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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assuaes 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 lisdeteanor violation under state law.. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents lay apply for the intended work,' tft~~r~dvised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611. ,. .f' ~
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<br />
<br />Furtherlore, if the owner has' a ctor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections. 0 ,reation for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicati., father than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as co~t..r. a ..9f~..., ," ay bgari' indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City.o.' bfifiTlls. /
<br />\\';,t"
<br />~C" TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"owner" prior to' coaenCeBIent.
<br />
<br />(
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<br />E. CONTRACWOR'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 witb all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />f!'
<br />Application is 'hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />in8tallat,10n has couenced prior to issuance of a perlit and that all work will be perfoaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certi~~that I understand that the regulations of other govefDIental agencies lay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroOlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />· US EnviroOlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a ucolpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
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<br />A perlit issued shall 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 shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six aonths after the tile the work is couenced. One 90 day extension of tite, JaY be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six aontb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCKHENT KAY RESULT IN YOUR PAYING twICE FOR IHPROVHMHKrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COBSULT WITH YOUR LINDER OR All AnOMEY BEFORE RECORDING YOUR NO'llCH OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCHHKHI".
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<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 />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 oath.
<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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