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<br />CONDITIONS OF PERMIT AFFIDAVIT. . . . .
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait laY be subject to Rdeed restrictions. wbich laY be lOre restrictive than City
<br />regulations. Tbe undersigned assuaes responsibility for cOlpliance 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 .ay 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 laY be
<br />cited for a .isdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />RContractor 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 perJitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HOIl!OWIler's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other tban the
<br />Rowner., I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"ownerR prior to coaencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perait 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 that the regulations of other governJeDtal agenCies laY apply to the intended wort, and that it is
<br />ay responsibjlity to identify what actions I .ust take to be in co.pliance. Such agencies include but are not liaited to:
<br />t Departaent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />WaterfVastewater TreatJent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departaent of Health & ~ebabilitative Services; Bnvironaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "AR or "A, etc. n, it is understood that a drainage plan
<br />addressing a .cOlpensating voluae" will be sub.itted wbich is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perait. issuance.
<br />
<br />A perait issued sball 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 tbe technical codes, nor sball issuance of a perait prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becoae invalid
<br />unless the work authorized by such perait is cODenced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOntbs after the tiae the work is coaaenced. One 90 day eltension of tiae, laY be
<br />allowed for the pera~.t with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection aust be logged during eacb sil IOnth period, or the project will be considered abandoned.
<br />NARNING fO ER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEllBNT HAY RESULT IN YOUR PAYING !lUCE FOR IMPJIOVBIIEIfS TO YOUR
<br />PROPERTY. IF, YOU INTEND TO OB'l'AIH FIHAIICIHG, COHSULT WITH YOUR LODER OR All AnoRNBY BEFORE RECORDIHG YOUR HOTICB OF
<br />COMMENC HT J JOBS UNDER $ , 00 IN VALUE 00 NOT D TO RECORD AlID POST A "NO'l'ICE OF COMMEHCBHBIiT".
<br />I
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<br />
<br />SIGHATURE: CONfRACfOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19 by
<br />---
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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