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<br />CONDI'l'IONS OF PERNl'r AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />~'l'he vnde.L:signed understands th13t thie permit may be subject to "deed restrictiollS" wid eh
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />oomplianoe with any applicable deed restrictions.
<br />B. UNLICENSED 'CON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBILI'I'IES
<br />If the o\'ll1er has hired a contractor or contractors to undertake work, they may be required
<br />to bt: Ii ct:nsed in accordance ~~ith state and local regulations. If the contractor is nol
<br />Ii Gensed as required by la~~, both the o~mer and contractor: may be oj ted for a ntlfidellleanor:
<br />violation under state la\l. If the owner or intended contractor are uncerlain as lo ~Ihat
<br />J.j censin\} requi rement.:> may apply for the intE:!nded work, they an:l advised to contact the
<br />City of Zephydlills Building Department, 813-788-6611.
<br />Furtherlllon~, if the ovlller has hired a contractor or contractors, he 1s adv1sed to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this application for which they
<br />\'Iill be responsible. If you, as the o\'lner signs as the contractor, you are indipating that
<br />you, Lather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed alld is
<br />llot ellU tIed to penni tUng privileges in the City of Zephyd1i.lls.
<br />C. 'I'RANSPOkTA'fION IMPACT FEES AND l)'I'ILI'I'Y CONNECTION fEES
<br />D. CONS'I'RUc'rUION LIEN LAv~ (CHAPTER '713, FLORIDA S'rATUTES, AS AMENDED)
<br />j certify that I, the applicant, have been provided Hith a copy of "Florida's Constructlon
<br />lien Law - Homeowner's Proteotion Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owneru, 1 oerify that I
<br />have obtained Ii copy of the above described document and promise in good faith to deliver
<br />it to the "o\'lner" prior to conunencement.
<br />Ill, CON'I'RAC'l'OR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and tllat all work will
<br />be done in compliance \'lith all applicable laws regulating construction, zoning, and land
<br />development. '
<br />Application is hereby made to obtain a per-nd t to do work and installation as :1 ndicated. 1
<br />cert! fy that no vlOrk or installati.on has conunenced prior to issuance of a penni t and that:
<br />all work will be performed to meet standards of all la\'ls regulating construction, City
<br />codes, zoning regulations, and land development regulat.Jons .in the ju:dsdict:1on. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended \'Iork, and that it is my responsibility to identify what actions I mlll:it take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
<br />Lands, Water/Waste\'later Treatment
<br />*Southwest Inorida Water l'1anagement District-Wells, Cypress Bayheads, Wet.] and Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-Seawa lls, Docks, Navigable Waten~ays
<br />*Department of Health & Rehabilitative Services,' EnvJronlllental Health IIn:1.t-WeLls,
<br />Wastewater 'l'reatment, Septic 'l'anks
<br />*II.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc.n, it is
<br />understood that a drainage plan addressing a "compensating volume" '\'Iil1 be submitted Vlh.ich
<br />is prepared by a professional engineer registered in tIle State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technic:al codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors ill plans, con~truction, or violations of any code. Every permit
<br />is,5Ued shall become invalid unless the 'dork authorized by such permit is cOllullenc:ed Hithin
<br />six months of issuance, or if \'iork authorized by the permi.t i.s suspended or- abandoqed tor a
<br />period of six months after the time the Hark is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />:1 n wri ting to the Building Official. An approved inspection must be logged during each f;j x
<br />month period, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'ry. IF YOU INTEND 'I'O OB'l'AIN FINAW;rNG, ~{ms.UIJl'
<br />WITH YOUR LENDER OR AN A'l'TORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. ',JOBS UNfJER
<br />$2,50D IN VALUE DO NOT NEED '1'0 RECORD AND POS'l1 A "NOnCE OF COMMENCl!~MEN'I"(.
<br />
<br />SIGHA'l'URE: OWNlilR OR AGENT
<br />
<br />S I GNA'I'URE: CONTRAC'l'OR
<br />
<br />a'rA'rE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this _.____ day of ____., 19--,-
<br />by ___.__
<br />(name of person acknowl,dged)
<br />Owho is personally knoHn to me, or
<br />
<br />STA'l'E OF nORIDA
<br />COUNTY OF
<br />The foregoing instrument H~S aoknowledged
<br />Before me this .____JJay of---, 19 __.:..._
<br />by
<br />(name of person acknowledged)
<br />[1ho is personally knol'm to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did [)did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced______~_.___
<br />(type of identifioation)
<br />and Hho Odid DUd not take an oiilth
<br />
<br />Signature of person taking acknoHledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />I'lame typed, {JrJnted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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