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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit lay be subject to Bdeed restrictions" wbicb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
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<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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />188-6611.
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<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. 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 laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbills.
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<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, bave been provided with a copy of uFlorida's Construction Lien Law - HCIIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consl1ler Affairs. If the applicant is sOIIeane 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 />"owner" prior to COIl81lC8lent.
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<br />E. CONTRACTOR'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 with all
<br />applicable laws regulating construction, zoning, and land developent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pemit and that all work will be perfoIJed to .eet 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 goveIDIeDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />i DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />i Southwest Florida Water Hanag8lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />i Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />i DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />i US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AU or "A,etc.., it is understood that a drainage plan
<br />addressing a .cOfpensating VOlUleR will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pemit 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 perJit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becOle invalid
<br />unless the work authorized by sucb pemit is cODenced 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 tile the work is cllMenced. One 90 day extension of tile, laY 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIft' MAY RESULf IN YOUR PAYING 'l'WICE FOR IHPROVEMEIft'S '1'0 YOUR
<br />PROPERTY. IF YOU IIft'BIfD TO OBfJUN FIIWICING, CONSULf WITH YOUR LBlfDER OR AM Anomy BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHElfT. JOBS UffDER $2,500 IN VALUE 00 NOT NEED TO RECORD AKD POSf A uNOTICE OF COHHDCEMEIft'n.
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<br />SIGKAfURE:' OIUfER OR AGE1ft'
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<br />&~
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<br />SIGNAfURE: COIft'IlACTOR
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<br />Sf ATE OF FLORIDA
<br />
<br />SfAfE OF FLORIDA
<br />COUN'l'Y OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />has who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
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<br />
<br />( ignature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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