIIHCIIIDIl.
<br />
<br />
<br />~1Qft7n ~ Sl~#~~
<br />
<br />sun OF FLORIDA /J
<br />coum OF r /15 CO
<br />The foregoing instrument was acknowledged
<br />before me this It:) /7 , 19 ~S-by
<br />
<br />~ t"~8~11~ ~~ or ""8. b88
<br />
<br />pe4u\Oed
<br />as identification and who dIU/did not
<br />---<
<br />take an oath. ,~~~/
<br />(Signature)
<br />(Hame . Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />SIUB OF FLORIDI L? r
<br />COOllY OF ~I'VEaA--5
<br />The foregoing inst~ent was acknowledged
<br />before me this /0/ ~ , 19" ~by
<br />( ..
<br />6~~~~
<br />~o 1 s 11 toae or who has
<br />pred&sed
<br />as identification. and.ho....Ldid D01: .
<br />take an o~tb. K~ ~~
<br />
<br />(Signature)
<br />
<br />(Hue Typed, Printed or Stuped)
<br />HOTARY PUBLIC I
<br />
<br />
<br />KARL A. WEBB
<br />Notary Public, State 01 Florida
<br />My Comm. Expires Aug. 5. 1998
<br />No. CC2t9991
<br />
<br />. KARL A. WEBB
<br />\\ Notary Public, State 01 Florida
<br />My Comm. Expires Aug. 5. 1996
<br />. No. CC219991
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