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<br />CONDITIONS;O~.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />.
<br />The .undersigned understands that this per.it lay be sublect to "deed restricti~ns' ~hich ~ay be ~ore restr.ictive than City
<br />regulations. The undersigned aSSUII!S responsibilHf:for;,colpHance with any applicable deed restrictions.
<br />\ ,.W' ' .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITI~S
<br />
<br />If the owner has hired a contractor or contractors to undertake work, 'they aay be required to be licensed in accordance with
<br />state Bnd local regulations. If the contractor is not licensed as required by la~, both the ~Hncr and contractor ~ay be
<br />cited for a misdeaeanor violation under state law., If the ollner or intended contract~r are uncertain as to what licensing
<br />require.ents lay apply f~r the intended work, they are advised to contact the City of Zcphyrhills Building Departlent, (813)
<br />788-6611. . . '"i
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the c~ntract~r{s) sign portions of the
<br />"Contractor Sections" of this application for IIhich they Ifill be responsible, If y~u, as the ~lfner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the If~rk. If the contractor wishes y~u to sign
<br />as contractor that aay be an indication that he is not properly licensed ~nd is not entitled t~ 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 Constructi~n lien lall - H~leollner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consumer Affairs, If the applicant is s~te(.ne other than the
<br />"ollner", I certify that I have [.btained a. copy of the above described de,cUillent and pf(,rr.ise in ge,od faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />~,,'tt.. I" I ;:'.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all w~rK will be done in coarliance with all
<br />applicable laws regulating c~nstruction, zoning, and land development,
<br />
<br />Appli~ation is hereby .ade to obtain a per.it to'do work and install~tion as indicated, I certify that no work or
<br />installation has cOlaenced prior to issuance of a per.it and that all work lIill be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, ana land development requlations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />., "'P"" it iii', ,. id '"' if, ,h.' "ti '" I ,",I la" I' b' ;, mp Ii '"". Soo to .g ,,," '" i "cl ,de C., '" ",. Ii. it ,d ."
<br />
<br />...
<br />
<br />I Departle~t of Envir~nmenial ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi tiv~ l30rlsr
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water' Manane.ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Army Corps ~f Ennineers - Seawalls, Docks, Navigable Waterways
<br />. 1"""'" of H"l'h , ',h.b;l;'.,;" S",;e,', ",i",."..1 H,.ll' ",it - "\\" "".,.t" ].,..."" S'p'ie T.,"
<br />I US Environaental Protection Anency - Asbestos abatement
<br />
<br />also certify that, if fill aatt'rial is to be used in He.od Ze.ne "A" [Ir "A,etc,', it is underste,od lI"t a drainage plan
<br />.dd",,;'g . ',..p",.'i,g ,.1.." ,;tl b' ,.b.i't,' ,h;eh \, p,'p."d b, . 1",.,'i.,.1 ,.gi.'" ,.,i,'.,.. i. 'h' S..., .,
<br />Florida prior to permit issuance,
<br />
<br />. p".i' ;".., ,h.11 b, ,.""." t, b, I Ii,.", t, p"e,,' ,ith Ih' .." .,d ,.. ., ..'h,.i', " .i,I..., ,.",1 ,I"'. "
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Dfficial froft thereafter
<br />"g,;,;,g . ,.",,'i., " ",." i, pl.,,; ""t,..tl." .r ,;.I,'i... ,f ,'. "d.. E.", .".i. i..... ,'.\1 b,,'" i,..lid
<br />unless the work authe.rized by such permit is c[.lIlllenced within six 1Il0nths ~f issuance, e,r if tle,d: allt!.{'II~ed by the per.it is
<br />"'p,,,.d " ....'."d f.' . p"i., ,f ,i. ."th. .ft" 'h, .,., tho .." ;, ".."",. D.. '0 d., .,t."i.. ., 'i.., .., b.
<br />,\1..., f., '0, p.,.i' ,i', f" eh"9' ,f 115.00. Ih' """;" .h.ll b' "g.,,'" i. "i'i'9 t. '0' ',il'i'. Offi,i.I, .,
<br />approved inspection ~ust be logged d~rinq each six month period, Dr the prDject will be cDnsidered dbdlldDoed.
<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 COMMEw~ ENT".
<br />
<br />.-1 J
<br />SIGNATURE__________________________________ SIGNA-IURE__~ ------- ------
<br />OWNER OR AGENT CONTRACTOR
<br />
<br />DATE________~-~-~~:c-~---~----------
<br />
<br />NOTARY AS TO 12 - . 0 <.7 ~
<br />CONTRACTOR ~~ ~
<br />____________________________VLOR~
<br />NOTARY PUBLIC, S~'TIiE~~NOV. 2. I'
<br />MY COMMISSION EXPIRE~~~~.xl'!!.1'~~..y~DERW!
<br />
<br />
<br />DATE
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<br />--------------------------------.-------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________~_______________
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />----------------------
<br />
<br />OTARY PUBLlC, STATE~F FLORIDA.
<br />~Y COMMISSION l<:XHRES:Nov. 2. 1994
<br />BONDED TllRU NOTARY PUBLIC UNDERW,UT
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