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<br />CONDITIONS OF PEJ~IT AFFIDAVIT
<br />A. NOTICE OF DEED HES1'IUC'l'IONS <
<br />The undersigned undersLands L1lat L1lis per.it .ay be subject Lo "deed restrictions" which .ay be .ure restrictive than City
<br />regulations. rile undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'l'IU\C'l'OnS AND CON'l'HAC'l'On UESPONSIBILI'l'IES
<br />If tI,e owner I,as I,ired a contractor or contractors to underLake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, buth L1,e owner and contractor .ay be
<br />cited for a lisdeleanor violation under state law. If L1le owner or intended contractor are uncertain as to what licenSing
<br />require.ents .ay apply for the inLended "orl, they are advised to contact the City of Zepllyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />FurtherlOre, if the olfner has Ilired a conLractor or contractors, lie is advised to have t/le contractor(s) sign portions of the
<br />"Contractor Sections" of this applicatiun for which Lhey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rat/ler t/lan L1le contractor, are responsible for the work. If the contractor wiShes you to sign
<br />as contracLor that lay be an indication that he is nut properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhilis.
<br />
<br />C. TRANSPOH'l'A'l'ION IMPACT FEES AND U1'ILI'l'Y CONNEC'l'ION FEES <",
<br />
<br />D. CONS'I'UUC'l'ION LIEN L1\W (CIIAP'l'EH 713, FLOIUDA S'l'A'rUTES, AS AMENDED)
<br />I certify tlla~ihe appIica~i~ve-been provided with a copy of "Flurida's Construction Lien Lalf _ Ho.eowner's Protection
<br />Guide" prepared by the Florida DeparL.ent of IIgricuHure and Consuler Affairs. If the applicant is so.eone other than the
<br />.owner", I certify that I have ubtained a copy of the above described docu.ent and pru.ise in good faith to deUver it to the
<br />"owner" prior Lo co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work Ifill be done in co.pliance with all
<br />applicable laws regulating constructiun, loning, and land develop.ent.
<br />I
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<br />Application is hereby .ade to obtain a per.it to do wort and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify wllat actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Bnviron.entally Sensitive Lands,
<br />WaLer/Wastewater Treat.ent
<br />I Southwest Florida Water Hanaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Jr'l Corps of Engineers -Seawalls, Docts, Navigable Naterways
<br />· De arttent of lIealth & Rehabilitative Services EnvjronJental Jlealth Unit - Wells, Wastelfater Treallent, Septic Tanks
<br />· US Environ.ental Protection Agency - IIsbestos abate.ent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "II" or "1I,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volUle" will be sublitLed whicll is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official trOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOIe invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .unths after the ti.e the work is co.lenced. One 90 day eltension of tile, lay be
<br />allowed for the perlit wilh fee charge of $15.00. The extension shall be requested in writing to the Building OffIcial. An
<br />approved inspection lust be logged during each six .unth period, or the project will be considered abandoned.
<br />WARNING TO OWNBR: YOUR FIIILURK TO RECORD A HOTICH OF COHHBHCBHHHT HAY RHSULT IN YOUR PAYING TWICR FOR IHPROVEHRNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTIIIH FINIIH lNG, CONSULT WITH YOUR LBNDHR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />ClIIIIINCEIIIlNr. JOIIS DIOIR 12,500 IN VIL 00 IlOf RJ RIlCtlllIl 8JI~ rl<< JCiMUr. .
<br />
<br />
<br />
<br />~-fuUHE: CONTRACTOR
<br />
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF P~i-O
<br />The foregOing instrument was acknowledged
<br />before me this g 1YJJy, 1~ by
<br />
<br />~{f Lv m JWV]
<br />who is personally known to me or who has
<br />produced
<br />as identificati
<br />take an oath.
<br />
<br />STATR OF FLORIDlI
<br />COUNTY OF ~. ~ ()
<br />The foregOing instrument was aCknowledged
<br />before me this g m~ ' 191ZL- by
<br />
<br />V CYW:i' I L fV} I/fv~
<br />who is personally known to me or who has
<br />produced
<br />as identification
<br />take an oatl
<br />
<br />(Signature)
<br />
<br />
<br />OLlIJ1A A, LOVf: Tf ,
<br />.;t~'"v. Nota, ry Pu~lic 3tate of FlOrida
<br />'" ~ My c>mm eX;Jires Julv 28, 2000
<br />~ . -' ;; I' Ccmm, No, CC512916
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC O' .,,~ A' "'.I"ll
<br />d\~-h. . Lv ...: 'd
<br />"'~AG<. Notary PlJ~:iC.' :ta~e o. Fle:l}
<br />",'" .-~ M '~'Tlm 'xpi'~s Julv 2oj. 2<100
<br />I ~ ~I ~:;mil~ Nc'CC51291o I
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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