<br />_ ....'-::-., - ;'-'-~---r'
<br />
<br />I,
<br />CONDIT.IONS OF PERMIT AFFIDAVIT
<br />+
<br />
<br />A": NOT I CE OF DEED RESTR I CT IONS:. ,
<br />
<br />The undersign~d understands that this perlit lay be subject to 'd~ed restricti~ns' ~,hich ~ay bn 5~re res~rictive than City
<br />regulations, The undersigned assules respon5ibili~~,f~~ co~pliance Mith any applicable oe~d restrictions.
<br />,... ':.." " '. ' I
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor Dr contractors to undertake Mor~, they may b~ required to be licensed in accordance with
<br />statl! and local Tl!llulatio-ns, If thl contractor is not licensed as r~quir!!d by law, beoth th!! oltnH and contract~r ~ay bl!
<br />cited for a aisde.eanor violation under state law. , If the OMn!!r or intended contractor are uncertain as t~ what licensing
<br />r.q"""'" "y .pply I" tho ",.,d.d ,.,k, 'h.y .,. .d",.d " ""." 'h. C"y ,I 1.phy,h'll, ','Id'" D.,."..", 18131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired It contractor Dr contractors, he is advis~d to have the contractortsl 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 />Y" .,. ',d".'I" 'h.' y", ,.th., Ih., tho ,.,Ir.".r, .r. r."",ibl. I" 'h. ,ork, II 'h. ",',',',' ",h., y" " ,I"
<br />as contractor that lay be an indication that he is not properly licensed and 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 ,.,"Iy 'h.' I, 'h. ."Ii,.", h.,. b.., ,r.,ld.d ,Itb . ,.,y .1 'FI,r'd.', C""",'i" L',n L., - H""""" "".,'1.'
<br />',Id.' pr.p.r.d by 'h. FI,,'d. n".r'.." .1 A,rl"lt,r. .,d C.",.., Aff.ir" If 'h. .p,li,." i' "..". ,'h" 'h., 'h'
<br />"".,', I ,.rt'ly 'h., I b.,. .bl.I,.d . ,.py .Itb. .b.,. d..,rib.d d.,.,." ..d "",.. i, ".d I.,'h I. ,.11,., i' " 'h'
<br />'OMn~r' prior to cOlienc~ment.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I e.rtily 'h.1 .11 'b. i,I.,.."., in tbi. .,pl\,.I'" i. .,e.r'" .nd 'h.' .11 ",. ,ill b. d'" " ".,Ii.,e. ,i'h .11
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Ap,I',."., " h.r.by ,.d. I. ,bl.i, . ,.r.it I. d. ,.rk .,d i"I.II."" ., i,die.'.d, I e,,"ly ,.., ,. "rk "
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<br />
<br />. n.,.rl.", ,I '"'r.,..,,.1 A.,.I.'i., - Cy,r.,' B.yb..d., H.'I.,d Ar'" .,d """""..11y 5,.,il'" L,nd.,
<br />Water/Wastewater lreatment
<br />I Southwest Florida Water ManaQe~ent District - Wells, Cypress Bayheads, Wetland Arcas, Altering Haterc~urses
<br />I Armv Coros of Enoineers - Sea~alls, Docks, Navigable Waterways
<br />. n. .".." .f H...,. l R,b.bili'..". .."i,.. '"ir.,.",.1 H..I'h U," - "11., H...,..", ....,..." '.pli, ,..k,
<br />I US Environoental Protection AQenct - Asbestos abatement
<br />
<br />\ .\.. ","Iy 'b.t, if lill """.1 " "b. ".d i' Flood lon. 'A' 0' 'A,."'" iI i. ..d""",d \I.,' · dra'na,' pi"
<br />.ddr.,"" . ',..p"""" ,.1.,.' ,ill b. .,b.i'l.d ,bi,h ,. ".,.,.d by . p"f,..i,..1 ..gi.", ,.,i.I.,.d i. ,.. .,.,. ,f
<br />Florida prior to permit iS5u,ancc.
<br />
<br />A,.,." "...d ,h.ll b. """..d ,. b. . li,.n" I. ,r.,..d ,ilh 'h. ..,! .,d ,,' ., .,'h""y " ,i,I.,.. ,.".\ .1'", .,
<br />..\ ..id. .,y p",i.,." 'I 'h. ,.,b,i,.1 ,.d." '" .h.11 "".". ,I . p.,.il ,."..1 'h. ',ildin, 0Ifi".1 f'" 'h.r..f'"
<br />ro,.i"" . "n" "on .f ",H' " p 1m, ""Ir""on, 0' ,i .1.ii,,, of any "d', '",y ,mil i "',,' ,".11 b"'" i ".1"
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<br />"""d.d " ..and,'''' fH . ,ori,d ,I ." ..,'b. .Ilor Ih. "an the ''',' i. ,,,,,,Old, ,,,,e, d'j ",,,,.,,,, ,I Ii.., "y b,
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<br />."rmd i"p""on ,,,, b. I.".dd"i', ",b .,. ..,'b ,Hi,d, 0' th, proi.d ,i 11 b. ",,,,,or,' "",dH"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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A 11 NOT I CE OF COMMEN.CEM~NT,;". .. ~
<br />
<br />/ /j~y
<br />SIGNATURE_---U~-Ji2.-~----- SIGNATURE__~j;{~c2-;-#~M,.t:<<-
<br />OWNER OR AGENT ' . CONTRACTOR. ~
<br />
<br />DATE ~ - 1;2. - 1j
<br />_____~--_u-----------------------------
<br />
<br />NOTARY AS TO // M /) ~
<br />OWNER OR AGENT_~~----~~~-----
<br />State of Florida at Large
<br />MY COMMISSION EXPIRES~~~W~~~~~~~L----
<br />
<br />;;~;~~~i~~~~~~~~~~~~~~
<br />
<br />Notzry Public
<br />MY COMMISSION EXPIRES. State of FIoridaat Lar"'"
<br />-~1com~iXplles-oe~i991
<br />
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