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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rhe undersigned understands tbat this pel'lit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. tbe undersigned asSUles 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 wort, they tay 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 mmer and contractor laY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />188-6611.
<br />
<br />Furthel'lOre, 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 which 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 wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to pertftting 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 AMSNDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - BOIeDWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<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, laning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
<br />installation bas c.enced prior to issuance of a pel'lit and that all wort will be perforJed to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in coapliance. Such agencies include but are not litited to:
<br />t DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater rreattent
<br />t Southwest Florida Vater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AI'IY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t Departtent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - VeIls, Wastewater Ireattent, Septic lanks
<br />t US Environaental Protection Agency - Asbestos abateaent -
<br />I also certify that, if fill taterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volute" will be subtitted wbich 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 sball issuance of a pel'lit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authoriled by such pel'lit is COllenCed within sillOnths of issuance, or if work authoriled by the pel'lit is
<br />suspended or abandoned for a period ofsil IODtbs after the tile the work is ~ced. One 90 day eltension of tite, tay be
<br />allowed for the pel'lit with fee charge of $15.00. Ibe eltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sixlODth period, or the project will be considered abandoned.
<br />WmlN'G 1'0 OWHIR: YOUR FAILURE 10 RECORD A IOIICE OF mllEJlCEllEU MAY RESULI IN' YOUR PAYIIG flfICE FOR IHPROVIHIIfS 10 YOUR
<br />PROPER'lY. IF YOU IUBliD YO OBfAIH FlIAHCIIG, CONSULI WIrB YOOR LllDIR OR AH AftORJIIY BEFORE RECORDIIG YOUR JOIICB OF
<br />COHHEHCBMEIft'. JOBS UlfDBR $2,500 II VALUE 00 101 HEED fO RECORD AHD POSI A "IOIICE OF C(JIIEIfCEMm".
<br />
<br />
<br />~t!~ SI~JfII1JI1~
<br />
<br />SIAIE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAfE OF FLORIDA
<br />coum 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 did/did 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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