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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdgeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing require.ents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherllOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbich they will be responsible. If you, as the mmer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for tbe work. If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been prOVided with a copy of 'Florida's Construction Lien Law - HOEOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJll!One other than the "mmer", I certify that I bave obtained a copy of the above described dOCUJeDt and pro.ise in good faith to deliver it to the "owner" prior to cOMence.ent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced prior to issuance of a peIlit and that all work will be perfolled to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJeDtal agencies laY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lUst take to be in colpliance. Sucb agencies include but are not lilited to: * DepartJent of KnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent * Soutbwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirOD8eDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Environlental Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone "AI or "A, etc. " , it is understood that a drainage plan addressing a 'c~pensating volUle' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued sball be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless tbe work authorized by sucb peIlit is cOlleDced within six IIOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be allowed for the peIlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each sixlOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIn' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIIBII'I'S TO YOUR PROPERTY. IF YOU III'I'EW TO OBTAIJf FIJfAJfCING, COJfSULT WITH YOUR LENDER OR AN AnoRREY BEFORE RECORDIRG YOUR RO'fICE OF COMMENC JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD A II ICE OF COMMENCEMEII'I'". STATE OF FLORI~ COUN'l'Y OF ~ ..!1Jl ty---- The foregoing init~ent was acknowledged before me this f :;)- , 19~ by Rio McCarty who is personally known to me or who has produced. as identification and who take an 0 STATE OF FLORID~ coum OF ()-" The foregoing inst~ent was acknowledged before me this I {J~ , 19 <75 by Ale McCarty who is personally known to me OL ..ho has ~OdUl;~d as identification ta oath~ (Signature ~o te of FIorlda My Comm. Exp. June 6. 1997 No. CC 292357