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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe WldelBlgn.d und.lBlands Ih.1 Ihl. pee.11 ',y be .ubjecl lu 'deed e..leicIIUDS' .hlch "y be ..e. reslelcll.. tban CII,
<br />eegul.II.... 'be und.e.lgn.d ....... e'.pnnslbllll, fne cuspllanc. .Ith .ny 'ppllcabl. deed e..lelcll....
<br />
<br />B, UNLICENSED CONTRACTORS AND CON'!'RACl'On RESPONSIBILITIES
<br />ff lb. ....e b.. bleed a conleaclne oe conleacloe. 10 underlal. ..el, lbey..y be reguleed 10 be Ilcensol 10 aCOOCdaoce .11b
<br />.Ial. and local eegulall.... If lb. CllI'lraclor Is IIDIllcen..d as eequlred by la., bolb !be llOIIer and conleactor sa, be
<br />cited foe a .I.d.....oe ,Iolallon und.e .Ial. I... ff the ....e oe Inlended conleacloe ae. uncerlaln as 10 1101 11....109
<br />eegule....l. lOy apply foe lb. Inl.nded ..el, lb., ae. ad'i'ed 10 cnnLacl the Clly nf Z.pbyehlll. Bulldlog OeparlBeol, (813)
<br />788-6611.
<br />
<br />Fuelb.e..e., If the ..ner 10. ble.d · conleacLne ne conleaclne., b. I. ad,I..d In ba,. lb. cooleacloe(.) sign poell... of lb.
<br />'Cooleaclor Secll...' of Ibis appllcall.. for .blcb lb.y .HI be e..ponslbl.. If you, as lb. OOIU!C .Ign as tile contracloe,
<br />you are lodlcallng !hal you, ealber lban lb. conleacloe, ae. e"ponsibl. foe lb. ..el. If lb. conlractor .18Ios JOB 10 .Ign
<br />a. conleacloe thaI ..y be ao lodlcallnn 1101 10 I. nnl penpeely licenSed and Is IIDI enlllled In persilllog prl,lleges 10 !be
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'!'ILl'fY CONNECTION FEES ",~
<br />
<br />D. CONSTRUC1'ION LIEN UIl.W (CHAPTER "lI3, FLORIDA STATUTES, AS AMENDEDI
<br />I ceellfy Ibal I, the appllcanl, 10,. been pe..lded .11b a cnpy nf 'Flnelda'. COnslencllon Lien law _ 8......er.. Pcolectlon
<br />Cui d.' pe.paced by Ih. Floelda Depael.enl of Ageicollue. and Co.....e Affale.. If the appllcanl is ....... otb.r tban the
<br />....er., I cerlify Lbat f ha.. ul>lalned a copy nf U" above doscribed dOC...nl and penol" In good fallb 10 d.lher It 10 the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR 'S/OWNER'S AFFIDAVIl'
<br />I ceelify 1101 all lb. Infoe"llon in Ibi. appllcallon I. acenral. and !hal all ..el .ill be done 10 coopll.... wllb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I \
<br />
<br />Appllcallon I. b.eeby lad. 10 oblaln a perail to do ..el and Inslallallon as Indicated, I ceellfy Iiol DO ...1 or
<br />Instal I all.. ban ......coi peloe 10 Issuanc. of a pee.11 and !hal all ..el .111 be pecfursed to ...1 .Iaodards of all lass
<br />eegulating consleucllon, Clly codeo, IOOlng eegu1all..., and land d.,.lopoenl eegulall... 10 !be jwrlollctlon. I al..
<br />ceellfy Ibal f und.estand thaI lb. e.gulali... of nlbee go'.rosenlal agencl.. .., apply 10 lb. lolended worl, and !IoI It Is
<br />., eesponslblllly to id.nllfy .bal aCllm" I .u.t lal. 10 be 10 COIpllanc.. Sucb agoncl.. Include but are not Ilslted 10:
<br />· OeIoelsonl 01 Bu'le.....lal Regulatl.. - Cypeess 8'Yloads, M.lland Aeeas and ZO,ICOOIOOlally S...ltl.. landa,
<br />Water/Wastewater TreatJent
<br />I Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arlseot of HealIb , HeIobllltatl,. Services Bu,ICODIenlal Heallb UOit - Mell., laste..ter rrealBeot, S.ptlc rants
<br />I US EnviroDlental Protection Agency - Asbestos abate.ent
<br />I al.. cerllfy 1101. If fill "leelal I. In be used in Flood Zon. '0' ne 'O,.lc.', II I. under.tood !hat. dr.iDags pi..
<br />'ddeesslng , 'COBpensallng ..I.... .ill be .uboltted which I. peepaeed by , Professl..,1 engineer regl.tered 10 1Io State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A per.lt i..ued &ball b. con.trued 10 be , lic.... 10 peoceed .Ith Ibe ..el and nol as aulloeily to ,lol,ta. canoeI aller, or
<br />o;t a.ld. any pe..I.ln.. of the I.chnlcal cod", nor sbaIl I....nc. of a P...lt pre,ent the Building Offlcisl froo lbaresfter
<br />requleln, a coreectl.. of .reoe. 10 pi..., con.lrucllon. oe ,Iolallons of an, cod.. ."" )OrBIt lssued AIolI becooe Ioralld
<br />unl... the 80el ,ullorl.ed b, 8DCb peesll I. co....ced within .i. 800lhs of i........ oe If ..rl autIor1sed by tIo )OrBIt Is
<br />8Depend.d or abandoned foe a peelod of .1. 800110 aftee th. t1.. the ..el I. ......001. One 90 doy ..t...lon of tiss, .., be
<br />'1Iooed for th. pee.lt with f.. chaeg. of 115.00. lb. ..ten.lon .ball be eequested 10 writing to the Bolld!og Official. AD
<br />approved inspection lust be logged during each six IOnth period, or the project will con. d abandoned.
<br />I18l111flC TO OOHR: YOOII FAlll/111l TO IlHCURO A zorlCll OF ~ IlAY 1IIlSIIL' II , III !OS DIi'IIlVBIIIIrt TO IlXIlI
<br />PROPIRrY. IF YOU INTEND TO OnTAIN FIHANCIHG, CONSULT WITH YOUR LINDIR OR AH ATTO ORDIHG YOUR NOTICE OF
<br />COHHIHCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTIC "
<br />
<br />SIGNATURI: ONIfIR OR AGINT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF LORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19 by
<br />-
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath,
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oiJth,
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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