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<br />.',' .' CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pemit lay be subject to -deed restrictions- "bich lay be lOre restrictive than City
<br />regulations. fhe undersigned assDles responsibility for COIpliance "ith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by la", both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state la". If the owner 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 bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for "hich they "ill 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 wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to pemitting 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, have been provided "ith a copy of IFlorida's Construction Lien La" - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslmer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable la"s regulating construction, loning, and land developlent.
<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 perlit and that all "ork "ill be perfolled to leet standards of all la"s
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJeDtal agenCies laY apply to the intended work, and that it is
<br />IY responsibility to identify "bat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDJenta1 Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDta11y Sensitive Lands,
<br />Water/Wastewater freatlent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Amy Corps of Engineers - Sea"alls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />* US EnvirODJeDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill lateria1 is to be used in Flood Zone "AD or lA, etc. ", it is understood that a drainage plan
<br />addressing a .cQlpensating vollme" "ill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the "ork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a pemit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless tbe work authorized by such perlit is COll8Dced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day extension of tile, laY be
<br />allowed for tbe pemit with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approvecl inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEMBNT MAY RESULT IN YOUR PAYING "'ICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY,. IF YOU INTEND fO OBTAIN FIMAM'CIMG, COMSULT WITH YOUR LENDER OR AM' AftORNEY BEFORE RECORDIMG YOUR MOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMBNCEMENT".
<br />
<br />SIGHAfURE: OWIIRR OR AGENT
<br />
<br />SIGHATURE: COlllRACfOR
<br />
<br />STATE OF FLORIDA
<br />COUlfJ'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAlE 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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