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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this petlit lay be subject to -deed restrictions" wbicb laY be lOre restrictive than City
<br />regulations. !be 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 lisdeteanor violation under state law: If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) 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 than tbe contractor, are responsible for tbe work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to petlitting 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 -Florida's Construction Lien Law - HOJeOw.Der's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleOne otber than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllellcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develo.-ent.
<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 bas COIIenced prior to issuance of a petlit and that all work will be perfotled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agenCies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions' I lust take to be in coapliance. Sucb agencies include but are not lilited to:
<br />t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODJental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "Aa or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A petlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless tbe work authorized by such perlit is cOllenced within six IOntbs of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, laY be
<br />allowed for the petlit with fee charge of $15.00. The extension sball 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 />WARNIRG TO OWRER: YOUR FAILURE TO RECORD A ROTICE OF COMMERCEIlBtI1' MAY RESULT IR YOUR PAYIKG TWICE FOR IMPROVEMEn'S TO YOUR
<br />PROPERTY. IF YOU ItI1'EHD TO OBIAIK FIHAlfCIRG, CORSULT WITH YOUR LBllDIR OR AM AftORHEY BEFORE RECORDIKG YOUR IfOTICE OF
<br />COMMERCEMEtI1'. JOBS ORDER $2,500 IR VALUE DO lOT REED TO RECORD AIfD POST A "NOTICE OF COMMEHCEMEtI1'".
<br />
<br />I~C~
<br />SIGJlA'fURE: OWNER OR AGBtI1'
<br />
<br />SIGKATURE: COtl1'RAC'fOR
<br />
<br />STATE OF FLORIDA P
<br />coum OF _~
<br />The foregoing i~trument was acknowledged
<br />before me this ~ ,.. / ~ , 19!11z.. by
<br />
<br />PDB13~T r, (JL:JrVj)
<br />who is personally known to me or who has
<br />produced ~
<br />as identification and who did id not
<br />take~ OAth. J to ~
<br />~ C' C'!f-'All -
<br />(Signature)
<br />
<br />STATE OF FLORIDA
<br />COUtI1'Y 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />...\\':i.VI~""
<br />l4}~~. ..~~ ROBERT !. EPPERS
<br />~;. E.~ MY COMMISSION' CC426867 EXPIRES
<br />""J.if.....~f,:-~ February 15 1999
<br />',P.r.,ft!- BONDED THRU TROY FAIN INSURANCE,INC.
<br />
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