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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned' understands that this perJit lay be subject to "deed restrictions" wbich JaY be tore restrictive tban City
<br />regulations. rbe undersigned assOles responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave tbe 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, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that aay be an indication that be is not properly licensed and is not entitled to perJitting 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 tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - Hoteowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsDler Affairs. If the applicant is soaeone otber than the
<br />.owner", I certify that I bave obtained a copy of the above described docuaent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 COIIenced prior to issuance of a perlit and that all work will be perforaed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies tay apply to the intended work, and that it is
<br />If responsi~ility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not litited to:
<br />* Departtent of Environaental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Vastewater TreatJent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />It ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />It DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />It US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .co.pensating volute" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perJit 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 sball issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball becote invalid
<br />unless tbe work authorized by such pertit is cOJJenced within six IOnths of issuance, or if work autborizedby the perJit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is C08I!JIced. One 90 day extension of tite, tay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six tonth period, or the project will be considered abandoned.
<br />WARMING TO 0VlfER: YOUR FAILURE TO RECORD A NOflCE OF COHMEIICEHEIft' MAY RESULT IN YOUR PAYING !VICE FOR IHPROVEMEIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'END TO OBTAIN FINANCING, CONSULT WITH YOUR LEMD An BEFORE RECORDING YOUR NOflCE OF
<br />COMHENCEMEN1'. JOBS UNDER $2,500 IN VALUE 00 NOf NEED TO RECORD POST A. CE CEHm"
<br />
<br />SIGNArURE: OWNER OR AGE1ft'
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />srATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me Qr 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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