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<br />CONDITtONS OF'PSRMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS' \ r"d~'11';" ",
<br />The undersigned unaerBtana~ that thi~ perlit tay be IUbJAtt'tD ~~ee4 rtelrittionB" whicb lay be lOre restrictive than City
<br />regulations. thi undet.lgatd .llute. relpon81bllltt for COIPlt~c' _lib ~f applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner hdS hlr@d I contractor ~r contract~r8 to undertal@ work, they .ay be required to be licensed In accordance with
<br />state and locltl tf!gulaUon.~ If the eontractot II not licen.eel" required by law, botb the owner and contractor laY be
<br />cited tor a .18d~anor ,lolallon under Ilate la.. It the owner ijr Intinde~ contractor are uncertain a9 to what licensing
<br />requiretent. laj appl, for the Intended work, they are ad,18ed t~ contact the City of Zephyrbills Building Deparllent, (813)
<br />788-6611.
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<br />FurtheriDre, It the owner has hired a contractor or contractorl, he Is advised Lo ha,e the contractor(s) sign portions of the
<br />'contractor Sections' of lbi. Application for "hlch they will bi responsible. If you, as the owner sign as the contractor,
<br />you are In~lc.tlng that you, rather than the contractor, art r@lponllble for lhe lorl. If the contractor wishes you to sign
<br />a8 contractor that II' be an indication that be il not pro,.!l, licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhil18.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTnUCTION LIEN ~AW ' (CHAPTER 113. FLORIDA STATUTES, AS AMENDED)
<br />1 certify that It the applicant, have been provide4 "lth a copy of 'plorida's Construction Lien Law - HOIeowner's Protection
<br />Cuide' prepared by the Florida DepartJent of Agriculture and CoRIUler Affairs. If the applicant is so.eone other than the
<br />'owner", I certlf, that t ha,e obtained a copy of the above described docuIent Bnd prollse In good faith to deliver it to the
<br />wowner" prior to cOllenc@lbnt.
<br />
<br />E. CONTRACTOntS/OWNER'S AFFIDAVIT
<br />I certify that all the infor.atlon In tbis application Is accurate and that all vork "ill be done in cOlpliance with all
<br />applicable la~8 regulating construction. loning, and land de,eloplent.
<br />
<br />Rppllcatlon 18 bereby .ada to ~btaln a perllt to do work and installation BS indicated. I certify that no work or
<br />Installation bas t:OIIeRcld pdbr to Issuance ot a perltt and that aU work will be pedorled to leet standards of all laws
<br />regulating construction, City codes, lonlng regulatlonlt and land deielop.ent regulations in the jurisdiction. I also
<br />certify lhat 1 underllan~ that the regulations ot other go'~rhlenlBI agencies lay apply to the'intended work, and that it is
<br />., responsibility to Identit, "hat actions 1 lUst take to be,ln cotpliance. Such agencies Include but are not lilited to:
<br />. Departlent of BnviroDleOtal Regulation - CypresB Bayhead'; Wetland Areas and Bn,lronJentally Sensitive Lands,
<br />Vater/Waltewater !reallent
<br />. Southwest Florida Water Managel8nt Dletrtct - Wells, C,ptel' hayheads, Wetland Areas, Altering Watercourses
<br />. Ar., Corps of Jnglneerl - Seawalls, Docke, Ka,lgable WaterNa,s
<br />. DepartJent of Health' lehab1111ati,e Ser,ices, InvitODleDtal Health Unit - Wells, Vastewater !reatlent, Septic Tanks
<br />. US InvlronteDtal Protection Agency . Asbestos abatlleRt . '
<br />I also certify that, If fill .aterlat I~ to be used In 'lood Iohl -A' or "A,etc.', It is understood that a drainage plan
<br />addressing d 'cOIpeRsatin9 ,olute' ,ill be sublitted which I, prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. l1Auance.
<br />
<br />, A perlit issued Bhall be construed to be a ticense to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any pro,islon. of the technlcal.codes, nor shall i8Buance of a perllt prevent lhe Building Official {rOl tbereafter
<br />requiring a corr@ction ~t error. in planB, conRtrucllon, ot 1101atlon8 of any code. I,ery petlit issued shall becOIe in,alid
<br />unlesB the worl luthorlled br such perlit il COII9nced .ithi~ al. IOOthl of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of III IOnths after lhe lile the worl Is cOIIenced. One 90 day eztension of li.e, aay be
<br />allowed .for the perllt w1th fee charge of tI5.00.. the extenslon,.hall be request~d in wrltl~g to the Building Official. An
<br />approved Inspection lUst be logged during each st. ~nth perlba, or the project WIll be conSIdered abandoned.
<br />WRRMlKG TO DWKKR: YOOM FAItURR TO RICORO A ROfICK OP CMtlICIJIIO' HAY RRSULT IN YOUR PAYING nlICR FOR IMPROVEMENTS TO YOUR
<br />PROPIRtt. .P 100 IftBRD to ObIAl" FlRAIICIIG, COIISUtt Wid tool t'KDIR OR AM ATTORRKY BRFORI RKCORDING YOUR NOTlCK OF
<br />[()IIIlImD!. .101!1" t2,!Of ~Ir 110 lOt IUD to ....... lID I'IllIf A "1IOf1CII OF llJIIIIIRClllillf".
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<br />SIGlA_;~ ' RIG lURE: c~ ·
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<br />
<br />STATI OF FLORIDA~
<br />eOUllTf OF .. /J.ILI' A'r . ,j
<br />The foregoimJ instrtUlent WaR. acknowledged ..
<br />before me thiR q , 19.1l- by ,
<br />
<br />$1Atl or 'LORIUA ~
<br />cuum OF au:r-
<br />'h~ foregoing instrument was acknowledged
<br />b!forB me this ~ ' 19t,f~ by
<br />
<br />
<br />
<br />,L/ I. L
<br />
<br />, I .
<br />l~otarv public. state of Florida
<br />My Comm. Exolres Jan 16,2001
<br />No. CC614195 .
<br />Bonded Thru: Official Notary Service
<br />1-(800 723-0121
<br />
<br />wn to me or who has who i person 11 own to me or who has
<br />I I'
<br />produce ~
<br />aad who di~ia bUt~ '.. identification and who did~
<br />~, take an o~~~_ tf~
<br />
<br />. "JSignatur~O'-1 f)t\,vl ~L S"
<br />(Name Typed, PrInted or stamped)
<br />'NOTARY.PUBLIC
<br />~ Ra:ldy Allen Daniels
<br />. ."_ Notaf\l Public State of Flortda
<br />, My Comm Exoire5 Jan 1.6, 2001
<br />,__.'. No CC614195 .
<br />Bonded Thru: Official Notary Service
<br />1-(800) 723-0121 -
<br />
<br />)
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