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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. Tbe undersigned understands that this perait lay be subject to Ddeed restrictions I which tay be lOre restrictive than City
<br />regulations. !he undersigned assutes responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, they tay 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 tay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />IContractor Sections I 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 wisbes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to pertitting 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 IFlorida's Construction Lien Law - lbIeowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is sOleODe 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 />"owner" prior to cOlleDceaent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and. land developaent.
<br />
<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIenced prior to issuance of a pertit and that all work will be perforaed 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 tal apply to the intended work, and that it is
<br />ty responsibJlity to identify wbat actions I lUst take to be in cotpliance. Such agencies include but are not litited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />* Departtent of Health & ~ehabilitative ServiCes; Bnvironaental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood that a drainage plan
<br />addressing a ICOlpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. issuance.
<br />
<br />A perait 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 tbe technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the work authorized by such pert it is COIteIlced within sillOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of Sil IOntbs after the tite the work is C08l!J1ced. One 90 day extension of tite, tay be
<br />allowed for the pert~.twith fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARKING TO 0WlfER: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF COMIIElfCEHlKT HAY RESUL'I' IN YOUR PAYIKG !VICE FOR IMPROVEIIEMlS TO YOUR
<br />PROPERTY. IF YOU IMlEKD '1'0 OB'l'AIK FINAHCIKG, COKSUL'I' 1f1'l'H YOUR LBHDER OR AK A'l"l'ORKEY BEFORE RECORDIKG YOUR DICE OF
<br />COHMENCEHElfl'. JOBS UKDER $2,500 IN VALUE DO KO'I' ffEED !O RECORD AND POST A "KO'I'ICE OF C(JOIDCEMm'.
<br />
<br />SIGHA'l'URE: OWIIER OR AGEKT
<br />
<br />SIGKA'I'URE: cOKTRAC'I'OR
<br />
<br />STATE OF FLORIDA
<br />COUMIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />----
<br />
<br />S!A'I'E 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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