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<br />.. CONDITIONS Of
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this peIlit laY be subjec
<br />regulations. lhe undersigned assllleS responsibility for L
<br />
<br />t
<br />
<br />iT AFFIDAVIT
<br />
<br />Jeed restrictions I which MY be lOre restrictive than City
<br />llce with any applicable deed restricti0D8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertt' '1rk, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licens. required by law, both the owner and contractor .Y be
<br />cited for a lisdeteanor violation under state law. If the o~ JC intended contractor are uncertain as to wbat licensing
<br />requiretenu laY apply for the intended work, they are advi contact the City of ZephyrWls Building Departlent, (813)
<br />788-6611. >
<br />
<br />FurtherlOre, if the owner has hired a contractor or contrac
<br />lContractor Sections" of this application for which they wi
<br />you are indicating that you, rather than the contractor, al
<br />as contractor that laY be an indication that he is not prOi
<br />City of Zephyrbills;
<br />
<br />c. TRANSPORTATION IMPACT FEES AND
<br />
<br />is advised to have the contractor(s) sign portions of the
<br />BSponsible. If you, as the OIIJler sign as the contractor,
<br />JIlSible for the wort. If the contractor wishes fOIl to sign
<br />licensed and is not entitled to perlitting privileges in tbe
<br />
<br />(LITY 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 Cl of "Florida's Construction Lien Law - 8CIII!OIIJler'a Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and CO,,3111er Affairs. If the applicant is 8OIeOIle other than the
<br />lowner", I certify that I have obtained a copy of the above descri~_~ docuteDt and prOlise in good faith to deliver it to the
<br />"owner I prior to COIIeDCetent.
<br />
<br />t
<br />
<br />," ~
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is c' rate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land d~, 10pteDt.
<br />
<br />Application is berehy tade to obtain a perlit to do work and installation as indicated. I certify that no wort or
<br />installation bas ~enced prior to issuance of a perlit and that all wort will be perfonid to leet standards of alII.
<br />regulating construction, City codes, loning regulations, and land developtellt regulations in the juriadictiOll. I also
<br />certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended IIOrl, and that it is
<br />If responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not li8ited to:
<br />I Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and BnvirODleDtally Sensitive Lands,
<br />Water/Wastewater 'J'reatlent
<br />I sputhwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />.....;.~ M'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />'.t'Departtent of Health & Rehabilitative Services, EnvirODlelltal Health Unit - Wells, Wastewater TreatJent, Septic lants
<br />I US BnvirODleJltal Protection Agency - Asbestos abatetent
<br />I also certify that, if filllaterial is to be used in Flood ZOne IA" or II, etc. " it is understood that a drainage plan
<br />addressing a lCOIpensating volUte" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit. issuance.
<br />
<br />I perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the work authorized by such perlit is COllellced within sillOnths of issuance, or if wort autboriled by the perlit is
<br />suspended or abandoned for. a period of sil IOnths after the tite the wort is m.enced. One gO day utension of tile, .y be
<br />allowed for the peIlit with fee charge of $15.00. The utension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be lbgged during each sil IODth period, or the project will be considered abandooed.
<br />WAlUfIIG 10 (liNER: YOUR FAILURE 10 RECORD A NOTICE OF COMMBICEIIBH'l' MAY RESULt IN YOUR PAYIIG flUCK FOR DIPROVIIIDIS 10 YOUB
<br />PROPERlY. IF YOU II'J'END TO OBTAIN FINANCING, COJlSUL'J' WITH YOUR WDIR OR All AnoRIEY BEFORE RECORDIIG YOUR DICK 01
<br />Cl>>IHEJICEHm'. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AJID POST I "NOTICE OF ClIIMBHCEIIBI'J'I.
<br />
<br />
<br />>'It!lij&~ ~~
<br />. SIGMAT: R AGENT SIGMAT: RACfOR
<br />
<br />STITH OF FLOR~
<br />coum OP ~{'o
<br />The foregoing instrument was acknowledged
<br />before me this No i/ . /9 , 19 ~ by
<br />
<br />. ffllJ/Z~ rJ10AlhR~.tee;J___
<br />who is per nally known to me or who has
<br />produced
<br />as identification and who
<br />take an th.
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm. expires May 16, 1999
<br />CC 446560
<br />
<br />STATE OF FLO~
<br />coum OF !Sac
<br />The foregoing i~rument was acknowledged
<br />before me this 1/. /9 ~ 19~ by
<br />
<br />;J1~~ ~A.i~"LA~,A/
<br />who IS ~ers ally known to me or who has
<br />produce
<br />as identification and who did/did not
<br />
<br />t.ke~~ tI- ~~
<br />(Sig u
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />JAMES A. STONE
<br />Notary Public, State of Florida
<br />My comm, expires May 16, 1999
<br />CC 446560
<br />
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