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<br />CONDITIONS:OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The,undersigned understands that this perlit aay bl sublect to "deed restricti~ns' Hhich ~ay be ~ore restr,ictive than City
<br />regulations. The undersigned usullles re5ponsib~Htf;for:,co.p1iance with any appl icable deed restrictions.
<br />, _;iJ'"' " . .
<br />. .
<br />B. UNLICENS~D CONTRACTORS AND CONT~ACTOR RESPONSIBILITfES'
<br />
<br />If the owner has hired a contractor or contractors to undertake work, 'they lay be required to be licensed in accordance with
<br />stlte Ind local regulations. If the contractor i5 not licensed as required by law, both the o"ner and contractor ftay be
<br />cited for a .isdeaeanor violation under state law., If the [,wner [or intended contracte.r are uncertain as to what licensing
<br />requiruents lay apply feor the intended work, they are advised to contact the City ~f Zept)yrhills Building Departlent, (813)
<br />798-6611. ',' ' , "
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) sign portions of the
<br />"Contractor Sections' of this application for which they will be responsible. If y~u, as the ~Hner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to per&itting 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 certify that I, the applicant, have been provi'ded with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is sotec.ne other than the
<br />"owner", I certify that I have [,btained a, cripy of the above dl!scribed d[,culllent arod pre'ff,ise iro good faith to del iver it to the
<br />'owner" prior to cOlmenceml!nt.
<br />
<br />': '. ': ,~.~~." \ : .'
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in .this application is accurate and that alllie.rk liill be dC<rle in cc.mpliance with all
<br />applicable lalis regulating construction, zoning, and land development.
<br />
<br />. '
<br />Application is hereby lade to obtain a permit to'do Mork and ins\all~tion as indicated. I certify that no liDrk or
<br />installation has coetenced prior to issuance of a pertit and that all work liili be performed to ~el!t standards of all lalis
<br />regulating construction, City codes, zoning regulati[lns, and land development regulations in the jurisdiction. 1 also
<br />",tify 'h.t 1 "d",t.,d 'h.t th' ""I.'i." .f .th" "v."",t.1 .""i,' "y .pply to Ih. i,t"d.d "", .,d th.t it i,
<br />,y m,,,,,ibit ity to ide,t if Y ,h. t .<li'" I ."t "t, t, b, i' ""Ii..". ,,," .,.", i" i ," ,de ,.. i '" '" t Ii .it,d to>
<br />
<br />#'
<br />
<br />I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, ~etland Areas and Environmentally Sensi live Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, ~etlarod Areas, Altering HatercDurses
<br />I ArlyCorps ~f EnQineers - Sealialls, Docks, Navigable Waterways
<br />. ~,..,t.,.t " "..,th , ',h.bilit.ti" ""i,'" ',vi"..,.t.1 ",.Ith ",it - ~,II" ".,t".i" T".i,":' ,.,ti, T.,"
<br />I US Envifonaental Protection AQenct - Asbestos abatement
<br />
<br />I also cl!rtify that, if fill latedal is to be used in H[.od Zone "A" Of 'A,etc.', it is underste.e.d tll~t a drainage plan
<br />.dd""i., . .,.."".ti" "I'." ,ill b, "b.itt,d ,bi,b i, p"p."d by . ",r""".1 .",.,., ",i;t",' " tho St.t. "
<br />Florida priof to permit issuance.
<br />
<br />, P'" it i "",d ,h.1l b, "" tmd to b' . Ii "n" t, p"",d ,ith tho '"' k ond eo I " '" n,", it y i, ,i, I' i., ,,",.1 .11", "
<br />"t .,id. .ny ".v',i,n, " th' t.,hn".1 ,.d", n.' ,h.11 "".n" ., . p".it ""." th' ','Idi', Orri,i.1 r". ih.,..rt.,
<br />".,i d" . "n" Ii" ., """ in p 1m; <onst,,,Hon, " ,i.!oHm ,f .., "d', ["" 'OCO it ,,,,,,d ,t,.ll boc'" i ",I id
<br />,,1m tho ",' ",,",,i,,d by ,,,h p,,,it i' <o."",d ,ithin ,', ",,", ., i,,""", " if "." ",lI,'" nod by th. ""it i'
<br />".p.nd.d ., .b.nd",d ,., . p.,i.d .f ,i. .,nth, .ft" th' tl., tho .", i. ,....,'.d. 0,." d', .,1...,." .f Ii.., ,'y b.
<br />.11...d ,., 'h. ,.,.il ,ith ,.. ,h.'" ,f '15,00, fh. .,t.n.i,n ,h.11 b' ,'..,.", 'n "it'., i. '" ,,'Idi', Offi,i.I, "
<br />approved inspection ~ust be logged during each six month period, or the prDject Mill be cDrosidered dbdl,dDned.
<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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JODS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />
<br />. ....' QI..JNER OR AGENT
<br />
<br />DATE wtq,aI1:g,tJ-~c--Jg-qL---
<br />
<br />NOTARY AS -;-0 ~ _ _' IL-:-h-..~) NOTARY AS TO AD .- J~
<br />OWNER DR AGENT~~~t:-~---~---- . CDNTRACTOR_____~~--~----c----------
<br />NOTARY PUBLIC, STATE OF FLORIDA ..
<br />MY COMMISSION EXPIREgMyC~mm~j~~~xpkWL~-2Sr~995MY COMMISSION
<br />B'6"nCJeatliru Patterson - Becht Agency
<br />
<br />SIGNATURE__~~~~---------
<br />CONTRACTOR
<br />
<br />DATE__~~~--j(-7~~j7~-------------
<br />
<br />EXP I RE~.""'tlYti !fafi-1ff1for'llcr-
<br />
<br />IIy Commission Expires Marc!! ~ 2, 191
<br />Bonded Thru Troy Fe;n - Insuronce !!'Ie.
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