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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to udeed 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 bas bired 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 OWDer 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 Zepbyrbills Building Departtent, (013)
<br />700-6611.
<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 />uContractor Sectionsu 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 work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to pellitting privileges in the
<br />City of Zephyrbills.
<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, have been provided with a copy of 'Florida's Construction Lien Law - HOIeowner's Protection
<br />Guideu prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the
<br />Uowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to COIleDCBlent.
<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 />
<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 cOIIenced prior to issuance of a pellit 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 tqe jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies tay apply to the 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Natercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable.Waterways
<br />t Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatBlent
<br />I also certify that, .if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a ucolpensating volUleu will be subtitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A pertit issued shall be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a pellit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pellit issued shall becOle invalid
<br />unless the 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 80ntbs after the tile the work is cOllenced. One 90 day extension of tile, IiY be
<br />allowed for the pellit with fee charge of $15.00. Tbe extension shall 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 TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHDt'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCBHKNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICE OF COHHEHCEHRNT".
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<br />SIGJlATURE: OmlR OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 />(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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