|
<br />CONDITIONS;O~,PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The,undersigned understands that this per.it aay bl 5ub3ect io "deed restrictions" which ~ay b~ ~ore restr1ctive than City
<br />reguhtions. The undersigned aS5Ules responsibilHf:for.,co1pliance with, any applicable d~~d restrictions.
<br />. ' . "w".., , ' ' .
<br />.. "
<br />B. UNLICENSEDCbNTRACTORS'AND'CONTRACTOR RESPONSIBILITIES
<br />
<br />If the OllnH has hired a contractor 'Or contracton to underhke'work,'they lay b~ r~quired t~ b~ licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as requ(red by taw, both th~ own~r and conttactor ~ay be
<br />cited for a .isde.eanor violation under state law.; If the o"n~r or intended cont\actor are uncertain as to what licensing
<br />,.'.i....... ,., .ppl, f., '" i....d.d .,.k, ..., ... .d.I..d 10 ,....,[ ". 'ii, .f Z.,.,,'III' ,.ildi., D.p.""", lBI'1
<br />722-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(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 />,.. .,. i.di,.'i., ,.., "', ,...., "" t.. """"," .,. ...p...ibl. f,. '" ."" If ... "..",." .i.... ". " .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 />
<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 ,..'if, ,..1 I, ... ."Ii,..., .... b... p...id.d .il' . "p, .f 'FI.,id.'. .,..1..,'1.. Li.. L.. - H.......,'. P,...,'I..
<br />Guide' prepared by the Florida Depattlent of Agriculture and Consu.er Affairs, If the applicant is soteCne other than the
<br />. ......, I '" Ii f, t'" I .... .bl.i "d . 'opy .f th. .b... d,,,, ib.d d".".1 oed ,m'" i. ."d f. iI' ., d.l i ". it ., ...
<br />"owner' prior to cOlllencellent. .'
<br />"'1 \ .:~. ': J. : : .
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 ,..'if, ...1 .11 'b. i.f,....i.. i. ,.1. .ppli,.'i.. i. ."."., .nd .... .11 "., .ill b' d.,. I. .,.pli.." .i.b .11
<br />applicable laws regulating construction, loniri9' and land develop~ent.
<br />
<br />. '
<br />Application is hereby lIade to obtain a pertit to'do ~ork and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
<br />"g,I.'ing ""'",'i", Ci'y ..d.., ".ing .,g,I.li,.., .nl I..d 1...I.p"" ",.1.1".. '0 .., ,..i.di,'i... I .1,.
<br />,...ify Ih.1 I ,.I"....d "" '" .,g,I.'i,n,.f .Ih" g.."."...1 .g,.,i" "j .p,ly'.. ,., i,',od,d "", ..d t'" i' i.
<br />" ,"p...i bi! ii, t. 'I". i1y ...1 "lion. I ...1 "" ,. b, in ",pi im', ,,,. .,,,, I" "," .d. b" I '" "" Ii .iI.d ,,,
<br />
<br />. J _~ . o.
<br />. n"art".1 ,f E"i ..n","1 R,g.I'ti on _ Cyp"" 9.yh..I', ~,llanl A.'" ar,d E" i "..",. i1y S,,, it i" l,rod s,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water'ManaQellent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />. Army C~rps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />. De art.ent of Health ~ Rehabilitative Services Environmental Health Unit - Wells, Hastewater Treat~e~~. Septic Tanks
<br />. US Environ~ental Protection Aqenc~ - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to,lJe used in He.od Ze,ne "A' or 'A,etc.', it is underste,e,d tll~t a drainage plan
<br />.dd,...i., . .,.~,....,i.g .,1..,' .ill b. ..b.i'l.d ,'i,' i. p."...d b, . ,i.f...i.,.1 ,.gi.... ..,i.I.,.d " I'. ,..\. .f
<br />Fl~rida prior to per~it issuance.
<br />
<br />A p".i' i....d ...11 b. "...,.,d t. b' . li,'n" 10 p..,,'d .i" 'b' .,., ..d ,.. .. ...."i'y .. .i.I,'., ,.n.,1 .1.." ..
<br />..1 ..id, .~ p.,.i.i... ,f '" ..,...,.1 ,.d.., n.. ...11 i....." .f . p...I. p...,ol .., ,."di'g ..n.i.1 I'.' ......1'"
<br />,.,.i.ing . ,.".,'i,' of ".,.. in pl...; "n,t..,.I.., ,. .i.l.'i'., .f ..y "d., [..,. ,.,.il ,..." ,h.ll b.,... i...1id
<br />..1,.. '" .." ..'h.,i"d by.". p".i' i. ",.,."d .il.i. ,i. ...t" ,f i..".o", ., il .." '''''N ",d by'" p".i' i.
<br />...p"d.d " .bar,d",d I'" . pori.d .f .i> ...... .I\or .., Ii" ..' "or' i. ",,,,,,.d, .,." d.y ",,,,;i.., .1 li.., "y b.
<br />.Il,..d I., 'h. p...i. .i" ,.. ""g' .r "1.00. T'. ...,..i.n ...11 b. ,'q...I,d i. ..i\'., ., I" ',ildio, Offi,i.l. A.
<br />approved inspectie,n oust be le.gged during each si~ month period, Cor the prc,j\!ct Hill be ce,nsidered db,;\,de.r,ed.
<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. J08S UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATUR~-~-~-- SIGNATURE__~-~-----------
<br />OWNER OR AGENT CONTRACTOR
<br />
<br />DATE__91AV"./2.,,;?-;----------~----------
<br />
<br />NOTARY AS TO L. jJ"" ~"
<br />OWNER OR AGENT ____r______1~-----.-
<br />
<br />MY COMMISSION EXp~~~~fu~~m~2lli~~~--------
<br />8y Commission bpires Apirl 2. 1992
<br />
<br />80nded Thru 1roy Fain - Insuroflce 10<;.
<br />
<br />DATE___~_~-~\5-~-~~--------------
<br />
<br />~~~~~~C~~R~:--~--~~---
<br />
<br />MY
<br />
<br />COMMISSION EXPIRES
<br />r ------------------
<br />
<br />.. NefClr~ r,:.:~,:k, 51ot!! rJt tlorida
<br />IljV (omm''<''.j '". .
<br />., '..". ~''''''X' 'r' !'" 1 'II
<br />lon~od Thrv Ira':'......, ';H .<. 99"
<br />i rom - Jn~<Jrcrl'e Inc.
<br />
|