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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. fbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,
<br />If tbe owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance ~th
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />regoirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has 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, ratber tban 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 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 with a copy of 'Florida's Construction Lien Law - HOIeOIIJler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsllleI' Affairs. If the applicant is sOJleOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJellt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllellcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developleJlt.
<br />
<br />Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a perait and that all work will be perfoIled to Jeet 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 governaental agenCies JaY 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 lilited to:
<br />t DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater freablent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparblent of Health & Rebabilitative Services, EnvirOllll!lltal Health Unit - Wells, Wastewater freablent, Septic fanks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateJeDt
<br />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
<br />addressing a uCQlpensating volDle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
<br />unless tbe work authorized by sucb perait is cOllBnced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tDe the work is COIIenced. One 90 day extension of tDe, JaY be
<br />allowed for the perJit 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 six IODth period, or the project will be considered abandoned.
<br />WARlHNG TO OWNER: YOUR FAILURE !O RECORD A NO'I'ICE OF COMMENCEMEIft' HAY RESUL! IN YOUR PAYING !VICE FOR IMPROVEHmS !O YOUR
<br />PROPERfY. IF YOU IIft'EHD !O OB!Allf FllfAlfCllfG, CONSUL! NUB YOUR LEHDIR OR AIf AftORDY BEFORE RECORDllfG YOUR IfO'flCE OF
<br />NC . JOBS UNDER $2,500 IN DO NO'I' NEED TO RECORD AIfD POS! A "NO! OF COMMBIfCEHBIft'''.
<br />
<br />
<br />
<br />STATE OF FLORIDA ':0
<br />COOIft'Y OF T A s Q, 0
<br />The foregoing instrument was acknowledged
<br />before me thi.~ <9.) , 19 9~ by
<br />
<br />yo I1A A <-
<br />who is personally known to e or who has
<br />produced K I\J" w 1\
<br />as identification and who did/did
<br />ta an 0
<br />
<br />S!AD: OF FLORIDA ()
<br />COUN'fY OF iA S <LO
<br />The foregoing "nstrument was acknowledged
<br />before me this ~7, 19~5- by
<br />
<br />
<br />
<br />
<br />
<br />tVA
<br />wHo is personally known who has
<br />produced J ~ 0 w Ai
<br />as identifica "on and who did/did not
<br />an
<br />
<br />LINDA JEANNETTE NEWSOME
<br />MY COMMISSION' CC 482467
<br />EXPIRES: July 20. 1999
<br />Bonded TlIR1 Nolary PublIc UndeIwIItIII
<br />
<br />"'l'iA\~,, LINDA JEANNETTE NEWSOME
<br />,~'" :'>1!-
<br />i.i ~:. MY COMMISSION' CC 482467
<br />~ . - EXPIRES: July 20. 1999
<br />". Bonded ThnI Nolary PublIc UncIeIwIll8ra
<br />
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