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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for whieb 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 peIlitting 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 - HOIIeOlDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOlleone other 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 cOlleJlcelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance 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 cOllenced prior to issuance of a perlit and that all work will be perf OIled to !eet 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 />If responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
<br />t Deparblent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvironJental 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 .cOllpensating volUle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A peIlit issued shall be construed to be a license to proceed witb 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 perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOlleJlced. 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 eacb six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMRHCRHENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVRMRNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAIICING, CONSULT WITH YOUR LENDER OR All AnORMRY BEFORE RECORDING YOUR NOTICH OF
<br />COMMENCKMEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCKMENT..
<br />
<br />)(~
<br />
<br />SIGNATURE: OWNER OR AGEHT ~
<br />
<br />I: /} ~
<br />~(!~ ..-;(0.>
<br />/~A : CONT ,. ,
<br />'/ LA':)ETER 'elWG\j.)E.E:.I~' t-.)G, e. t.or-::,STR0L T IoN
<br />
<br />
<br />was acknowledged
<br />, 19n by
<br />
<br />LOI:::> ANrut:. LA-st;:rE..(L
<br />who is personally known to me or who has
<br />produced
<br />as identift:c
<br />take /" .
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF f/ERAlI1/11/Jo
<br />The foregoing instrument was acknowledged
<br />before me this J"ItN. a , 19 97 by
<br />
<br />ff06E,€r F. KLItIeE
<br />who is personally known to me or wh6 has
<br />produced
<br />
<br />:~~~~":e::-'1
<br />
<br />(Signature2D/ltfl/€ (Y7 -R f C-f( e:-fGr-
<br />
<br />(Name Typed, pf~e. ~~~~483578
<br />NOTARY PUBLIC*~ * Expir..Jun.26.1999
<br />~~. ~ Bonded by ANB
<br />~"'~IlF f~!)~~ 800-852-5878
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