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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTIU\CTORS 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 witb
<br />state and local regulations, If the contractor is not licensed as required by law, botb 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 />requirements 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 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 contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of ZephyrhilIs.
<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 tbat I, the applicant, have been provided witb a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to CODenCl!lent.
<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 developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify tbat no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to tbe intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
<br />t Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental 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 .cOlpensating 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 tbe 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 per. it prevent the Building Official frol tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid
<br />unless tbe work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced, 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 tbe Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEKENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS't/A "NOTICE OF COMMENCEMENT",
<br />
<br />
<br />/,,~ ~~~:;;r~
<br />SIG URB: 0 ER OR A NT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA J)
<br />COUNTY OF ,C( S (!.. 0
<br />The foregoing instrument was acknowledged
<br />before me thisJ../- J -S _, 1~t:L1_ by
<br />
<br />w C{ yV\, -e 6 u.i-f-t'~~ ~ l-e ( c{
<br />who is ~sonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />tat~~
<br />(Signature)
<br />
<br />STATE OF FLORIDA J) r1~ S rr ,0
<br />COUNTY OF I '-( ~
<br />The foregoing instrument was acknowledged
<br />before me this L{ - ( 5" 19cr 7 by
<br />
<br />l19 C..( Y /1 '-f ;5 ~l-I-c'/C ~ I e {d
<br />who is p~sonally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />la~~~
<br />(Signature)
<br />
<br />.~\AIIa(l'
<br />
<br />*,~.~*
<br />
<br />'4J't OF f1.1l't>~
<br />
<br />KIMBERLEE SCHARLAU
<br />My Commission CC361278
<br />Expires Apr, 04.1998
<br />Bonded by ANB
<br />800.852.5878
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL3<;
<br />.~'A8(1'
<br />
<br />*,~.~*
<br />
<br />'4J'tOFf\.Il't>~
<br />
<br />KIMBERLEE SCHARLAU
<br />My Commission CC361278
<br />Expires Apr, 04,1998
<br />Bonded by ANB
<br />800.852-5878
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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