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<br />~____v..______---'-~. -
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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />lh.u,d.,.i".d u,d.,.I,nd. Ih.' Ihi. ,.,.il "y b. sobl.,1 " "d.,d ,..I,i,II".' .hl,h "y b. .". ".',l,'i'. 'h., Ci'y
<br />regulations. the undersigned a55Ules responsibllltf;for. co.pllant! with any applicable deed restrictions.
<br />d' . ,
<br />
<br />E. UNLICENSED CONTRACTORS AND CON:RACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undert.ake "ork, they aay be required to be licensed in accordance with
<br />stlte and local regulations. 1f the contractor is not 1icen!?d as required by 1a", both the owner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the owner ~t intended contractor are uncertain as to "hat licensing
<br />,.,ui""'" "y ."Iy f., 'h. inl.nd.d ."t, Ih.y ". ,d,i..d " ",',,' ,h. Ci'y ,f Z.phy,hill. 'ulldin, D.,."..", IBI"
<br />7813-6611.
<br />
<br />Fu,'h.""', if 'h. ,.,., h., hi,.d , e"I"el,' " e,,',.el,'" h. i. ,d,i..d " h.'. 'h. "",.",,1., .i" ",'i,,' ,f ,h.
<br />"Contractor Sections" of this application for which they "ill be responsible. If you, as the owner sign as the contractor,
<br />y'u .,. i,die.'i', Ih., y'u, ,.,h., Ih,n Ih. e"I"e'", ". ,.."n.ibl. f" Ih. ."t. If 'h. ",',',',' ,i.h.. y" I' .1"
<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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713; FLORIDA STATUTES, AS AMENDED)
<br />
<br />I e.,'lfy ,.., I, Ih' ",Ii"", h.,. h..n ",'i~.d .ilh . ,,-, ,f "FI'rid.'. ",.'",11" li.' l.. - ".....n.". P,.I.,li"
<br />',Id'" ,,,,,,,d by Ih. F1.dd. D.,acl..n' .f A,den"'" .., _c.S" ", "'". If""" ",,,' I. "",""thH thon th.
<br />",.,.,", I ,.,Iify 'h., 1 h... .hl.I,.d . e"y .f 'h. .b," d.."ib,d d.,u..n' o,d "..i.. i, ,.,d f.i,h ,. "Ii", I' I.' 'h.
<br />'owner' prior to cOllencelent.
<br />
<br />.'; ..
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I e.,lify 'b.1 .11 Ih. inf"..'i,n in Ihl. ."Iie.'i,n I. .eeu,'" .nd 'h.1 .11 .,rl .ill b. d.,. i, ,..pll.". ,ilh .11
<br />applicable 1a"s regulating construction, zoning, and land development.
<br />
<br />Application is hereby .ade to obtain a pertit to' do work and installction as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws
<br />,.g,I.lin, "n.l,u,'i.n, 'i'y e,d'., .,ning ,.gul.ti,n" .n' .on< d,..l.p..n' ",ul.'i,,' i' Ih, iu,i.di,'i'.. I .1.,
<br />m'ify th.1 I ",,,,I ond !h. I 'i,. "gu 11 lion' of ,lhH gDlOm..to 1 .goud os "y 'p, I Y . I' 'h. i. 'H,d.d ."' I, IUd th.1 i' i 5
<br />~ ,..p,..ibili'y I. i,.nlify .h., .e'i,n, I ~,I ,.t. " h, in e,.,li..", S.,O .,..,i,. i"lud, b., N' .., li.i'.d ,,'
<br />
<br />.....
<br />
<br />I also certify that, if fill aateria1 is to be used in Hood Zone "A" or "AIde.", it is understc1c,d that a drainage plan
<br />.dd,...ing . '"."n..'in, ..lu.." .ill b. ,ub.I'I.d .hi,h i. ""."d by . "",..i.n.1 ",i.'" ",i,.",d in 'h. s,." ,f
<br />Florida prior to permit issuance.
<br />
<br />A p.,.i' i.,u.d .h.ll h, ,.n."u,' '0 h. . lie..,. I' ",e..d ,ilh ,b. ."t ,nd "I .. .u,o.,ity ,. .i.I,'" ,.ne,l ,I,.r, .r
<br />set aside any provisions of the technical codes, nor shall issuanl2 of a permit prevent the Building Official frol thereafter
<br />""i,in, . ,.,r.el;,n ,f .,r.r. in pl.n.; e,n,',ue'i.n, ., ,;.I.,'.n5 ,f "y ,.d.. ",'y ,.,.;, i..'" ,0.11 b.,... i".lid
<br />unl..' 'h. ."t .ulh.'i..d by .ueh ,H.il i. ,,~.ne.d .i'hin .i. ..n'h' .f i..""'. ., if ..,t ,,"w ".d by ,h. ",.i' i'
<br />...,..d,d " .b.,d.... f.' . p.,i.d .f .i. ...Ih. ,"H Ih. 1\.' lh. ..,t i. ,....."d. 0"" d., ,..,..i.. ,f 'i", "y b.
<br />allowed for the permit with fee charge of ~lS.OO. The extensaDO sl.all be requested in Hriting to thp Building Official. An
<br />approved inspection must be logged during each six tonth period, or the project Hill be considered dbd\.o(lfied.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAI~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND P ST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATURE-~-A~ENT / SIGNATURE_~---
<br />
<br />(J'J n V
<br />DATE________~-~37-j-fjCL---------
<br />
<br />NOTARY AS TO L-If : UnJ. ,; "'--/
<br />CONT~ACTOR--..;./k.;r.-rc-----
<br />
<br />MY COMMISSION EXP~~~~~~~~~----
<br />My Commission Expires July 15, 1993
<br />
<br />Bonded l'hnJ Troy Fain. In1uronce Inc.
<br />
<br />
<br />DATE_______________________________________
<br />
<br />NOTARY AS TO ,AI . ~~
<br />OWNER OR AGENT~~~-~ ---~~-.----
<br />
<br />MY COMMISSION EXPIRES Notary .1IUi~,St!lf.ofFlcrida
<br />-My-{-vmmisstarrtrptM1l"1/y"TI;" TftJ
<br />
<br />Bonded Thru Troy fain. Insurao<;. Inc:.
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