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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that tbis perlit lay be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired a contractor or contractors to undertake wort, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to whit licensing
<br />requir8lents lilY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for wbich tbey will be responsible. If you, as tbe DIRer sign as tbe contractor,
<br />yOU are indicating that you, ratber tban tbe contractor, are responsible for tbe 1fOrk. If tbe contractor wishes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and is not entitled to peraitting 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 tbat I, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - lIaIeoImer's Protection
<br />Guide" prepared by tbe Florida Deparllent of Agriculture and ConsUl8l' Affairs. If tbe applicant is soaeone otber than tbe
<br />"mmer', I certify tbat I have obtained a copy of tbe above described dOCUll!llt and prOlise in good faitb to deliver it to tbe
<br />"owner' prior to COllBDCelefit.
<br />
<br />E. CONTRACTOR'S/OWERtS AFFIDAVIT
<br />I certify that all the inforJation in tbis application is accurate and that all work will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developElt.
<br />
<br />Application is hereby Jade to obtain a peIlit ~o do work and installation as indicated. I certify that no vork or
<br />i~WlatiOD baa CDleDced prior to issuance of a perJit and that alllfOrl will be perforJed to Met ataDc1ards of all1all8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goverDlental agencies lily apply to tbe intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liJited to:
<br />. DepartJent of EnviroDlental Regulation - Cypress BBybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />WaterfVastewater freatlent
<br />. Southwest Plorida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. AllY Corps of Enqineers - Seawalls, Docls, Havigable Waterways
<br />. DepartJent of Healtb & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'freatlent, Septic 'fants
<br />. US Environaental ProtectiOn Agency - Asbestos abatelefit
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.', it is understoodtbat a drainage plan
<br />addressing a 'cOlpensating volUJe' will be subaitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to per.it issuance.
<br />
<br />A perait issued sball 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 issuance of a peIlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall be~ invalid
<br />unless tbe work authorized by such perlit is cOllenced within sillOntbs of issuance, or if worl authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the vorl is cOllel1ced. One 90 day utension of tile, lilY be
<br />al101led for the Perlit with fee charge of $15.00. fhe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARHIHG TO OVHBR: YOUR FAILURE 'f0 RECORD A HOIICH OF COIlMBICEllEHI HAY RESUL'f IH YOUR PAYIHG 'fIIICH FOR IHPROVEIIm'S 'f0 YOUR
<br />PROPERlY. IF YOU IHlBIID fO OB'fAIH FINANCIIG, COISUL! WITH YOUR LBllDER OR AI AnOIlUY BEFORE RECORDIMG YOUR MorICE OF
<br />COHHEIICEHIlI'f. JOBS UHDER $2,500 II VALUB DO Nor NBRD TO RECORD AND POS'f A "HO'rICH OF COHHEHCBKm'.
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<br />
<br />~GUfURE:~ .
<br />
<br />
<br />S'fA. 'fE OF FLOijDA
<br />coum OF ~CD
<br />The foregoing instrument was acknowledged
<br />before me this ~lij.l b , 19.1,iL by
<br />
<br />-ro+-lM ~f-.-V-1
<br />who is personally krlOWD to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take 'JfJ ~~ ~(/}?ct-
<br />
<br />(Sig~ture) Lf ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY
<br />
<br />-4:1Vfi1.1jt
<br />{-8IGlAtuRB: OIOIIR
<br />
<br />SfAfl OF FLOR~
<br />coum OF 1:;<2:0
<br />The foregoing instrument was acknowledged
<br />before me this'iAUfl b , 191K- by .
<br />
<br />~ofirJ I-{. k~L-L~
<br />who is personally kn wn to jIIe or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ath.~
<br />( ~ mot
<br />(Signature '
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />DAVID RotO\
<br />Ii1'AT8f111...... _
<br />COM __ ....If.
<br />COM"__
<br />
<br />"
<br />~f.
<br />j..........,
<br />
<br />DAVID RONDA
<br />&fATE aF FlOlUDA
<br />COM IIllPIN!8: MMCH 71, 2OlIO
<br />COM tcC IlIIG2
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