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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" ~iob lay be lOre restrictive tban City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with 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 with
<br />state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor tay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhills.
<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 with a copy of 'Florida's Construction Lien Law - HOIeOlOler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
<br />.owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOIlenCetent.
<br />
<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 witb all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 has cOllenced prior to issuance of a peIlit and that all work will be perfolled to leet 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 governaental agencies tay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Healtb & 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 "A" or "A, etc. ", it is understood that a drainage plan
<br />addressing a uCOlpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit. 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authorized by such peIlit is cOllenced 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 lfOrk is coaenced. One 90 day extension of tite, tay be
<br />allowed for the peIlit with fee charge of $15.00. The extension shall 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 />WARKING TO OIiNER: YOUR FAILURE TO RECORD A NOTICE OF COHMERCEMEH'r MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBIft'S TO YOUR
<br />PROPERTY. IF YOU IH'rEND TO OBTAIN FlHANCING, CONSULT WITH YOUR LENDER OR AM AnOIUlEY BEFORE RECORDING YOUR IIOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMERCEMEIIT".
<br />
<br />
<br />A ~
<br />;ii;4Jv:p . .... ~
<br />BlOOm: OIIIIIR OR - iIIT -
<br />
<br />SIGIIATURB: COH'rRACTOR
<br />
<br />STATE OF FLORI~
<br />coum OF fA)(" c
<br />The foregoing instrument was aCknowledged
<br />before me thisJZrV</o , 19~ by
<br />
<br />-:;;':,4~ f) ~ jJ /"2 L L
<br />who is pe sonally known to me or who has
<br />produced
<br />as i tification and who did/did not
<br />ta --~ ,/ /' /'/'7
<br />- ?~i? (J bn!!k~1fC,/
<br />(Signatur
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19 by
<br />
<br />. '\
<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 />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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