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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Thl,undfrsignfd undfrstands that this per.it lay bl sublect to "deed re5trlctl~ns. "hleh ~ay b~ ~or~ restr1ctive than City
<br />rl!gulatlons. Thf undersigned asSUlIll!S responslbiHtf;for,.colp1ianCI! lIith any appljcable deed restrictions.
<br />, . .H' . . " ~ '.
<br />'. \
<br />B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
<br />
<br />If the owner has hlrl!d a ctontractor or contractors to undl!rtake 1I0rl:, .they lay be roquiredto bl! licensed In accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ~"ner and contractor ~ay be
<br />cited for a .isde.eanor violation under state lall., If the ~lInl!r Dr Intended contract~r are uncertain as to what licensing
<br />require.ents lay apply for the intended Hork, they are advised to contact the City ~f Z~phyrhills Building Departlent, (813)
<br />789-6611.
<br />
<br />Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign portions Df the
<br />'Contractor Sections' of this application ftor IIhich they will be ,resptonslble. If ye.u, as the c."n~r sign as the c[,ntractor I
<br />y'" '" I ,di" Ii', ".1 YO', """ thon th, ",Iml", '" mp'" I b I, f" Ih,"", If Ih, ",I ml" ,I ,h" yO' '0 'I"
<br />as ctontractor that aay be an indication that he is not properly licensed and is nDt entitled t~ per~itting privileges in the
<br />City of Zephyrhill~.
<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 />J e,,'lfy Ih.' I, 'h' .pplle.,', h.v' b'" p"vld,d ,I'h . e.py .f 'FI.,ld.', C",'"e'I" li" l., - Ho.,.""" p,,',e'i.,
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so&e6ne other than the
<br />,,,,,,', \ cor Ii fy ".. J h." .b ta i nod . e;py .f 'h' .bm dosed b,d doc",on t ond '''','" " goo d "it h " d' Ii ,or it ., ",
<br />.ollner. prior to co.!encement.
<br />
<br />: '''~~.~~" ~. I, ::
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I e,,'ify .h.1 .11 'h, i,f.r,,'i" i, 'hi' .pp1i,.'I., I' .""." .,d 'h.' .\1 ,or' ,'II b' d,.' " eo.,\i.,e, ,'Ih .\\
<br />applicable laMS regulating c~nstruction, zoning, and land development.
<br />
<br />Appllralion I, h",by "d' t. ,btal, . p"''' '0 d, POT' and I "tall ,liofu" "dic; t,d, J co" ify Ih.1 no ,,,. "
<br />1",.\1.11" h., ,...""d p.i.' ,. i""'" .f . p,r.11 .,d 'h.1 .\\ ,or' ,III b,,~lo...d 10 .,,1 ,t.,d.,d, .1 .1\ \."
<br />.",\.'1', e."'r,,'lo,, CI.y e,d", ,.,i', ""\.'1.,,, .,d \.,d d,"\'p"" .""1.".,, " Ih, 1"I,d\,'i", J .\,.
<br />e,.'ify 'h.' J "d,."..d th., 'h, ",'I.'i." .f ,Ih,' g.".,..".1 .",e'" "y .pply I' th. i.I.,d,d "", .,d 'h.. il I,
<br />.y m,..,ibll ity I. 'd"li f Y ,h" ,,\lon' \ '"' t tal, '0 b, i' coop lim', Soch .g""'" ',e I,d, b" I '" "', I Ii .it.d ,,,
<br />
<br />.#'
<br />
<br />I"\so ",lify \h." if fill ..'ori.1 I, to b' ,,,d i, Flood Z.no 'A' or 'A,ole,', It i, ond",t".d \I"t · d,,'"'' ,\"
<br />.ddm,i', . . coop"" Ii" "\,,,' ,m~, ",b.1 lI,d ,hleh I' p"p."d by . pr.1 m"" I ,r,g' r,w rogi' I,;.d i' \h' S\. t, of
<br />Florida prior to permit issuance,
<br />
<br />A p,..i' I""d ,h.li b, e.."",d " b' . \1"'" '0 p,.",d ,I'h 'h, ".. "d ,.t ., ..th.,ity ,. ".1.1., e.".1 .It'r, "
<br />"~, .,id, .~ p,.".i... of 'h, I,eh,ie'\ ,.d," ,.. ,h.l\ "".", ,f . p",'1 p,.",t Ih' ',ild,ig Iff",.1 f... Ih,.,.I'"
<br />"q,i ri', . "me lion ,f PH ," I' pl.,,; ""I.", lion, " vl.\.lim of "'y ",d.. '",y p'" it ,,,,re' ,h. \I b'''"' i ".1 id
<br />on I'" \h, ,,,, "tho< i zed by ",h P'" it i' ,.."",d ,ith i, ,i. .., \h' ,I i "" OC''', " if "',' l or, \I, T" ,,ed by \h, '''' it i,
<br />"'p,,d,d or .b.,d."d f,' . p",.d .f ,i. ..,Ih' .f." Ih, 'i., th' "or' i. eo.."e.d. D.' ,. d., ,.t...i'. ,f ti.', "y b.
<br />.\\."d f.' 'h' p",il ,ilh f,' eh.rg' of IIS,OO. lh' ,..",i.' .h.\1 b, r.",.I,d " ."t", t. th' ,."d", OII'ei.I, A'
<br />."""d I ",oc Ii on ," I b, \ .",d d,d', mh ,i. ..,'h p'" ,d, " I h, p" i ,ct · ill b, <T' '" "ered ,b. "d ""d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
<br />INTEND
<br />BEFORE
<br />DO NOT
<br />
<br />RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />NE:~'-:(.P.. REC.o~~ANDr1f)T A "NOT! CE OF CD
<br />
<br />Ccr;: ~ .
<br />SIGNATURE_~~;~~----------~----------
<br />owNER OR AGENT
<br />
<br />DATE__?lrl-~(_9-t_-----------------_.-------
<br />
<br />
<br />
<br />
<br />VALUE
<br />
<br />DATE
<br />
<br />,
<br />
<br />NOTARY AS TOx .
<br />OWNER OR AGE J (:fd1.,_t.ld(l/Ar.L_.!I1I1!JCO~-
<br />~c.,.)u./l!!.-
<br />MY COMMISSIO EXPIRES_________ -------
<br />NOTARY PUBUC. STATE Ofl1i1J5t8mr. -f
<br />MY COMMlSS.ON E;.P1EES: MAY \1. '99 R~l
<br />BONDED TriRU NOTMi<' pUdLlC UNDERWRITE ,
<br />
<br />NOTARY AS(}wO ·
<br />CONTRACTO __ _L/dA~..e_.:6u-~"
<br />" ~U
<br />MY COMMISSION EXPIff~Oft~--------------
<br />NOTARY PUBLIC. S-rATEO ,,\M \7. '99-'
<br />MY cO""'''~'~'--'' ,-..' """.--:',~ UNDERWRIT...
<br />BONDED TH.i\U j,,__:,d" .....J_.
<br />
<br />"""
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