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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />rbe undersigned und.r.t.nd. tl.t thi. per.it ..y be .nlleet tn 'deed restrictlnn.' wlie! say he .... restrictl.. !ban City <br />r.gul.ti.... nb. Und.r.igned ass.... r..ponnlllllty lor COopII.... with any .pplicabl. deed r..tricti.... <br /> <br />B. UNLICENSED CONTRACTORS ANU CONTRACTOR RESPONSIBILITIES <br />If the ....r I" Ilred · contr'cIor or contr.ctor. tn nnd.rtal. ..rl. !bey..y be regaired tn be II....ed In 'ccordance will <br />.t.t. and loc.1 regulati.... If tbe contractor I. not lic"'ed " regulred Iy I... loll the ..... and conlIactor say be <br />cited fnr a .iodeoeannr 'inlatinn under .tat. I... If tl. ....r or intend.d cootractor are uncertain" to IIot li....lng <br />regalr....ts ..y .pply for th. Int.nded unrl. th.y .r. ad,ised to coot.ct th. City of Zeplyrhlll. BDlldIog Deparlleot. rill) <br />788-6611. <br /> <br />Furthenoor.. If tl. ....r !as lired a contractor or contractors. I. i. ad,i.ed to 10,. the contractorr.) .Ign portl... of the <br />'Contractor Socti...' of thi. application for wllcl th.y will be respon.III.. If YOU. a. the "'er .ign " the contractor. <br />you are indicating that you. ralbor llon tl. contractor. are responsibl. for lb. IOrl. ff tbe contractor .i8lo. yo. to .Ign <br />.. cootractor that ..y be ao indiration !bat b. i. not properly licen.ed and I. oot entitled to persfttiog priYileges 10 the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND U1'ILITY CONNECTION FEES <br /> <br />D. CONSTRUCTION LIEN LftW (CIIAPTER 713. FLORIDA STATUTES, AS AMEliDED) <br />I certify th.t I. lb. applicant. love I.en provided with. COpy of 'Florida'. COnstructi.. Lien Lao _ BOIeoIoer'. Protectl.. <br />Goid.' prepared by the Florid. Deparlsent of Agricultnr. and C......r Aff.lr.. If lb. applicant i. ....... olbor tIon the <br />'ONDer'. I certify tlat 110" obt.lned · copy of tl. .bov. described dn<_t .nd Pruolse la good f.ilb to deliver It to the <br />"owner" prior to co..enCelent. <br /> <br />" <br />t' . <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVI1' <br />I certify tlat .11 the inforoati.. io Ibl. .ppllc.tlno I. aocnr.t. and that .11 worl 0111 be done 10 COIpIlance 0111 .11 <br />applicable lawB regUlating construction, loning, and land develop.ent. <br />I <br /> <br />Application I. lereby ..d. to obtalo a P'OIit to do IOrl and instail.tlon " indicated. I certilJ thet no IOrl or <br />IDBtallati.. 10. COIIODced prior to I..uance of a perolt and thet all IOrl oill be perfDrlOd to lOSt .laodards of all I... <br />regulating constructi... City codes. ...ing regulatl.... and land d.,.I",,"t regulati... in the jwrlollcti... I al.. <br />certify !bat I nnder.tand that the regul.ti... of otler go',,",,"tsl agencies ..y apply to the lo!eoded lOll. and !bat it I. <br />.y r","",llillty to id.otify Ob.t .cti... I .u.t tal. to be io COIpliance. Sucb agoneles I,clnds bot are not lisited to: <br />· Oelortoent of An'ir.....tal R...I.tloo - ClPre.. Boyband., Notland Ar... and Ho'ir....ntally Sensiti,. Landa, <br />Nater/Nastewater freablent <br />· Sontboe.t Florid. Bot.r I........t Di'trict - Noll., Cypr... Boyband.. Jeti.nd Areas, Allerlng BolerCODr... <br />t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Naterways <br />· De rlIeot of Heallb , Rehabilitative SOlti", lotir.....t.1 He.lth Unit - Noll.. H..t...ler ""lIeol. Seplic Ian" <br />t US BnviroDlental Protection AgenCl - Asbestos abatelent <br />I .1'0 cerllfy !bat, if fill ..terl.1 I. to be used In Flood .... 'A' or 'A..tc.'. it I. underslool lbol . dralnogo pi.. <br />addressing a 'ClIIpeDSating ..I.... om be .uiJlollted Oble! I. prepared Iy . profensl...1 eogi_ regi.lered io the Stats of <br />Florida prior to per.it, issuance. <br /> <br />. A peroll iSSued shall !e OOD'lrued to be a lie.... to proceed lith 16. wort and not as an!borlly to ,Iolale. CIDO!I aller, or <br />..I ..Id. any provi.ions of the l.chalc.1 cod.., nor .ball i"u,"" of . perlll pr....1 lbo B.llding Official f... tIorsatter <br />r.qulrlng a correcli.. oi error. 10 pi.... OUDSlrucliun. or ,iolall... of an, cole. BYery Pl<ait 10I0Sd 1b.11 hecoos Ioralld <br />,nl... lbo IOrl authorl.ed Iy snch pOllil i. COIIOoced withio .io "'11s of i........ or if lOll authorized by !be perlit I. <br />8DIpeDded or abandoned for a period of .11 IOJIlbo after the ti.. the worllo COIIOOCed. IlIle 90 dsy OIleasllll of lioo. .., be <br />alllllOd for the per.il lilb fee charg. of 115.00. lb. OII...i.. Iball be r.....ted 10 Illllnq to the BoIIding official. An <br />approved inspection .ust be logged during each six IOntb period, or the project will be considered abandoned. <br />IIAIIIIIIIG YO DIiIIllR: YOIlII FlIILOBIl YO llRCDIUJ A IIDY f CK of CIIIIBlIICBIIUY IlAY IIBSlJLr II YOIlII PAYIIG YIlfCK IDIl iIIFIRMIIIIn8 10 I'lIIR <br />PllDPIfRTT. IF roo IITJDJD YO DllJAII Fl8AIICIIIG. Cl!lISULT Him YOOR LIlIllBR DR All AYTllWY _ RIlllRDllIG YOIlIIIIDrICK of <br />CIIIIIHIICBIIm. - DRm 12,506 II YAW 00 IIDr lUll YO llRCDIUJ AIID FOST A 'IIOYICK DF CIIIIBlIICBmr'. ...... <br /> <br />SIG <br /> <br /> <br /> <br />~ <br /> <br />, I <br /> <br />srArK FtolnDA <br />COUH1'Y OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STAr FLORIDA <br />COUHTY OF <br />The foregoing instrument was acknowledged <br />before me this , 19 by <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 />(Signature) <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 />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />