<br />CON01Tl0N8'oV'I'~hHIT, AFFIDAVIT
<br />A. NOT1CE OF DEED RESTRIC;T10tfS . 'H"l.tiH'~f ". ">
<br />'he underllgned anderltandB tbat tbl. petllt .ar be lubJet~"lo ,'deed 'restrIctions- whicb lay be lOre restrictive than City
<br />regulations. lhe under.lgfted a..ute. re.~'lhillt1 tor COIPIJddte iltb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTOnS AND CON1hACTOR nESPONSIBILITIES
<br />If the owner h~. hlr@d a contractor or eontractorB to undertale wor., the, .a, be regulred to be licensed In accordance with
<br />Itate and loedl tf!gulaUrm.. If the tOJltrlttor 11 not lIctnlltc1 al requIred by la", botb the owner and contractor lay be
<br />cited tor a iI8d~a~t flotallon und@r Itatf la~. If lhe ownet or Intended contractor are uncertain as to what licensing
<br />requlretent. 18; appl, tor the Intended work, the, are ad.lled l~ contact the City of Zephyrbills Building Departlent, (813)
<br />188-6611. '
<br />
<br />FurtheriDte, It the owner has hired a contractor or contractor., be Is advlled to ha,e the contractor(s) sign portions of the
<br />-Contractor Bectlons' of thl. application for which the, "Ill ~ tesponllble. If you, as the owner sign as the contractor,
<br />you are lndlcattnu that you, rather than th@ contractor, art r~8pon8lble tor the worl. If the contractor wishes you to sign
<br />a8 contractor that II' be In Indication that be 18 not properl, IJcensed and is not entitled to perlitting privileges in the
<br />City of &epb,rhllll.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UT1LIT~ CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN ~AW (CHA~TE" 113t FLORIDA STATUTES, AS AMENDED)
<br />1 certlf, that I, the applicant, bave been prOflded "ilh a topy of -'lorida's Construction Lien Law - HOIeOWner's Protection
<br />Guide- prepared b, th@ rlotida Departlent of Agriculture and Con.Uler Affalrl. If the applicant is sOleone other than the
<br />.owner", I certlf, that t havt obtained a cop, of the abo,e described docUlent and prolise in good faith to deliver it to the
<br />"owner- prior to coIienCelBnt.
<br />
<br />
<br />IIppllcation 18 hereb, lade to "btaln a perlIt to do vorl and installation al indicated. I certify that no work or
<br />Installation hal toIIenttd prJbr to iSluance ot a per.lt arid lhat III vorl will be perforaed to aeet standards of all laws
<br />regulating con8tructlon; ell, code8, lontng regulatlon8, and land devetoplent regulation8 in the jurisdiction. I also
<br />certlf, that t understand that the regUlations ot otber go'trhlentlt agencle8 lay apply lo the "Intended work, and that it is
<br />If responsIbilIty to Identlt, what action. 1 lUst tale to be.tn COMPliance. Such agencies include but are not li.ited La:
<br />. Bep.clIent of 1D,lconIedtal Regulation - Cypre,. Aarhead.: Vetl.rid Areas and BnvlroDlentally Sensitive Lands,
<br />Water/Wastewater Ir@allent
<br />. Southwest FlorIda Natet Manlgetent District - Wells, Cvpte.. btyheads, Wetland Areas, Altering Watercourses
<br />. Arlf Corpl of Inglneecl - Sealalls, Doell, Ka,lgable Waterways ,
<br />. Departlent of Health I lebabll1tati,e Ser,lces, rn,Jton.ent.l Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />. US IndronteDtal Protection Agency - Asbestos abatuent . ,
<br />I a180 certlf, that, If fill .aterlal 18 to be used In 'Iood lob! -A' or -A,etc.-, it is understood that a drainage plan
<br />addressing 8 'COIp@DBatlng fol818- 1111 be sublitted Ihlebl. prepared by a professional engineer registered in the State of
<br />Florida prior lo perllt. lSIUaBCe.
<br />
<br />. A perllt Issued shall b@ conltrued to be a licensB to proceed lith the work and not as authority to violate, cancel alter, or
<br />Bet aside any provlltons af the tecbnlcal,codes, nor Ihall iS8uance of a perlit prevent the Building Official frDl thereafter
<br />requiring a corr@ction at errorl In plant, construction, at',lolatlons of any code. Rver, perJit issuea shall becole invalid
<br />unles8 the IOrl authorl.ea br luch per.it II tOllBnced Ilthin .il IOnthl of issuance, or if worl authorized by the perlit is
<br />suspended or abandoned for a period of sll IORlhs after the ltl@ th@ work Is cUllenced. One 90 aaf extension of ti.e, lay be
<br />allowed for the perJlt wtth fee charge of tI5.00. ,'he 81ten8Ioft,~hall ~e requested in writing to the Building Official. An
<br />appro,ed inlpectlon IUlt bft logged during each Ii. ~nth petlba,'or the project will be considered abandoned.
<br />WIIRHIKG fO OIKIR: YOOA 'AILURI to RRCORD A KUfICK OF ClIfItUCIMIIfT HAY RRsur,T IN YOUR PAYING TWIel FOR IHPROVRHIiIfTS TO YOUR
<br />PROPIlRfY. I' tOU IITIlJD to UlltAlll P1IIAlfCIIIG, COIISULt. IIltd 'toWI LBiDltR OR AM ATTORIIY BKFORK RKCORDING YOUR HOTlCK OF
<br />CllIIIICIIIII1'. ~z lOt 1m zo .,.illlfMll POST A 'WICK OF ~
<br />
<br />
<br />
<br />SIGIB_, lRlfii OR _ , SIGII8T1Jl111: ~
<br />Randy Allen Daniels
<br />Notarv Public. state of Florida
<br />My Comm, Exolres Jan 16.2001
<br />N,?, CC614195
<br />
<br />
<br />
<br />SfAtR OF FWRIDA
<br />coom OF
<br />· 'l Th~ foregoing i
<br />" before me . i9
<br />
<br />
<br />who i personally
<br />produ
<br />89 idenH
<br />ta 0
<br />
<br />to me or ~ho has
<br />
<br />~ho i
<br />, ,."
<br />, ,., lJtoduced
<br />. '\ttB idenUfica
<br />i . t8k& an 0
<br />
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