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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS ,
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" whicb lay be lOre restrictive tban City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance 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 tbe contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply for tbe intended work, they are advised to contact tbe City of Zephyrbills Building De~artlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, 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 wbicb' they will be responsible. If you, as the' Owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor lisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<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 that I, the applicant, bave been provided lith a copy of "Florida's Construction Lien Lal - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban the
<br />"6fRer", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
<br />"owner" prior to cOIleRCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work lill be done in cOlpliance litb all
<br />applicable lals regulating construction, zoning, and land developlent.
<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 developlent regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of otber governtental agencies lay apply to tbe intended work, and that 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 />· DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Soutbwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartleRt of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Vastewater TreatleRt, Septic ranks
<br />· US InvirODJeRtal Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "cOlpeDsating volUle" 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 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 issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations 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 for a period of six IOnths after the tite the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARHING TO OIlIER: YOUR FAILURE TO RECORD A IOTICE OF COMHEICEllBNT HAY RESULT II YOUR PAYIIG TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIK FINAICING, CONSULT WITH YOUR LENDER OR AN ATTORHHY BEFORH RHCORDIIG YOUR HOTICE OF
<br />COMHEHCEllBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />
<br />SIGJlAfURIl: OOIR OR AGBIIT
<br />
<br />srATI OF FLORIDA
<br />COUIITY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 0 FLORIDA I') I Ii
<br />coum OF .t:nLD
<br />The foregoing instr~ent was a~Wledged
<br />before me this ~ 1-__ ~.t, 19 by
<br />
<br />~~~~~son~iy~~~~~ or who has
<br />
<br />produced
<br />as identifica ion and wh
<br />take an .. . ./
<br />c;.-~.,..
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />(Si9~) 1-. Q ~
<br />A . 1
<br />(Name Typed, Printe or ~ped)
<br />NOTARY PUBLIC
<br />
<br />'I1NA L DlJIIIiY
<br />NOI'ARY PIJBi.Ie 8I'A'ni 0Jl
<br />iCOMMJSSION NO. cn8'1115
<br />:~~!()N JDCP, 211998
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