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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pertit lay be subject to .deed restrictions. wbich laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance 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 lisdl!lleanor violation under state law. If the ower 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 DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections. of this application for wbicb 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 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 - HOIeOIfIler's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is SOJH!one other than the
<br />.owner., I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"ownerD prior to cOllencelent.
<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 developleDt.
<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 bas COIIenced prior to issuance of a perlit and that all work will be perfoIled to l8et standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agenCies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc. n, it is understood that a drainage plan
<br />addressing a uCOlpensating volUleu will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 perlit 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 cOllBnced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day l!Itension of tile, lay be
<br />allowed for the pertit with fee cbarge of $15.00. The 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 />WAIUHNG '1'0 0WlfER: YOUR FAILURE TO RECORD A IOTlCE OF COMHDCBMIIf MAY RESULT II YOUR PAYIIG !VICE FOR IMPROVEIIDIS TO YOUR
<br />PROPERTY. IF YOU IIfEID TO OBTAIH FIIWJCIIG, CO!fSULT WITH YOUR LEIDER OR All AnOmY BEFORE RE.CORDIHG YOUR NOTICE OF
<br />COMMEICEMEIf. JOBS UWER $2,500 II VALUE 00 !fOT REED TO RECORD AIfD POST A .HOTICE OF COMMENCEMEIfT".
<br />
<br />SIG!fATURE: OWIIJlR OR AGm
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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 o~th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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