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<br />COt'-JDITIONS OF, PEnr1JT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
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<br />lhe ,undersigned understands that this permit may be subject to 'deed restrictions" which $ay be lore restrJetivI than City
<br />regulations. The unders\~ned assumes responslblllty:for, co~pllance with any applicable deed restrictions,
<br />",' . . ,
<br />
<br />E. UN ICENSED CONTRACTORS AND CONTRACTOR RESPONS BILITIES
<br />
<br />If the own~r has hired a contractor or contractors to undertake Hork, 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 owner and contractor ~ay be
<br />cited for a lisdeneanor violation under state law.: If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />7B8-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign IS the contractor,
<br />you are ,indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that oay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrhllls.
<br />
<br />C. TRANSPORTAT LQ!~_I MPACT FEES AND tIT I L I TY CONNECT I ON 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 prov(dcd with a copy of 'Florida's C~nstructlon Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOle6ne other than the
<br />'owner", I certify that I have ~btaincd a c~py of the abOVe described docu~cnt and promise In good faith to deliver it to the
<br />'owner" prior to cDI~cnce~cnt.
<br />
<br />:'.:'::.', I'
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforffiati~n In this application is accurate and that all "ork will be done In cOlpliance with all
<br />applicable laws regulating c~nstructlon, z~ning, and land dcvelopDent.
<br />
<br />Application is hereby ~ade to obtain a permit to'do work and install~tlon as indicated. I certify that no work or
<br />installation has co~"enced prior to issuance of a perllt and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land development regulations In the jurisdiction. I also
<br />",lily Ih.1 I .nd.rst.,d th.t th, r'g."t".s ,I ,th,r g"".".i., "l,n,i,s n'Y .p~ly-I' th' ini,nd,d ,.rt, .nd Ih.1 il is
<br />'Y r's~..si'ilily ,. ",.t"y .h,t .,t"'s I "5' t.., I. ., ,. ,..~Ii..". S.,h .g..,"s ",I.d, .., ., ..i li.i'" ,.,
<br />
<br />~ '
<br />
<br />I Deparhe~,t elf Envir;n~ental re~11ation - Cypress Bayheads, \l~tland Areas and EnvirC<M,entally Sensi \jve lands,
<br />Water/WasteHater lreatment
<br />I Se.uthwest Florida Water l',anaile~,ent District - Wells,' Cypress Bayheads, Hetland Areas, Altering Haterc!lurses
<br />I ArlY Corps ~f Enqineers - SeaHa\ls, DDcks, Navigable WaterNays
<br />. ~,."I"r,' ,I ".. I" t "'h,h" ".n" Smi ros. EO" ron.",.1 ""I \h U.it - 1\.11 5, ~",,,,i" T ".1..,\. S'p Ii, 10.15
<br />I US Environ~ental Protection nqencl - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used In Flbod Zone "A" or "R,etc.", it is understood that a drainage plan
<br />.dd"ssi'g . '".p..s.l'.g ..10'" .\1' ., s.b"t',' ..,.. ,. ,r,p.." b, , pr.I,.s"..l ,.g"'" "gist..,d i. ,., S,.i' ,I
<br />Florida prior to per~it i5~uance.
<br />
<br />",r.ii iss.,d 5.,11 b. ...,t".. ,. b. , I"'." ,. p."'" ."h ,., "., .., ..t .. ..th..,l, t. ,i,l.t" ,..,,1 .It,r, ..
<br />.,t .si" "Y ""'s,.,. .1 Ih. t",.\,.1 """ .., 5.,11 "5"'" ., . ".,,1 p',"" 'h, ,.,I.i.g O"i,i.l ".. ,.".."..
<br />",.'ring . """ti... ,., .""os ,. pi,,,; ""'mil,,, ... "..I.Il"S " "y "d.. 'my .".11 155"" ,..'1 bm" i".ti.
<br />..1m I" IOrl '" th..., ,,' by ""h ,,,,II '5 co","" ,it'" 5" ,,,ths ., 's,,"'co, " if ",' """... ,,' by I" .or. II is
<br />"..on',' or ...""", I.... . .or',' ..1 s ,. ..nths '''or ", ti" th, ..rl is ",,"CO,. ,.,,, .., ,,1m 1." ,I ti", '" b.
<br />.1I...d for i" pmit .ith lee ,h"" ,I '15.00. ]h, "tens'on ...11 b' ",...t,' \. "lIi.g " th, '.ildi.g Offi"'J. "
<br />approved inspecti{,n rJust be Ic,~~ed d\1rin~ each si~ lIIonth perio~, (Ir the pr(,jed liill be nnsidered aboll,d(.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, CONSUL"r WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECOFD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />SIGNATURE_~~~~~~~3C-------------
<br />?JNTRAgJ'OR
<br />DATE L'.z_=_~?J-f' 1- - - - ---.-- -- - - - - -- - - ----
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<br />~g~~:~C~~R~~_~~-l~~~-
<br />
<br />MY' CClMMISSION EXPIRES___6:-:-~3--=-Z::1-::
<br />
<br />SIGNATURE__________________________________
<br />mn'1[R OR AGENT
<br />
<br />DATE
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<br />MY COMMISSION EXPInES______________________
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