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<br />. . CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'1'be undersigned understands that tbis pemit lilY be subject to -deed restrictions- wbich lilY be lOre restrictive than City
<br />regulations. '1'he undersigned asSUles responsibility for CCIIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired a contractor or contractors to undertake wrk, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb the mmer and contractor lilY be
<br />cited for a .isdl!lM!allor violation under state law. If tbe mmer or intended contractor are uncertain as to wbat licensing
<br />requirl!leDts lilY apply for tbe intended wort, tbey are advised to contact tbe City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtbel'lOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />.Contractor Sections- of tbis application for wbich tbey will be responsible. If JOU, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for tbe IIOrt. If tbe contractor wishes you to sign
<br />as contractor tbat lilY be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe
<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 witb a copy of -Florida's Construction Lien Law - HCIIeOIIJler's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and COnsUler Affairs. If tbe applicant is SOIeODe otber than the
<br />-owner., I certify that I have obtained a copy of tbe above described dOCUleDt and pro.ise in good faitb to deliver it to the
<br />.owner' prior to COlleDCl!leDt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe infol'liltion in tbis application is accurate and tbat all IIOrt will be done in cu.pliance witb all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a pemit to do IIOrt and installation as indicated. I certify that no IIOrt or
<br />installation bas ~ced prior to issuance of a perIIit and that all IIOrk will be perfoI'led to Het standards of all Ian
<br />regulating construction, City codes, zoning regulations, and land developElt regulations in the jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of other goveI1lleDtal agencies lilY apply to tbe intended 1IOl'1t, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not 11litec1 to:
<br />I Departlent of EnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /Wastewater '1'reatlent
<br />I Soutbvest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Healtb i Rehabilitative Services, EnviroDleDtal Healtb Unit - Wells, Wastewater '1'reatlent, Septic rants
<br />I US EnvironleDtal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A- or "A,etc.", it is understood tbat a drainage plan
<br />addressing a -COIpeJlSating volllle- will be sublitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to pemit issuance.
<br />
<br />A Perlit issued shall be construed to be a license to proceed witb the wrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a pemit prevent tbe Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit i88uec1 sball becoIe invalid
<br />unless tbe IIOrk authorized by such pemit is COIIeDced witbin six IODtbS of issuance, or if work autboriled by the pel'Iit is '
<br />suspended or abandoned for a period of six IOntbs after tbe tile tbe IIOrt is c~ced. One 90 day ateDsion of tile, lily be
<br />allowed for tbe {)emit witb fee charge of $15.00. '1'be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODtb period, or tbe project will be considerec1 abandoned.
<br />WARHIHG '1'0 lMfER: YOUR FAILURE '1'0 RECORD A NO'1'ICE OF allMDCEIIIR'1' HAY RESUL'1' IN YOUR PAYIlfG '1"IIICE FOR IIIPROVIIID!S '1'0 YOUR
<br />PROPIR'l'Y. IF YOU III'1'BIiD '1'0 OB'lIIH FIWCIlfG, CONSUL'1' WI'1'H YOUR LDDIR OR 1M A'l"l'ORDY BlF01IB RICORDIHG YOUR DICE 01
<br />COHHIIfCEHEH'l'. JOBS UNDER $2,500 Ilf VALUE DO NO'1' NEED '1'0 RECORD AND POS'1' A 'NO'1'ICE OF COMMEHCEIfEH'l'I.
<br />
<br />SIGHAflJRE: OWIfER OR AGE1ft'
<br />
<br />SIGlfA'1'URE: CON'l'RACfOR
<br />
<br />S'1'A'1'E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me t.his , 19____ by
<br />
<br />S'1'A'l'E 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 />(Hame Typed, Printed or Stamped)
<br />HOTARY PUBLIC
<br />
<br />(Hame Typed, Printed or Stamped)
<br />HOTARY PUBLIC
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