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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit laY be subject to 'deed restrictions' wbich lay be lOre restrictive than City
<br />regulations. The 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 wort, 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat 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 />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for which 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 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 perlitting 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 - HOIeOWJler's Protection
<br />Guide" prepared by tbe Florida Deparblent of Agriculture and ConsOle[ Affairs. If the applicant is sOleQne other than the
<br />'owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />'owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that 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 developlll!Jlt.
<br />I
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOll8IlCed prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeDtal agencies laY apply to the intended wort, and that it is
<br />IIJ responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroRleDtally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />· Southwest Florida Water ManageJent District - Wells, Cypress Bayhea4s, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepaItJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic Tants
<br />· US InvirODJental 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 'cOJpensating 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 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball becOle invalid
<br />unless the work authorized by such perlit is COll8Ilced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tiae the work is coaenced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWIfER: YOUR FAILURI TO RECORD A NorICI OF C(JIHEHCEMEHf MAY RESULT IN YOUR PAYING fiICI FOR IMPROVIMIIft'S TO YOUR
<br />PROPBRTY. IF YOU IHfIND TO OBfAIH FINAlfCING, CONSULT WIfB YOUR LINDER OR All AnoRHEY BBFORE RECORDING YOUR MOIICI OF
<br />COMMENClMEHf. JOBS UffDER $2,500 IN VALUI DO MOT NEED TO RECORD AND POST A "NOTICI OF COMMENCHMEHf".
<br />
<br />SIGJfA'fURI: OIfNER OR AGBHf
<br />
<br />SIGJfATURI: COHfRACfOR
<br />
<br />STATE OF FLORIDA
<br />COmy OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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