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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this pemit lay be subject to "deed restrictions" wbich 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 bas 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 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 the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if tbe owner bas bired a contractor or contractors, be 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, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 - HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne otber than the
<br />.mmer", I certify that I have obtained a copy of the above described dOCUlent and prOlise in good faith to deliver it to the
<br />"mmer" prior to cOllenceJent.
<br />
<br />i,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a pemit and that all work will be perfolled 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 govlll1llental agencies laY apply to the intended IIOrt, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic ranks
<br />* US EnviroDleDtal Protection Agency - Asbestos abateJeDt
<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 volUle" will be subJitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit. issuance.
<br />
<br />A perJit 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 pemit issued shall beODJe invalid
<br />unless the IIOrk authorized by such pemit is couenced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tiE the work is cOllenced. One 90 day I!Itension of t~, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe I!Itension 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 />WARJUNG TO 0WliER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIMINTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAHl FHIAlfCING, CONSULT WITH YOUR LENDER OR AI ATraUEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEHBNT. JOBS UHDER $2,500 IN VALU~ DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />~ ~ nvtv/
<br />SIGNATURI: OWNER OR AGENT '
<br />
<br />. /-------------, / ,/ I'
<br />I / (~ - ,( /,' ,'..---,.." --___
<br />~ S~~ CONTRACtOR
<br />..",..~.. Nancy A. Moody
<br />/~ l'"'f-.. MY cotIMSSION' CC5348lB EXPIRES
<br />:*1:~ FebnJaIY 21 2000
<br />1IOIlllEI'MIl 'TllO'I'W 1NSlIIWlCE. IN!:,
<br />
<br />/-;'
<br />
<br />STATE OF FLOR~
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />before me this 9 - /~ , 19 f!..iL by
<br />
<br />~dY\.
<br />who is known to me or who has
<br />produc
<br />as identification and who did/did not
<br />take an oa~~ 0, >>1~4
<br />
<br />(Signature) AI ~ ~ if /
<br />I k' a h c. v Q. /1 ~ .tJ <i. V
<br />(Name Typed, Printed(or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLOR!!>.A)
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledged
<br />before me this 9 - / b , 19 Y 6 by
<br />
<br />~
<br />
<br />
<br />
<br />or who has
<br />
<br />who i
<br />produ
<br />as identification and who did/did not
<br />
<br />take an ~ J11 d24
<br />(Signature~~' H 'J
<br />01 Yl. c v A. CJ !) , L/
<br />(Name Typed, Printed or Stamped) I
<br />NOTARY PUBLIC
<br />
<br />J-'~"'U"'~ Nancy A. t.tJody
<br />
<br />:~r'~~~ Mf COttMSSION' CC5348lI6 EXPIRES
<br />-: ~ : : FebIuluy 21 2000
<br />~~:UlAl - BONDED 11RJ 'TllO'I'AW INSURANCE. IN'
<br />'IIfnl~
<br />
<br />\"1';f..~:'f~".. Nancy A. M
<br />{::f'~'~~ MY COMMISSION # IT:.
<br />~'~'~i February;;'
<br />..'f"Rf.'t.-,~: BONDED THRU TROY Fi,'
<br />
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