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<br />CONDITIONS~O~.PERMIT AFFIDAVIT
<br />NOTICE OF DEED RESTRICTIONS
<br />
<br />A.
<br />
<br />lhe .undersigned understands that this pertit lay be sublect to "deed restricti~ns" which ~ay be ~ore restr.ictive than City
<br />regulations. The undersigned a5SUllles responsib~1\tf;Jor;.co.p1iance with any applicable deed restrictions.
<br />, . ,01'.' .' . ~
<br />" I,
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<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 />state and local regulations. If the contractor is not licensed as required by law, both the ~wner and contractor nay be
<br />cited for a lisdeaeanor violation under state laM., If the ollner ~r intended contract~r are uncertain as to IIhat licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. . . '..'
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the cc,ntractor(s) sign portions of the
<br />.Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor lIishes you t~ sign
<br />as contractor that nay be an indication that he is not properly licensed and is n~t entitled t~ perlllitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />CONSTRUCTION LIEN LAW (CHAPTER 713. FLORIDA STATUTES, AS AMENDED)~
<br />
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction lien lall - HOleowner's protection)
<br />Guide. prepared by the Florida Departlent of Agriculture and Copsuler Affairs. If the applicant is sOleDne other than the
<br />"owner", 1 certify that 1 have obtained a. copy of the above described d{lcullient and prc'ITii~e in gc,od faith to deliver it to the
<br />.owner. prior to cOllllencelent... '.. .... .
<br />
<br />-,":' . \ ;.. .
<br />
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in lhis application is accurate and that all w~rk will be done in coapliance with all
<br />applicable lalls regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade ttl tlbtain a penH to'do work and installiltit.n as indicated. I certify that no work or
<br />installation has cOllllenced prior to issuance of a perlit and that all w~rk lIill be perfDrmed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />"rlify lh.l I ",."I.nd lh.l lh, r'g,l.li,n, ,f ,Ib,r g",rn"nl.1 '9",i" "y ."Iy t, th' i,t,.d,d "r', ..d th.l il is
<br />,y ",pm i b i Ii I Y I' id eol if y ,b. I ". i on, I ",I \ok, " b' i, "'p Ii ""', s.,,,. g. nr}" i "d ,', b," '" '" t Ii.it., too
<br />
<br />. J.; .
<br />I Department of Environmental ReQulation - Cypress Bayheads, W~tland ~reas and Environmentally Sensitive L~nds,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water' Mananelent District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />. ~rlY Corps ~f Ennineers - Seawalls, Docks, Navigable Waterways
<br />. D.p.,.."t ,f ",.Itb , R,b.bilil.li" S'r,i"', En,i,,"'nl.1 ",.llh Unil - H'II', H.,t".t., T".t",t, S'pti' T.,'s
<br />. US Environaental Protection Anencl - Asbestos abatement
<br />
<br />I /1" ",Ii fy tb.t, if Ii 11 ..t"i.1 i, " b, ",d in Flood Zon' "A" " "A ,<i" " it i, on'''' "'0' ll,' t · dco i ..,. pi"
<br />.ddr",ing . ",'.p,n,.ti'g ,,!,.," ,ill b, ,'b.ilt,d ,bi,b i, pr'p.r,' by . p"",,;,..1 "gi"" ,,,is''''' ;, th. St,t. ,f
<br />Florida prior to permit issuance.
<br />
<br />A p,r.it i""d ,h.11 b, ,."Ir,'d I' b~ . Ii"", I. pr""d ,ith Ib, "rk .,d ,.t ., .,th.r;ty t. ,i.I,t', "",1 ,It,r, "
<br />"t .,i" ,'y pr"i,i.., ,f lh' t"bni'.! ,.d'" n,r ,b.tt i,,"'" ,f . p.,.it p,.,.,t th. "Ildi" O"',i') ,... th",.ft,r
<br />""i ri,g . """lion .f """ in p "ns; m,.",lion, " vi.I,li'" ,f on, "',, E,ocy ,,,.It I ",,,d ",n b'"'' i ".1 id
<br />"I'" (h, >or' "(h,, i "d by ,ocb P'" it i, ,,,..,,,d .ilb in' i, .on (h, ,f i "" "'" " If ",. "tI"..,,,, by (h, p'" It i'
<br />,"p.nd.d or .b..",,' f.r . p,ri.d .f ,i, .,nlb' .f',r Ib' .,., th' ,.r' i' ,...",." 0.," ',y ,.1.,.1." ., ti.., "y b,
<br />.11."d f,r 'h' p,r,il ,ilh f" ,b.rg' ,f 115.00. Ib, "I,n,i.' ,b.11 b, ".",t,' i, "itl" 10 t" '."di'9 Offi,i.l, A.
<br />approved inspecti(,n /!lust be lc,gged during each six Ilonth period, {.f the project Iii II be cC<r,sidered ilbdlldc.ned.
<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. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />SIGNATURE____~.3b.t~~-~~~.f~..:;~~~---
<br />m.INER OR/ GENT
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<br />DA TE____._____1:5::-Lj-~------------.-------
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<br />SIGNATURE__~ii~6~~U~----
<br />DATE__________~~-~~~St~--------------
<br />
<br />~~~~~v o~S A~~NT ~ JJ:7, ~g~~~~c~~/ol::c~ G ~~
<br />-----NOTARYPunLoc~i~~-nn~~~ -----------------------------
<br />AU' COMMlSSIOl'< EX1'IRF.,J: 1>~..y :!.J, 1995. '\ .':. .
<br />MY COMMISSION EXPIR.~~~~~~~~!~~!~S~N~~~w-~T~M. MY COMMISSION EXPIRtS_~.~~~~RMM.
<br />!,I:.r . .~ 1IIIlI- '.280 1114
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