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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. Tbe 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 wort, 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (013)
<br />788-6611.
<br />
<br />FurthellOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 wort. If the 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 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 with a copy of "Florida's Construction Lien Law _ Hoteowner's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone otber tban the
<br />Rowner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />uowner" prior to cOllenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perJit and that all wort will be perfofl8d to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in ~e jurisdiction. I also
<br />certify that I understand that the regulations of other goveI'Dlental agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify wbat actions I lust tate to be in cOlpliance. Sucb agencies include but are not litited to:
<br />* Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDIBDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />A Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docts, Navigable,Waterways
<br />* Deparllent of Health' Rehabilitative Services, BnvirODlental Healtb Unit - NeIls, Wastewater Treattent, Septic Tants
<br />* US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone UA" or "A,etc.", it is understood that a drainage plan
<br />addressing a uCOlpensating volUlell will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six 80nths after the tile the wort is cOIIenced. One 90 day extension of tite, laY be
<br />allowed for the peClit with fee charge 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 />NARHING '1'0 OIiNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCRHm' KAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHm'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAllf FIIfAlfCING, CONSULT WITH YOUR LINDER OR AIf AnOWY BEFORE RECORDIIfG YOUR NOTICE OF
<br />COHHEIfCBHENl'. JOBS UIfDER $2,500 IN VALUE DO NOT NEED TO RECORD A1fD POST A uNOTICE OF COHHENCEHEJfT".
<br />
<br />SIGlfATURB: OWER OR AGENT
<br />
<br />SIGIfATURE: COif TRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUN'lY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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