<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 />
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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 />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
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