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<br />CONDITIONS OF cERMIT AF~IDAVJY
<br />A.. NOTICE-OF D~ED RESTRICTIONS
<br />Th. und~nignid understa~s that this penH 'lilY be subject to "deed restrictions. which lilY be lore restrictive thiln City
<br />regulatIons. Th. undersIgned alluaes responsibility for co.pliance 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 may be req~lired to be licensed in ilccordanc! with
<br />state and local regulations. If the confractor i~not .licensed as required by law, both the owner and contractor lay be
<br />cite~ for a lisdeleanor violation under state law~ If the owner or intended contractor are uncertain as to what licensing
<br />requlrelents lay apply for the intended work, tber are advised to contact the City of Zepbyrbills Building Departle,t, IBI3)
<br />788-6611. ' ,
<br />
<br />Furtberlore, if the owner has hired a contractor Dr contractors, be is advised to have the contractor Is) sign portions of the
<br />"Contractor 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 tban tbecontractor, 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 perlitting privileges in the
<br />City of Zephyrbills.
<br />
<br />~_C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />.7
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<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 - HOleowner's Protection
<br />6~de" prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If the applicant is SOleone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
<br />"owner" prior to cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work "ill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade tQ obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be pErforled to leet standards of all laMS
<br />regulating construction, City cDdes, zoning regulations, and land developlent regula~ions in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />f Departlent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaOelent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />f DePart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AGency - Asbestos abatelent
<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 yoluae" will be sublit~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. "
<br />
<br />A perlit issued shall 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 sball issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if Mork authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOllenc~d. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 lonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENTKAY RESULT IN YOIJR. PAVING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEr BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2 0 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Or. COM" N.
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<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF flORIDA
<br />COUNTY OF P A-5 CD
<br />The foregoing instrument
<br />before me this Oct- 14-
<br />
<br />was acknowledged
<br />, 19.:1Je. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P A"S c:..o
<br />The foregoing instrument
<br />befc.\-e me this ed-(~
<br />
<br />~jas acknowiedged
<br />, 19 ~lo by
<br />
<br />.J ee.c ~ e. \..u. P A1Z.JLt.fL
<br />who is personally known to me or who has
<br />produced . ,-
<br />as id8RUt'i<~'; ~o <lid/d,d no'
<br />take an oath~~~
<br />
<br />(Signature)
<br />
<br />0ee.CH-E:. (;.).. P.pre,ILUL
<br />who is personal} y known tCI me-pr HREI has
<br />p.rssue:cd
<br />..... id~"" ric.t~. -~ _/did no'
<br />take an oath._________-- ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Fr i',lced 01- Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />NATALIE SWAN
<br />Notary ~ubliC, State of Florida
<br />My Comm. Exp, Oct. 12, 1999
<br />Comm, No. CC 501333
<br />
<br />NATALIE SWAN
<br />Notary Public, State of Florida
<br />My Camm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
<br />
<br />-........,
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