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<br />CONDITIONS~OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The .undersigned understands that this pertit tay be sublect io "deed restricti~ns' which ~ay be ~ore restr,ictive than City
<br />regulations. The undersigned assules responsib~Ht'f.'for..co.p1iancl! lIith any applicable deed restrictions.
<br />... ".,,' .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the ollner has hired a contractor or contractors to undertake lIork, .they aay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ~lIner and contractor nay be
<br />cited for a misdemeanor violation under state laK" .If the ollner or intended contract~r are uncertain as to IIhat licensing
<br />require.ents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI31
<br />788-6611.
<br />
<br />Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for IIhich they lIill be responsible, If you, as the ollner sign as the contractor,
<br />y" ". i,die,'i,g th,t y", "Ih., th" 'h. e"t"e'", ". ,.'p,n,ibi. f,' 'h, "',. If th, e,n",et" ,i,h., y" to ,ig'
<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 e.,tify ,h" I, 'h. 'ppiic,nt, h". b..e p,.';d.d ,i'h , c'py ,f 'FI,,'d'" e",t"c'i', Li" 1.' - ",...".,', p"t.cti.,
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs, If the applicant is sotec.ne other than the
<br />'",0<', 1 m \I fy 'h" I b avo ,b" i nod , c,py ,f th. ,b'" d ,,,d b.d doc',,"' on" p"., i" i, 9 ,.,d .. it h " d.1 i'" it I. th.
<br />"ollner" prior to cO.lence.ent,
<br />
<br />"' :',';(7,. ". '.::
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I e.,tify 'h,' ,II 'b. i".,.,ii', i, Ihi, 'pplic,li" " 'cc"". .,d 'h,' .11 ",I ,ii' b. d," i, e,.pli,ne. ,ith ,II
<br />applicable lalls regulating construction, zoning, and land developDent.
<br />
<br />. . .
<br />Application is hereby ~ade to obtain a pertit to'do Mork and install~tion as indicated. I certify that no Ilork or
<br />installation has cOllenced prior to issuance of a per.it and that all work lIill be performed to ~eet standards of all lalls
<br />,.g,I,'i" c",'"c'i", City c,d." "ei'g ,.g,l,t;"" ,,' I"d d".I'p..,t ""I,'i'., i' th. i"i,di,ti,.. I ,I"
<br />c.,'ify 'h.1 , ,.d."".d 'h,1 th. ,."I,'i." ,f ,Ih., g.,."..,t., "."i., .., "ply t, .h. in.,.d,d "", ,.d th., it i'
<br />'y mp""ibilily " "..lify ,h.t "linn' I ."t ta" t. b. i, ".p\l,"" S.,h ".,"eie< i.,I,d. .,,1 ". ",. Ii.".d t"
<br />
<br />...
<br />
<br />. D.!"I.,;I ,f E"i,;,..,i.1 R",!.ti" - Cyp,;,s B.yh.,ds, ",tl"d ".., .nd E.,i"","011, s."si'i" [,.ds,
<br />Water/WasteKater Treatment
<br />I Southwest Florida Water'ManaQe.ent District - Wells; Cypress Bayheads, Hetland Areas, Altering ~aterc~urses
<br />I Arty Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways
<br />I De artlent of Health ~ Rehabilitative Services Environmental Health Unit - Wells, Waste~ater Treat~en~. Septic Tanks
<br />f US Environaental Protection AQenci - Asbestos abatement
<br />
<br />1 "" m\lfy th.t, if fin ..'"i.1 is "b. ".d i' m.d Zoo. '" " ",,'c.', il i, "d",'ood \I"l ,dcai.." pi"
<br />,dd,."i', ' ',..p,n"ti'g "I,.,' ,i'l b. s,b.itt.d ,hich i, p,.p".d by . p,,'.,si,.ol ,.,in,,' ,.,is.,,,d in th. Sl.t. "
<br />Florida prior to permit issuance,
<br />
<br />, p.,.i' i""d ,h.11 b' c""".d t, b. , li,.,s' t, p,.c.,d ,i'h th. ",' .,d "t 's "lh"i'y ,. ,i,l;t., c",,1 ,It.', "
<br />,., "id. "y p",i,i'., ,f th. '.ch,i,.1 c.d." ", ,h,II i,""c' ,f . p.,.i' p""" lh. .,ildi', ,.n,i.1 .". th.,..""
<br />""i d', . "",e\lon ,f ".." ie pi "'; c",I",\l on , " ,i, 1.1i on, ,f "y "d.. 'm, p"''' i ""., ,t..n boc'" i ".1 id
<br />"I'" 'h. ",' au' t" i "d by ,,,h p'" ii i, c....nt.d ,iihi' ,i, ",' h, .. ; "" "'" " if '" k ." \I"." "d " \h. p.co ii i'
<br />",p.,d.d ., ....d".d f,' , p.,i,d ,f ,i. ..n'h, ,f'.' th. ti,. 'h. .." i' e,.."C", '0' ,. d., ",.,si,. " .i.., "y "
<br />,'I...d f" 'h. p.,.it ,ith f.. ,h"g' ,f 'IS.DD. Th. ..,."i,' ~.11 ,. ,.".s,.. i, "i.i.. t, 'h' O,ildi.. Df'iei.I. A'
<br />"p",.d l",.c'i., .", b. "gg.d d"i,g ..ch ,i. .,,'h p.,i,d, ., th. p"j.c' ,ill b. co"i""d ,b.,d...d.
<br />
<br />WARN1NG TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT lN YOUR PAYING TWICE FOR IMPRoV~MENTS TO YOUR PROPERTY. TF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 lN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE
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<br />
<br />SIGNATURE _~~~-~L~-16..L~t{r:.rJl.-.;-l
<br />CONTRACTOR (
<br />
<br />OWNER OR AGENT
<br />
<br />DATE 'V\l.o.-.t.,k: 17, / C;" 1- -
<br />------------~---------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />DATE
<br />
<br />------------------------------~_._------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
<br />
<br />-----------------------------
<br />
<br />MY COMMISSION EXPIRES
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<br />
<br />MY COMMISSION EXPIRES
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