<br />cONot'rl0NS" or,tpglUU*.r, .' AFFIDAVIT
<br />lL NOTICJ!: OF D.EJ!:D ItESTltIC't10.ttS ~ \ t':'1ii.t1-'~f 'k ""
<br />the unc1erslgnec1 undentandll tllat thlll pt!nit .ar be .ubJett'llo\i1aeedre8trlcUone" "hicb lay be lOre restrictive than city
<br />regulation.. tbi Ubdir.lgn8d a.lute. te~lbl1ltr tor toIPl1~ .tth inr applicable deed restrictions.
<br />
<br />B. UNLICENSED COHTRACTOItS AND CON'tnACTOIt hESPONSIBILITIES
<br />If the owner ~~. ~Ired a tofttractot or eontractorl to undertale vork; they .~y be regulrec1 to be licensed In accordance "ith
<br />state IInd local t@gUlaUont. If thi todtractor II not lU:enlled II t8qulred by ia", botb the owner and contractor lay be
<br />cited tor a Il.aeteanor .lolatlon under Atati la~. If the bWrter ur Intended contractor are uncertain 8S to what licensing
<br />requlrelentl 181 8ppl, tot the Intended worl, the, are ad,I.8d tu cuntact the City of Zephyrbills Building Departlent, (813)
<br />188-6611. ' '
<br />
<br />FurtheriDre, It the owner has hired a contractor or contractors, he Is ad,lsed to ha,e the contractor(s) sign portions of the
<br />"contractor Sac:t1on.' of,tbll application for vhieb they viii be responllble. If you, as the owner sign as the contractor,
<br />you are Indicating that you, tather than the contractor, are risponstble for the work. If the contractor wishes you to sign
<br />as contractor that lar be 8n Indication that be II not properlr licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhllls.
<br />
<br />c. TRANSPOltTA'tIOH IMPACT FJ!:ES AND UT1LITY CONNECTION FEES
<br />
<br />D. CONSTltUCTION LIEN ~AW' (CHAPTER 113. FLORIDA S'rATUTES, AS AMENDED)
<br />1 certify that It the applicant, ba,e been prorldea .ltb a copy of -'lorlda's Construction tien Law - HOIeowner's Protection
<br />Culde" prepared by the rlotlda DepattJent of Agriculture and COIlIUler AUaln. if the applicant is sOleone other than the
<br />"owner", 1 certify that j ha,. obtained a copy of the abo,e descrtbed docUlent anc1 prolise in good faith to deliver it to the
<br />"owner" prior to toiI8ftt~nt.
<br />
<br />
<br />Application II hereby laa, t~ tlbtaln a per.lt to do IOrl and installation as indicated. I certify that no work or
<br />Installation haA toIIt!Rcta prlbt to 181uance ot a pertlt and that all vork .111 be perforled to leet stanc1ards of all laws
<br />regulating conllttUctlont tlty tad.., .onlng regulations, and land ae,eloplent regulationl in the jurisdiction. 1 also
<br />cerUfy that t under.tand Utat the regUlAUon. bt bther gtJt~rtllelltall1gencle8 'If apply to the'intended IOrk, and that it is
<br />IY responsibility to laefttlrr what aetlon. 1 IUlt tale to be,tn c:oIPIIlInce. Such agencies Include but are not li.iled to:
<br />. Deparllent of In,ir~tal Regulation ~ Cypre.1I 8ayhead.: VettAdd Areas and In,lrontentally Sensitive Lands,
<br />VaterfNa.tewater 'reallent
<br />. Southwest Florida Vater Manageaent District - Weill, Cypt'" layheadl, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnGineers - Sealalls, Doels, la,igable Waterwa,.
<br />. Departlent of Health. Jebabllltatl,t Ser.Iees, In.ltoDltntal Health Unit - Veils, Wastewater treallent, Septic Tanks
<br />. US Indrontental PlotecUOIl AQency .. Aabettoe ab~t_nt .. '
<br />1 also certify that, If fill .~terlal I. to be used In ,lood Iohe 'AI or 'A,etc.", it is understood that a drainage plan
<br />addresBlng d 'c:otp@nsatlog ,olute' ,Ill be subtltted whleb Ie prepared by a profeaslonal engineer registered in the State of
<br />Florida prior to perllt.lsAUanCd.
<br />
<br />. A pertlt iSlued shall be construed to be a license to proceed with the work and not a9 authority to ,iolate, cancel alter, or
<br />set aBide any provllIon. of the tecbnlcal,todes, nor Rhatl Ilsuance of a per.lt prevent the Building Official frOl tbereafter
<br />requiting I correetion of error. tn plan., tdDAtruetlont ot.,lotatlons of any code. Rvery perlit issued shall becole In,alid
<br />unless the worl autborll@d by luch per.lt Is tOllBDted within all IODths of Issuance, or If work authorized by the perlit is
<br />suspended or abandoned tor i period of sll IODths after the Itl@ the worl Is cOIlenced. One 90 day eltension of tile, lay be
<br />allowed for the petllt with fee charge of tI5.00. ,the ..tenslon.~ball ~e reguested In writing to the Building Official. An
<br />appro,ed Inspection lUst be logged during each Bll ~th Pfttlbd,.or the project will be conBidered abandoned.
<br />WIIRMI"G to OlflIER: lOOIt PAlLUlI to RIlCORD A IOfICI OF cOMMlIICIMIIT MAl RIlSULT IN YOUR PAYIIlG TWICK FOR IMPROVKKliNTS TO YOUR
<br />PROPERn. IF YOU IIltIJD to CltAlI' 'tltAlClIIG, COIsm'l WItH ttlJR L'.ORR OR P ATTORRBY BBFORIl RRCORDING YOIJR NOTICR OP
<br />~.;1' ~UJIIJO IIOt 1110 10 ~:AIIJ lUSt K 'KOnCK OF ~
<br />
<br />
<br />
<br />9IGJlA'UR~GIlJn
<br />. ' .
<br />
<br />
<br />.,.... n" "I nDtnl iJ
<br />
<br />stAtl or rWRltlA d.. A
<br />
|