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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />Tbe undersigned understands that this perfit laY be subject to "deed restrictions" wbich laY be lOre restrictfve than tity <br />regulations. Tbe 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing <br />requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) <br />788-6611. <br /> <br />Furtberaore, if the owner bas bired a contractor or contractors, be is advised to bave 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 the contractor, are responsible for the work. If the contractor wisbes you to sign <br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the <br />City of Zephyrbills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN bAW (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 - Hoaeow.ner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the <br />"~er", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the <br />"owner" prior to COllenceaent, <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, zoning, and land developllent. <br /> <br />Application is hereby lade to obtain a perfit to do work and installation as indicated. I certify that no work or <br />installation bas cOlleDced prior to issuance of a perfit and that all work will be perforled to teet 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 goveI1lJental agencies aay apply to the intended wort, and that it is <br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to: <br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, <br />Water/Wastewater Treatlent <br />t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, 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 Tants <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 sublitted whicb 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 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 perfit issued sball beCOle invalid <br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit is <br />suspended or abandoned for a period of sillOntbs after the tille the work is couenced. One 90 day l!ltension of tile, aay be <br />allowed for the perlit with fee cbarge 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 />WARNING TO OWffER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEJlBtff MAY RESULT IN YOUR PAYING TilICE FOR IMPROVEIIBITS TO YOUR <br />PROPERTY. IF YOU INt'BlfI} TO OBTAIH FINANCING, CONSULT WITH YOUR LIlfDER OR All AnoRJIEY BEFORE RECORDING YOUR IfO'l'ICE OF <br />ClI!IIIIICIIIEI~ lED 10 RIlllRD IIID POST A 'IIO!I~ <br /> <br /> <br /> <br /> <br />..... -"- ,...-""'.- <br />M cP ~.z.Kc"'r . OR 'Ft Co~Er4", <br /> <br /> <br />fJ 1--5C2> <br />The foregoing instrument was acknowledged <br />before me this 3/J-- <f ' 19~ by <br /> <br />STATE OF FLORIDA <br />coum OF <br /> <br />STATE OF FLORIDA f} <br />COUlflY OF r v15 Co <br />The foregoing instrum~t~as acknowledged <br />before me this '3 U".!:..., 19.2.L by <br />( . <br /> <br />who is personally known to me or who has <br />produced <br />as iden. tifiCatiOn.. and wh~d/did not <br /> <br />take an oa~~~ ~ <br /> <br />(Signature) . , <br /> <br />who is personally known to me or who has <br />produced <br />as identification and who did/did not <br />take an oat~ ~ <br /> <br />(Signature) <br /> <br />(Name Typed, ,Printed or Stamped) <br />NOTARY PUBLI KEITH CORREIA <br />MVCOMMISSION , CC 451416 <br />.'.1ff EXPIRES: May 13. 1999 <br />.~lf,~ Bonded Thru Notary PubIlc UnclelWlleBll <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />'~"'~'!.:U"" KEITH CORREIA <br />f:'rrl;;,'!fit~ MY COMMISSION * CC 451416 <br />;..,...~:~.; EXPIRES: May 13. 1999 <br />~;':1,iff.,t~~~"" Bonded Thru Notary PubIc LnIeIwrIlers <br /> <br />