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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to Ideed restrictions" wbich laY be lOre restrictive than City
<br />regulations. The undersigned assOles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, 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 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections I 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 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 perlitting 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 IFlorida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is sOleOne other tban the
<br />lowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />1I00mer" prior to couenCl!lellt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT "
<br />I certify that all tbe inforaation in this application is accurate and that all work will" be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developent.
<br />
<br />Application is bereby lade 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 perlit and that all work will be perfolled to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverJlleDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfVastewater Treatlent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnvirODleDtal Protection Agency - Asbestos abatelent ,
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.l, it is understood that a drainage plan
<br />addressing a "c~pensating volOlell will be sublitted 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 tbe 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 perlit issued shall becOle invalid
<br />unless tbe work autborized by such perlit is COllellCed within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tHe the work is coaenced. One 90 day I!Jtension of tHe, laY be
<br />allowed for the perlit with fee cbarge of $15.00. Tbe I!Jtension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARHIHG TO OWHHR: YOUR FAILURE TO RECORD A NOTICE OFCOIlMDCEJIEMT MAY RESULT II YOUR PAYING TIIICE FOR IMPROVE1101'S TO YOUR
<br />PROPERTY. IF YOU IJlJEND TO OBTAIN FIIfANCIRG, COISULT WItH YOUR LDDIR OR 11 AftORDY BlFORB RECORDING YOUR IIO'IICE OF
<br />COMMENCEMEJIJ. JOBS ORDER $2,500 IN VALUE DO lOT HIED TO RECORD AND POST A 'NOTICE OF C(JfMDCEMm".
<br />
<br />SIGIfATURE: OWIfER OR.AGElft'
<br />
<br />SIGIfATURE: COIfTRACTOR
<br />
<br />srATE OF FLORIDA
<br />COUIfTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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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