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<br />, .... CONDl'l'lONS UF PEHMJ'l' AFFIDAVI.'l'
<br />A. NOTICE Of DEED RESTHIC'l'IONS
<br />The undllrsignecfUridert "andstiiii-uiis per.it .ayiJi!subject to "deed restrictions" which lay be IIOre restrictive than City
<br />regulations. The undersigned assUlles respolJRibility for co.pliallce wUh illlY applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACl'OnS ANI) CON'I'lU\C'l'OU UESPONSIDILI'I'IES
<br />If the owner has hired a contractor or contractors to undertake workr they .ay b-e required to be licensed in accordance with
<br />stat~ 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 />reguireJents .ay apply (or the intended Hork, they are advised to cont.act the City or 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 tbe contractor wisbes 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 tbe
<br />City of Zephyrbills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONS1'RUC'l',:ON LIEN U\W (CHAPTER 713, FLOHIDA S'l'A'l'UTES, AS AMENDED)
<br />I certify that I, the iilplicant, have Leen' provided Nith a copy of "Florida's Construction Lien Law - HOIeONner's Protection
<br />Guide" prepared by the Plorida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleooe other than the
<br />"oNller", I certify thaI I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"ONner" prior to CODenCl!Jlent.
<br />
<br />E. CONTRACTOH'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 witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all law8
<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 otber,governlenlal agencies aay apply to tbe intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />A Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Kanagl!Jlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health fi Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroRlental Protl!ction AgencI - Asbestos abatl!Jlent
<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 "colpensat.llg volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, lssuance.
<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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official lrOJ thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code, Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned lur is period of six IOnths after the tile the 1Iork is cOllenced. One 90 day utension of tile, Iill 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 IOnth period, or the project will be considered abandoned,
<br />WARNING TO ONNER: YOUR FAILURB TO RECORD A NOTICE OF COKHENCKHBNT KAY RBSULT IN YOUR PAYING TWICE FOR IHPROVEMBMlS TO YOUR
<br />PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY BEFORE RECORDING YOUR NOTICH OF
<br />COMMBNCEMBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICK OF COHHBNCKHEMT".
<br />
<br />, I
<br />
<br />SIGNATURE: OWNBR OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19 by
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />'fhe foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19,_ by
<br />
<br />STATE OF FLORIDA
<br />COUM'lY OF
<br />The foregoing instrument
<br />before me this
<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 all 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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