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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 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 hired a contractor or contractors, he is advised to bave 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 tbat you, rather than tbe contractor, are responsible for the work. If tbe contractor wishes you to 8ign
<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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />I ~~'
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<br />D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify tbat I, tbe applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doeulent and prolise in good faith to deliver it to the
<br />"owner" prior to co..encelent.
<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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land deve~oflent.
<br />
<br />Application is hereby .ade to obtain a perlit to do work and instaifation as indicated. I certify that no vorl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standard8 of all laws
<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 other goverDlental agencies aay apply to tbe intended vorl, and that it is
<br />IY responSibility to identify what actions I lust take to be in eOlpliance. Such agencies include but are not 11lito4 to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
<br />t Ar., Corps of Bngineers - Seawalls, Docks, Havigable Waterways
<br />t Departtent of Health & Rehabilitative Services, BnviroDlental Healtb Unit - VeIls, Vastewater TreatleRt, Septic Tanks
<br />t US BnviroDlental 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 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 per.it issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor sball is~u~ce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in pJans, construction, or violations of any code. Ivery peIlit iS8ued shall heCOle invalid
<br />unless the work authorized by such perlit is cOllenced witbin Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of Sil IOnths after tbe ti.e the work is cOll8nced. One 90 day eatension of tile, tal be
<br />allowed for the per.it with fee cbarge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged durIng each six IOntb period, or the project will be considered abandoned.
<br />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHBHCBHBNT HAY RESULT IH YOUR PAYIHG fNlCE FOR IHPROVEKBITS TO YOUR
<br />PROPERTY. IF YOU INTBHD TO OBTAIH FIHANCING, CORSULT WITH YOUR LERDBR OR AN ATTORIBY BIFORI RBCORDING YOUR NOTICE OF
<br />ClIIIII_. JOIIS I/IlDIR !ll ~LUE 00 NOr 1110 10 RitllIlII AII0 POST A 'IIIIlICll Ol' /'. . I
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<br />
<br />SIGlA~~ Sl~~
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />COUHTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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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