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<br />
<br />COND I T IONS.' OF PERM I T AFF I DAV I T
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th, ,undfrsigned understands that this perlit lay be sub1ect to "deed restricti~ns' Hhieh ~ay be more restr,letlve than City
<br />regulations. The undersigned usuae5 responsibill.tof.for,.colpHancl! lIith any applicable deed restrictions.
<br />" ,.",' , '
<br />
<br />"
<br />UNLICEN~ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />E.
<br />
<br />If the-ollner has hired a contractor or contractors to undertake 1I0rk, .they lay be ~equired to be li~ensed in accordance with
<br />,t.t. ..d...~1 ..,.l.",~" If tho ...t...t.. I. ... ll.,..,d ., ....i..d b, \.., h..h tho ~... ..d "!I""" ,., b.
<br />cIted for a 11sdeleanor VIolatIon under state lall.; .If the ollner or intended contract~r are uncertain as to what lic~nsin9
<br />,.,.i.....t. ,., .,,1, f.. 'h, i.t,.d,d ."k, th,y .., .d,i"d I' ."t..t 'h, Ci', ,I ,.,h"hill. ,.ildi" '.p.,.,.." lel31
<br />7BB-bbll. ' .
<br />
<br />Furthermore, if the Ollner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the
<br />"Contractor Sections" of this application for Mhich they Mill be responsible. If you, as the OHnllr sign as the contractor,
<br />,.. .., i.di..ti., th.t "', ..'h,. th.. 'h, ...t......, .., .,.,...\bl, f,' 'h, ...1. II .h. ....,...., .i.h.. ,.. I. .i"
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled te, 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 .,.'ify Ih.' I, 'h, ."Ii...., h." b". ,..,i", .Ith . ..,y ,f 'Fl,.id.'. C,..".,li'. li.. l.. - ",.,...,.'. P,..,.li..
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sote6ne other than the
<br />"ClMner", I certify that I have obtained a. CDPy of the above described dc,culllent and prc,rr,ise in ge,od faith to deliver it to the
<br />"CllIner" prior to cOI~ence~ent.
<br />
<br />.. ; 1. ':'~'. ", ' ; :
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all worr. will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade tel obtain a penH to'do "or~ and installiltion as indicated, I certify that no work or
<br />installation has com.enced prior to issuance of a perlit and that all wor~ lIill be perfor"med to ~eet standards of all lalls
<br />regulating construction, City codes, zoning regulation~, and land development regulations in the jurisdiction. I also
<br />",'if, .h.' 1 ..d,..I." 'h., 'h, .,g.I.li'., Df Dth,' g"".."..1 ."..i,. ,., 'pp1," Ih' i.\,.d,d ...., ..d 'h., i' i.
<br />., mp'" ib il ily t D id,,1 if, .h.' ," i ,.. 1 ... t lok' 'D b, i. mp Ii "',. S..h', '''' ino i "d od, h" I '" '" I Ii. iI,d ."
<br />
<br />. <I. #' .
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, ~etland Areas and Environmentally Sensitive Lands,
<br />Water/WasteMater Treatment
<br />I Southwest Florida ~ater. ManaQe~ent District - ~ells; Cypress Bayheads, ~etland ~reas, Altering Hatercourses
<br />I Ar.v Corps ~f EnQineers - SeaMalls, Docks, Navigable Waterways
<br />. D,~.,..,., .f ",.1" , R,h.bi1i..li" S,.,I,," E.,i.,..,...1 ",.l\h U.it - U,ll'. U..I...I" ""',,,:. S,pli. T..k.
<br />I US EnvironDental Protection AQenct - Asbestos abatement
<br />
<br />I also certify that, if fillaaterial is to be used in Flelod ZClne "A" or '~,etc.', it is underste,e,d t1dt a drainage plan
<br />.d",..i.g . ...."....i.' ,.1..,' .ill h, ..b.i'\" .hi.h i, p,'p.,.d h, ' p"f..'i.".\ ,,,,,,,,,, ",i."", \. 'h. s.." .1
<br />Florida prior to permit issuance.
<br />
<br />, p".i' i,..,d ...11 b, ,..",." tD h' . li['," tD p,"'" .i'h t., .... .,d .., .. ..I..,il, ., ,i'\"', ...,,1 .1.", D'
<br />"t .. id' "Y p'" i.' ". .1 th, ,..h.'" I "'''' no, .h. II i ,m'" ., . P '" II P"''' I th, ,. i\ di ,,' U (f', i.1 I'" lh"" f\"
<br />",.i".g . ."",,,.. ., """ i, p....; ..."...\i.., " ,i,"" on. " .., "d'. ,,," P'" II ,,,",' .h, II hor'" i... lid
<br />..1,., th, ."k ..'h.,i.,d b, ,..h p".i' i, [,..,..,d .ithi, ,i. ""h' ., i.,.."", ., i' ..,k ."... ",d b, Ih. p".i' i.
<br />,.,p,.',d D' 'b.,d."d f" . p"i,d ,f .i. .D.th' .,t" 'h' .i., th' .." i, ....,."d. .", " d., ,.I...i." .f "", .., h'
<br />011.,,' f" Ih' pmil .ilb f.. .h.." ., 115.00. Tb, """ion ,h.tt h, "'''' \od i, "i Ii., ", Iho ,,, itdi.g Off id.1. ,.
<br />approved inspectie,n i!lust be le.gged during each six lIonth period, (Ir the pre,j\:ct Iii 11 be ce,nsider!?d dbdl,de,,,,,d.
<br />
<br />WARNING TO OWNER. VOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
<br />RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. 0005 UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEt'1ENT".
<br />
<br />MY COMMISSION EXPIRES
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<br />SIGNATuREL1d~i.g'!!c.llq~-~~~
<br />/'.Alo.vAl Pd,5{.WH9>>;n~c~> \..JI.)"J'
<br />DATE __ __J___L1- __:l<P::-- - -- -- - ---- --- -------
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<br />~~~~~~C~~R~~_~-~~----
<br />
<br />c~""'"
<br />[. ;~.wn E. WoortwarrJ
<br />MY COMMISSION-~X~lRES
<br />NDTARY PUUUC;-ST~-mtID1\":"--
<br />"n{ COMMISSION EXPIRES: ,Jan. 25, 1995.
<br />BO\'lDE;D THRU NOTARY PUBLIC UNDERWRITERS.
<br />
<br />SIGNATURE
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<br />
<br />OWNER OR AGENT
<br />
<br />DATE
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<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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