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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands that this perait lay be subject to "deed restrictions" wbich Jay be lOre restrictive than City
<br />regulations. 'I'be undersigned assutes responsibility for coapliance with I any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owDer has bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbichthey 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 wisbes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to peraitting 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 - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUter Affairs. If the applicant is SOIeOne other than the
<br />'owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />Downer" prior to cOllBDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a pertit and that all work will be perforaed to teet 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 governaental agencies tay apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* Departtent of Health & Qebabilitative Services; Environaental Health Unit - Wells, Wastewater 'I'reattent, Septic 'I'anks
<br />t US Environaental Protection Agency - Asbestos abateaent
<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 .cOlpensating voluteD will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida ~rior to pertit. issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the work 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 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 perlit is COIIBDced within sillOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of silaontbs after the tite the work is COIIBDced. One 90 day extension of Ute, JaY be
<br />allowed for the perait with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six aonth period, or the project will be considered abandoned.
<br />WARKING '1'0 omR: YOUR FAILURB '1'0 RECORD A KO'I'ICE OF COHMDCEMm HAY RESULT IK YOUR PAYIKG !VICE FOR IHPROVBIIEH'l'S '1'0 YOUR
<br />PROPERTY. IF YOU IMlEKD TO OBTIIK FINAHCIKG, COKSUL'I' WIfH YOUR LBHDER OR AK A'l"l'ORKEY BBFORBRBCORDIKG YOUR KO'I'ICB OF
<br />cOHHEKCEHEK'l' . JOBS ORDER $2,500 IN VALUE DO KO'I' NEED TO RBCORD AND POST A "KO'l'IcE OF cOMMEKCBMEMI".
<br />
<br />SIGKATURE: OWIIER OR AGEK'l'
<br />
<br />SI GKATURE: cOK'l'RAC'l'OR
<br />
<br />S!ATE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />--
<br />
<br />STATE OF FLORIDA
<br />coum 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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