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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to Ideed restrictions" wbicb lay be lOre restrictive than City
<br />regulations. tbe undersigned assUles responsibility for cOlpliance 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 wort, they lay 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 lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611. '
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections' of this application for wbicb 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 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 .Florida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone otber tban the
<br />lownerl, I certify tbat I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownerl prior to couencelent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby IiIde to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOJJenced prior to issuance of a perJit and that all wort will be perfoIJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lilY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater treatJent
<br />t Southwest Florida Water ManaqeJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />t US EnvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or NA,etc.N, it is understood that a drainage plan
<br />addressing a uCqlpensating volUJeu will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perJit issuance.
<br />
<br />A perlit issued sball 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 perJit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllellced within sfllOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOllenced. One 90 day extension of tile, lilY be
<br />allowed for tbe perJit with fee charge of $15.00. 'l'be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IODth period, or the project will be considered abandoned.
<br />WARMING fO ONNBR: YOUR FAILURE to RECORD A NOIICH OF COMMBNCBMEHI MAY RESUL'I' IN YOUR PAYING IIfICB FOR IMPROVEMBNI'S TO YOUR
<br />PROPERTY.. IF YOU IIft'BHD to OBTAIN FIKAlCING, CONSULt WI'I'H YOUR LBHDBR OR AM AnORRBY BBFORE RECORDIKG YOUR KOlICH OF
<br />COMMENCBMBN'I' . JOBS UlmER $2,500 I VALUE DO NOI NEED 10 RECORD AND POSI A uNOIICE OF COMMBNCEMBNI'u.
<br />
<br />
<br />
<br />STAfE OF FLORID~
<br />COUNTY OF f/ AS c..D
<br />The foregoing instrum~t was acknOWledged
<br />before me this ,;1..1 tb. , 19 qs- by
<br />
<br />S It-th ~~ ~ i!- / /'4 (; It III"-
<br />who is ~ ~on 11 v kno.wn:)to me or who has
<br />produced
<br />as identification and who did~
<br />
<br />~~ fJ- ~#
<br />19na ure)
<br />
<br />""'''--~''~..:.:'~4~
<br />
<br />(Name T 0 '- '., intedioA>v. iMftJIIU!d)
<br />NOTARY P \~ DI.otary Public, State of Aorida
<br />10~ /: My Comm. Exp. Aug. 20, 1999
<br />~#~.'o. Comm. No, CC 489717
<br />
<br />StA'I'E OF FLORID~
<br />COUNTY OF r I ;J Il:. LA../1'!5
<br />The foregoing instrument was acknowledged
<br />before me this ;2 <)"'7"r/ , 19~ by
<br />
<br />(C./~
<br />who is ers
<br />produced
<br />as identification d who did/did not
<br />
<br />take~~//~C ~
<br />
<br />(Signature) ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />~
<br />
<br />~.I. CAUDELL
<br />or FIorfd8
<br />UyColCommmm. EllD. Dec. 8, 1998
<br />. , Cc 424830
<br />
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