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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peClit lay be subject to .deed restrictions" whicb Jay be lOre restrictive tban City
<br />regulations. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for tbe intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections" of this application for wbich tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to pe~itting 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 certifytbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOJeowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOleone otber tban the
<br />.owneru, I certify tbat I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />.owneru prior to COJJeDceJent.
<br />
<br />E. CONTRACTOR I'S/OWNER I S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable lalfs regulating construction, zoning, and land developaent. '
<br />
<br />Application is hereby lade to obtain a perlit to do Ifork and installation as indicated. I certify that no work or
<br />installation bas COIIenced prior to issuance of a perlit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand tbat the regulations of other goveIDIental agenCies lay apply to tbe intended work, and tbat it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater treatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health' Rebabilitative Services, EnvironJental Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US InvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone uA. or "A,etc.., it is understood tbat a drainage plan
<br />addressing a ucolpensating volllleu will 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 shall be construed to be a license to proceed with the Ifork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOle invalid
<br />unless tbe work authorized by such perlit is cOll8nced witbin six IOnths of issuance, or if Ifork autborized by the per.it is
<br />suspended or abandoned for a period of six IOntbs after tbe tile the work is cOllenced. One 90 day extension of tOe, laY be
<br />allowed for the per~jt with fee charge of $15.00. Tbe extension sball be requested in Ifriting to the Building Official. An
<br />approved inspection lust be logged during eacb six IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OIllfER: YOUR FAILURE TO RECORD A NOTICE OF COIlHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ATTORNBY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUB DO NOT NEED '1'0 RECORD AND POST A uNOTICE OF COHHBNCKHENT".
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />~u vv\. \b~
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF F~IDA
<br />COUNTY OF mSQ D
<br />The foregoing instrument was acknowledged
<br />before me this f~o.f~, 19~ by
<br />
<br />k!usS'e II 171- Brow~
<br />who is personally known to me or who has
<br />produced FlJdi..:1f BU-O-73s-5d-37/-0
<br />as identification and who did/did not
<br />~~
<br />~re) ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,'-r..~~'" .....l. MURPHY
<br />1~11.'- '.,y _~I,',~ cc A""'1""
<br />=.: ~.,;:.:." "^"""""'.O'l'.t...-l, '"IUU QUI
<br />~. ~.. EXPIRES i;M, n.1999
<br />~ .... ~ Ilonded TIIIu HulIIy PubIID lhInIIlIIlI
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