<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to .deed restrictions" whicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUJes responsibility for COIpliance 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 tay 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 lilY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents tay apply for the intended IOrk, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />DContractor Sections" of this application for which 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 IOrk. If the contractor wishes you to sign
<br />as contractor that tay be an indication that he is not properly licensed and is not entitled to pertitting 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 that I, the applicant, bave been provided with a copy of DFlorida's Construction Lien Law - BOIIl!OWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture .and ConsUJer Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I have ohtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to coaenCetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IOrk or
<br />installation has cDllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llt!Jltal agencies lilY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not litited to:
<br />* DepartJent of EnviroDJental Regulation - Cypress Baybeads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US Environtental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AD or "A,etc.D, it is understood tbat a drainage plan
<br />addressing a DcOJpensating volute" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe 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 frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if IOrk authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the IOrk is coaenced. One 90 day extension of tite, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARKING TO omR: YOUR FAILURE TO RECORD A NOTICE OF COIlMERCEIlBIIT MAY RESULT IN YOUR PAYING nICE FOR IMPROVIMmS TO YOUR
<br />PROPERTY. IF YOU III1'BND TO OB'fAIH. FIHAIICING, COHSULt WItH YOOR LENDER OR 1H AnORRBY BBFORE RECORDIHG YOUR HO'IICB OF
<br />COMKENCEMBIIT. JOBS UNDER $2,500 IN VALUE 00 NO'I NBBD TO RECORD AND POST A UN ICE 0 COMMBNCBMmH.
<br />
<br />
<br />~fe~ ~,
<br />I AT II: R OR ICE
<br />
<br />STArE OF FLORIDA ~
<br />COUlft'Y OF -YA-?e:o
<br />The foregoing ins~ent was acknowledged
<br />before me this -4 ll~ , 19~ by
<br />
<br />~t""-.e.s. u.. '\ uJod.d~~
<br />who is personally known to me 0 who has
<br />produced U~('( ~ 0l13-J8 - Odgtf m. \;~~
<br />as identification and w 0 did/did not
<br />ta n oath..
<br />
<br />srArE OF FLORIDA ~
<br />COUNTY OF ~-A5C~
<br />The foregoing ins~ent was acknowledged
<br />before me this Cl, 19~ by
<br />
<br />, Rio McCarty
<br />who is personally known to me S1" was baa-
<br />predtlc::ed
<br />as identification
<br />take an a
<br />
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTAR JUDITH L.. SCHAPER
<br />Notary Public. :;tate of Florida
<br />My ComIT' Exp. June 6. 1997
<br />No, CC '292357
<br />
<br />
<br />
<br />J ITH. SCHAPER
<br />Notary Public. State of Florida
<br />My Comm. Exp. June 6. 1997
<br />No. CC '292357
<br />
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