<br />..
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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />.
<br />The .undersigned understands that this perlit lay bl subject to "deed restrictions" which ~ay b~ ~ore restr.ictive than City
<br />regulations. The undersigned aSSUles responsibilt'V:fDT, co.pliance with any ap~licable d~ed restrictions.
<br />. ' ..,' .' ,~ ':, . ,
<br />
<br />B. UNLICEN~ED CONTR~ORS A~D CONTRACTb~ RESPON BILI;I~S:
<br />~. : -,
<br />If the owner has hired a contractor or contractors to ~ndert~~e Hor~, they lay be r~quired to'be lice;s;d in accordance with
<br />state and local regulations. If the contractor is not 'licensed as, required by l'aw, both th.1i' Olln'er and contract.or lIay be
<br />cited for a lisde.eanor violation under state laK. If the ollner or intended contractor are uncertain as to llhat Iiteh~ing
<br />"q,i".,.I, "y .pp!y f,' Ih, i.I,.", ",k, Ih'y ." ,'vi'" \, ".t.,1 Ih' City ,f Z'phy,hil!, ',ildi.g n'p.rl.,.I, .S131
<br />788-6611.
<br />
<br />Furtherlore, if the OKner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the
<br />"Contractor Sections" of this application for Ilhich they Kill be respon~ible. If. you, as the owner sign as the contractor,
<br />y" ." ,.di"li.g Ih.t Y", "Ih" Ih.. Ih, ".I,.,t", ", ,,'p,.,ib!' f" Ih' ,.,i. !f Ih. ".I,.,t., ,i,h" Y" I. 'ig.
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />.J
<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 J, 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 Consuler Affairs. If the applicant is sOlec.ne other than the
<br />"oKner", I certify that I have c.btained a. CDPy of the above described document and proIT,isc, in ge,od fai th tD del iver it to the
<br />"owner" prior to cOI~encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work Ilill be done in coapliance Ilith all
<br />applicable laws regulating construction, zoning, and land dev~loplent.
<br />
<br />Application is hereby lade to ~btain a per.it to do work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating construction, City codes, 2~ning regulations, and land development regulations in the jurisdiction. J also
<br />"rlify Ih,1 I ,.d""..d th,1 'h, ,'g,!,II,., ,f ,Ih,r g,v".".I,1 "l,.,i,' "Y .,ply t. 'h. Int,.d,d "rk, ,.d th.t II i,
<br />.y ",p..'ibil I Iy ,. "..I I fy ,h,1 "Ii..' , ousl \Ok, " b, i. "'p Ii""'. Suc' .,..d" i ,or I'"~ t.c '" .,. Ii ,\l,d I..
<br />
<br />....
<br />
<br />I also certify that, if fill aatl?rial is to be used in Flc.od Zl.ne "1\" 0; "lI,etc.', it is underste,e,d t!.~t a drainage plan
<br />.dd",'i.g . '".p,."li.g v.I,.,' ,ilt b, "b.lll,d ,hi,b i' p"p.,.d by , ",I.,.i..,. ,.,in,,' ,.,i"."d i. Ih' S,.t, ,f
<br />Florida prior to pertit issuance.
<br />
<br />, ",.it i""d ,h,l\ b, ,..,t",' t. b, . \i,"" I. p"",d ,ilh Ih' ,.,k "d .,t ., "lho,ity t. ,i.\.I., ,..,,1 ,I.", "
<br />"I .,id, "y p,.,i,i.., .f Ih. 1,'b.i,,1 ,.d,'. .,r ,h.il i""'" .f , p".il p""'C 'h, B,ildi'g '1Ii.i,1 I,.,. 'h",.fl,r
<br />"q,i,i.g , "",,'i.. .f "r." i. p\"'; ".,tr"tl.., .r ,i,I,li.., ,f ,.. "d.. ,,'" ",.i. i"'" ,h,\1 b"'" i."lid
<br />,.1", 'h, "rk "Ih,ri.,d by ",h p,r.lt i, ,...,.", ,ilhi. ,i. ".th, .f i.""", ., if ",' .,C.. ,..d by Ih, p".it i'
<br />,,'p..d,d " ,b,.d...d fo, , p"i.d .f ,i. .,.Ih' .fl" th. c;.' Ib, "" i. "..,."d. 0" g. d', ,.c,...,. .1 ti.,. "y b,
<br />,Il",d f', tb' p".il ,ilh f,' ,h"g' .f 115.00. Th, ,.t,.,.,. ,h,11 b, ,'q"..,d i. "iCi.. .. .h. ',ildi.g Offi,i.l. "
<br />.ppr..,d 1.'p"li.. .". b, l.gg,d d,ri.g ",h ,i. .,.Ih p"i... .. th, ,,'1'" ,ill b' ".,id".d .b.,d..,d.
<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 CmIME..'C~MENT. JUDS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "~mT 1 CE OF C0I'1MENCEMENT".
<br />
<br />
<br />SIGNATURE~
<br />OWNER OR A
<br />
<br />
<br />c 1 G~:r-\ nJf~E
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<br />------------------------------.
<br />
<br />CONTRACTOR
<br />
<br />DA TE______________J_R--:.-"3-:.Cf.. L---------. .---
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />NOTARY A5 TO. NQTARY AS 10
<br />OWNER OR AGENT~\j,J!-,::x::r.:t~r~ r;JNTRACT\IR.________._____________________
<br />
<br />MY COMMISSION E~PI~ES
<br />
<br />------------------
<br />
<br />MY COMM 155 I ONNM~t ~6Bi.j.G,..e~..~-F.L.ORIOL---------
<br />MY COMMISSION EXPIRES: NOV. 16. 1992.
<br />SONDEO THRU NOTARY puaL.IC UNOERWR'1'e:.~
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