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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 restrictlonsW whicb lay be lOre restrictive than City <br />regulations. The undersigned ass~es responsibility for co.pllance with any applicable'deed restrictions. . <br /> <br />l <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 />slale and local regulations. If the contractor ls not licensed as reguired by la., both tbe owner and' contracto~ laJ be <br />cited for a lisdeaeanor violation under state law. If the ONDer or Intended contractor are uncertain as to what -lIcensing <br />reguireaents lay apply Cor the intended work, they are advised to contact tbe City of ZepbJrbills Building Departlent, (813) <br />780-6611. <br /> <br />FurlheClore, if lhe Ollner has hired a conlraclor or contractors, be Is advised to have the contractor(s) sign portions of the <br />"Conlraclor Seclions" of this "applicatlon for which Lhey wUI be responsible. If you, as the owner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible Cor the work. If the contractor wishes 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 />Cily of Zephyrhllls. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN LAW (CII...APTER 713, FLORIDA STATUTES" 'AS AMENDED) <br />I certify that I, the applicant, have been provided kith a copy of wFlorida's Construction Lien Law - ROIeOWDer'. Protection <br />Guide" prepared by the Florida DepartJent of Agriculture and Consuler Affairs. If the applicant 18 sOleone other than the <br />"ownerW, I certify Lhat I have obtained a copy of the above described doculent and prOlise In good faith to deliver It to the <br />"owner" prior to cOllenceaent. <br /> <br />E. ~ONTIU\CTOR' S/OWNEn' S AFFIDAVl'l' <br />1 cerlify lhat all the inCor.atlon in this application is accurate and that all work will be done in COIpliance with all <br />applicable laws regulating construction, loning, and land developlent. <br /> <br />Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certlf, that no work or <br />installation has co..enced prior to Issuance of a perlit and that all work will be perforlea to leet standards of all laws <br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. 1 allo <br />certify that I understand that the regulations of other goverDlental agenciel laJ Ippl, to the intended work, and that it Is <br />.y responsibility to identify what actions I lust take to be in cOlpllanee. Such agencies include but are not 11.lted to: <br />. Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Bnvironlentalir 8ensitive Lands, <br />, WaterfNaste.ater !reatlent <br />. Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses <br />. ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways <br />. De~rtlent of Health , Rehabilitative Services, InvirORlental Health Unit - Wells, Vaste.ater !reallent, Septic Tanks <br />. US RnviroDlental Protection Agency - Asbestos abateaent <br />I also certify that, if fIll laterial is to be used in Flood Zone "AW or "A,etc.w, It is understood that a drainage plan <br />addressing a "co,peusatiny volUle" lIill be &lib.Itted iiliicb is prepared hi a pHlfa3siom:l 2::g!1l~!!r regi!lter!!d !n the State of <br />Florida prior to perlit issuance. <br /> <br />A perlit issued shall be construed to be a license to proceed wilb the work and not as authority to ,lolate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter <br />requiring a correction of errors in plans, construction, or violations of anJ code. Ivery perllt ilsued sball beCOle Invalid <br />unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or If work authorlled bJ the'perllt is <br />suspended or abandoned for a period of lix IOntha after tbe tile the work is cOllenced. One 90 da, utenslon of tile, laJ be <br />allowed C~r the perlit with fee charge of $15.00. The extension sball be reguested In writing to the Building Official. An <br />approved Inspection lust be logged during each 8i. IOnth period, or the project will be considered abandoned. <br />WARNING TO OWNER: YOUR FAILURE TO RICORD A 10TlCE OF C(JfIfBICKHBNT MY RESULT II YOUR PAYING Y1IICl FOR IlfPROVlIIBlTS fO YOUR <br />PROPERTY. IF YOU IIlTRHD TO OBTAII FINAIlCIIlG, COIBULT WITH YOUR LBHDER OR All AnORRBY BIiFORI RRCORDIIfG YOUR IOTICI OF <br />COHHENCE"!NT. JOBS UNDER '2,500 IN VALUE DO lOT NEED TO RICORD AND POST A 'NOTICB OF COHHBNCEKBNTi. <br /> <br />-.-1 <br />V~~Q~v- <br />SIGNIITURK: OWHKR OR AGK <br /> <br />~#A~ <br />IlATURE: COlI MOOR <br /> <br /> <br />STATK OF FLORIDA <br />coum OF <br />The foregoing instrument was acknowledged <br />before me this '/ - 9 ' 19 ~ by <br />H {r H-M L . 1-1,cJ f.JL-A--lf <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />ta n olJtb. <br /> <br /> <br />SHIRLEY I. JOHNSON <br />Notary Public, Mecosta County, MI <br />My Comm. Expires Jan. 12, 1999 <br /> <br />Nor. CHERYL NOWlNS~ <br />~y PUBUC STATE OF FLORID4 <br />MMISSION NO. CC~S4717' - <br />_ ~ONEXP.MAY17,1999 <br /> <br />~" <br /> <br />I <br />