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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which aay be lOre restrictive than City
<br />regulations. ihe undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents lay apply Cor the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. .
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
<br />City of Zephyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ,,~
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<br />D. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is BOIeODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docWlent and pr08ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in c08pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify tbat no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of, all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber govelDlental agencies aay apply to tbe intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not 11lited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />, Water/Wastewater Treallent
<br />· Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />· Departlent of Health i Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tants
<br />· US EnviroDlental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoodtbat a drainage plan
<br />addressing a "c08pensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
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<br />. A per.it issued sball be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becOle invalid
<br />unless tbe work authorized by such perlit is cOlIBnced within Sil IOnths of issuance, or if work autboriled by the pellit is
<br />suspended or abandoned for a period of Sil lanths after tbe tile the worl is cOll8Dced. One 90 day eltension of tile, III be
<br />allowed for tbe perlit with fee charge of $15.00. The 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or'the project will be considered abandoned.
<br />WARNING TO OIIHER: YOUR FAILURB TO RBCORD A HOTlCB OF COHHBHCBHBH'l HAY RBSULT IH YOUR PAYIHG 'fIIICE FOR IHPROVIlIIBDS TO YOUR
<br />PROPIRTY. IF YOU IHTBHD TO OBTAIN FIHAHCIHG, COHSULT WITH YOUR LBHDBR OR AN ATTORNBY BBFORE RECORDIHG YOUR NOTICE OF
<br />COKHIHCIHENT. JOBS UNDER $2,500 IH VALUI DO HOT NEID TO RBCORD AHD POST A "NOTICB OF COHMBHCBHBH'l".
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<br />SI A URE: conDcm -
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<br />SIGHA HI: OVJIER OR
<br />
<br />. I.
<br />
<br />STATE OF FLORIDA I.~
<br />roUH'lYOF ~a5 0~
<br />The foregoing instrument was acknowledged
<br />" before me this I~~~ ~ by
<br />
<br />~
<br />know
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~.--cJ
<br />The foregoing ins rument was acknowledged
<br />before me this ( '-b."s:'Q , ~Ol by
<br />~
<br />
<br />
<br />r who has
<br />
<br />(Name Type
<br />NOTARY PUB
<br />
<br />~!:.ypu,,~ LORIE E. GOUGE
<br />
<br />'" .t@,<fOdi.4ISSt~8Jl5
<br />It! 0, !\.'O%' EXPIRES: Jul 2, 2004
<br />~~_~~~~.!~rviC8 & Bonding, Inc.
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