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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 assWles 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, both the owner and contractor aay 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 Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner has bired a contractor or contractors, he is advised to have tbe 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 wisbes you to sign
<br />as contractor that lay be an indication tbat he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'!'ION LIEN L'AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleORe other than the
<br />.owner", I certify that I have obtained a copy of the above described docWlent and prolise in good faith to deliver it to the
<br />"owner" 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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies laY 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 />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Bngineers - Seawalts, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater rreattent, Septic rants
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,ete.., it is understood tbat a drainage plan
<br />addressing a "colpensating volOle" will be subtitted 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 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 per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or vloiations of any code. Bvery peIlit iSBUed shall beCOle invalid
<br />unless the work authoriled by such perlit is COllenced within six IOnths of issuance, or if work authoriled by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eztension of tite, tal 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 IODtb period, or the project will be considered abandoned.
<br />WARNING TO OWIER: YOUR FAILURE TO RECORD A NOTICE OF COIfHENCEJIIIfT MAY RESULT IN YOUR PAYING !lIICI FOR IHPROVEIIIIIS TO YOUR
<br />PROPERTY. IF,.OU IIfTEND TO OBTAIN FIHANCIHG, CONSULT WITH YOUR LENDER OR AM AnORlEY BEFORE RiCORDIMG YOUR MoriCi OF
<br />COKHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENClKKNTM. '
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATR OF FLORIDA
<br />COUIfTY 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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