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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to -deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. fbe 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 tbe contractor is not licensed as required by law, both the owner and contractor lilY be
<br />ci ted for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireleDts laY apply for the 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 tban the contractor, are responsible for the 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 pellitting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (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 - HOIeOllJlerlS Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOleOne other than the
<br />.mmer", I certify that I bave obtained a copy of the above described docUJent and prOllise in good faith to deliver it to the
<br />"owner- prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'SjOWNERIS AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a pellit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a pellit and that all work will be perfoIJed 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 governJeDtal agencies JaY 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 liaited to:
<br />I Departltent of EnviroOJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater freatlent, Septic fanks
<br />I US EnvirODlental Protection Agency - Asbestos abatl!lent
<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 subllitted 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 shall is~uance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball beCOJe invalid
<br />unless the work authorized by such pellit is cOlleDced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tille, IIBY be
<br />allowed for tbe pellit with fee charge of $IS.OO.The extension 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C(llMENCKMENT MAY RESULT IN YOUR PAYING nUCE FOR IMPROVEMEMl'S fO YOUR
<br />PROPERTY. IF YOU IJlTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBHDIR OR AM AnORNBY BEFORE RECORDING YOUR 1I000ICE OF
<br />COMMEIICEMENT. JOBS UIIDER $2,500 III VALUE 00 NOI' NEED TO RECORD AIfD POST A "NOTICE OF C(llMEIlCEMEII'l".
<br />
<br />SIGJlA'I'URE: OWIIER OR AGEIlT
<br />
<br />SIGIIA'fURE: CONTRACTOR
<br />
<br />S'I'ATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum 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 />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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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