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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF nEED RESTRICTIONS
<br />The undersigned understands tbat this pertit lay be subject to -deed restrictions- wbich laY be lOre restrictive than City
<br />regulations. fhe undersigned asSDleS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />s~ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />ci~ for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections- of this application for wbichthey will beresponsible. 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 wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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 - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeOne other than the
<br />.owner", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaenceleDt.
<br />
<br />E. CONTRACTOR' S/OWNER 'S AFFIDAVIT .
<br />I certify tbat all the inforlation in this application is accurate and 'that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a perlit and that all work will be perforted to leet 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 govlU1llental agencies laY 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 lillited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Ifater /Wastewater freatlent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arly Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />t US EnvirODlental Protection Agency - Asbestos abateleDt .
<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 .cDlpeDsating volUleR 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 pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is ~ced. One 90 day extension of till!, laY be
<br />allowed for the pertit with fee charge of $15.00. fbe extension shall 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 />WADING fO OWHER: YOUR FAILURE fO RECORD A MOfICE OF COMMDCEMlN'f MAY RESULf 1M YOUR PAYIMG fiICE FOR IMPROVEMEN'fS fO YOUR
<br />PROPERfY. IP YOU IN'fElm YO OMAIM FIWCIMG, COMSULf WITH YOOR LBlfDER OR AIf AnOBlfEY BEFORE RECORDIMG YOUR MorICI OF
<br />COMMEMCEMElft'. JOBS UlfDER $2,500 1M VALUE DO MOf IfEED fO RECORD AND POSf A .MOfICE OF COMMDCiMEN'f..
<br />
<br />SIGlfAtURE: OWIIER OR AGEN'f
<br />
<br />SIGlfATURE: CON'fRACYOR
<br />
<br />Sf ATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this ___..__' 19__ by
<br />
<br />SfAfE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who didldid not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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