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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired 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 lay be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which 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 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, have been provided with a copy of "Florida's Construction Lien Law _ H_owner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleDne other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couenceaent.
<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 developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a perait and that all work will be perf oIled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJeDtal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rphabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />t US EnviroDlental 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 volllle" will be subJlitted wbich is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perlit. 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 pertit 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 perait is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day l!Itension of tile, lay be
<br />allowed for the pertit 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 />WARlfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHElft' HAY RESULT IN YOUR PAYING nICE FOR IHPROVEIIENTS TO YOUR
<br />PROPERTY. IF YOU ImHD TO OBTAIN FINANCING, CONSULT WITH YOUR LEJlDER OR AN AnORREY BEFORE RECORDIHG YOUR HOfICB OF
<br />COMMENCEMENT. JOBS UJlDER $2,500 IN VALUE DO NOf NEED TO RECORD AND POST A "NO'l'ICE OF COMMENCEMENt".
<br />
<br />
<br />~~~ ~~.
<br />SIGNAtURE: OWNER OR AGENt . SIGlfA RE: c~~cm tXJ
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF 0....5 C. 0
<br />The foregoing instrument was acknowledged
<br />before me this ACJ v.s1' IS-, 19 qb by
<br />
<br />60b \:D 6J.d
<br />~is personally known to ~ or who has
<br />produced
<br />as identification
<br />take n oath:-
<br />
<br />(Si9l!ature)
<br />'1)~t'\.~~~, J.t/~f'"I~c.h.5
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLORIDA P
<br />COUMTY OF aJ ~ C>
<br />The foregoing instrument was acknowledged
<br />before me this AU vyt /~fo", 19~ by
<br />
<br />C~c...v {~ Po ~l(t...
<br />~is personally known to m~r who has
<br />proauced
<br />as identification and who ~did not
<br />take~ .q<T~
<br />
<br />(Signature) 8
<br />S)~Y\~'t... \f. H,."V"\'c..h5
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />""V I'IJ
<br />"<:'"\n8<1:o DENEE J HINRICHS
<br />*. My Comminlon cec..Q109
<br />* ExpiresMar.28,l9Q9
<br />~ ~~ Bonded by HAl
<br />~ Of f~II" 800-422-1555
<br />
<br />"l\V I'IJ
<br />..<:'''n8<1:o DENEE J HINRICHS
<br />*W* My~,........,. CC44e1Ost
<br />Expir.. Mar. 28, 1999
<br />~;. ~... BondedbYHAI
<br />~ Of f\'O" 800-422.1555
<br />
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