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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 as sOles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has 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, 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which tbey Ifill 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 Ifork. If the contractor wishes you to sign
<br />as contractor tbat lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
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<br />D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Lalf _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleODe 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 />"olfner" 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 Ifork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do Ifork and instailation as indicated. I certify that no worl or
<br />installation has 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 developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of other govetnlental agencies lay apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not 11lited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Health & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater rreallent, Septic ranks
<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 whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
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<br />. A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beODle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, l8y be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building OffIcial. An
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCHMENr HAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIBIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ATTORIEY BEFORB RICORDING YOUR NOTICE OF
<br />COHKENCBHENr. JOBS UNDER $2,500 IN VALUE DO NOT NEID TO RECORD AND POST A "NOTICE OF COHMBNCBIIBII".
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATI OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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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