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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. Tbe undersigned assutes responsibility for coapliance with 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, 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 ~d contractor ~y b!
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertalD as to wbat hCenslng
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre if the owner bas bired a contractor or contractors, he is advised to have 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 the work. ,If the contr~ct~r wis~~ you t~ sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entltled to perllttlng pnVlleges In the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, bave been provided with a copy of 'Florida's Construction ~ien L~W - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the apphcant IS sOleone other than the
<br />'owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to couenceaent.
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 cOllenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governaental agencies laY apply to the.intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Manageaent 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, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<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 "cOlpensating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />A perlit issued sball 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 issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or Violations of any code. Every perait issued sball beCOlB invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if wort authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for tbe perait 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE 'f0 RECORD A NO'l'ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !NICE FOR IMPROVEMElft'S TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOOft LENDER OR AN ATTORIEY BEFORE RECORDING YOUR lfO'l'ICE OF
<br />COMMENCEMENT. JOBS UNDER 2,500 IN VALUE DO N NEED TO RECORD AND POST A "NO'l'ICE F C NCEMEIT" ,
<br />
<br />
<br />
<br />SIGNAtURE:
<br />
<br />
<br />has
<br />
<br />STATE OF FLORIDA h
<br />coum OF W-SC ()
<br />
<br />The foregoing instrument was acknowledged
<br />
<br />befO~ 1~ ,19.22.- by
<br />
<br />
<br />who is pers~~l~y known t ~e or who has
<br />produced jJI~
<br />as identification and did/dO t
<br />take an oa
<br />
<br />
<br />~ n
<br />(Signture)
<br />A,uO~ OAN} 6 L )'
<br />(Name Typed, rinted or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ Randy Allen Daniels
<br />Notarv Public, State of Florida
<br />My Comm. ExoIres J8l1 16,2001
<br />No. CC614195
<br />Bonded Thru: Official Notary SefVice
<br />1..(600) 723-0121
<br />
<br />A kandy Allen Daniels
<br />Notarv Public, State of F.lorida
<br />My Comm, Exolres Jan 16,2001
<br />No. CC614195
<br />Bonded Thru: Official Notary Service
<br />1 aoo 7121
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