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<br />CONDITIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />lb. under.lgned onder'Laed. th.t thl. per.lt "y be .object 10 'deed r..trfcti.... which "y be eo" r"trlctl.. lbao Cltr <br />regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRAC1'OnS AND CON'l'RAC'l'On nESPONSIBIL.ll'IES <br />If th. ....r has hired · ,,"tr.ctpr or contr.ctor. to undertake oorl. th.r..y be regulred to be Ilcen.ed in accordance .ilb <br />.t.le and loc.1 r.gol.ti.... If tbe coPtr'ctpr 1. poI Ilc.p..d as regulred hy I... both th. ....r and OPDlroctor "y be <br />cited for · .Ied....oor viol.lion upd.r .t.l. I... If tbe ....r or ipl..ded contr'clor .r. uncertain as to oIot licensing <br />regulr....t. "y .pply for th. lpt.pded oorl. lh.y .r. advised lp copt.ct lb. Cily of Zephyrhill. Bulldlog Deporleont. (013) <br />788-6611. <br /> <br />Furth_re. if th. ...er bes 'tired · coptractor or contractors. be I. .dvised to h... th. contrector(.) .Ign porti... of lIoe <br />'Cootractor S.cti.... of thi. .pplic.lioo for w/iich th.y will be r"_iM.. If ftJU. as lb. ...er .ign as lIoe cootractor. <br />fUu are ipdic.tiog lhal ftJU. rather UI.. th. coolractor. .re r"_iM. for lhe oorl. If th. cootr.ctor liQea ftJU to .ign <br />.. CODtrector th.t "y h. .. indicatl.. tbet be is npt properly lic....d ..d i. oot entitled to pereitliPg pri.ileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ' <br /> <br />D. .cONSTRUC'!'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certify lb.t I, the applicapt, be,. be.. pr"ided lith. copy of 'Plorld.'. COo.lraction Lien Las _ Boseosner'. Prot.ction <br />Gold.' prepared by lhe Plorid. Departeept of Aqricpltur. and Consuoor Aff.ir., ff the .pplic..t i. ....... otlor lbao 1Io <br />....er.. I certify th.t I be" oht.iped · copy of tI" above described tIocuoenl and proel.. 10 good f.ith to dsllver it to tile <br />"owner" prior to co.ence.ent. <br /> <br />E. CONTRACTOR' S/OWNER' S AFFIDAVI1' <br />I c.rtify th.t .11 th. Ipfor..ti.. ip this .pplicali.. is 'ccur.t. ..d lbet .11 IOrl .111 h. des. In cuspli.." lilb .11 <br />applicable laws regUlating construction, loning, and land develop.ent. <br />I <br /> <br />Appllc'lion i. h.rOby ..d. to oht.in · p.r.it to do IOrl .ed ipst.il.tion .. IPdlcaled. f Cerlify lIot no IOrl or <br />io.t.ll.tlon has COIIOOced prior to i.so..ce of . per.it ..d that .11 sorl IIII be perforool to ...t 'laodards of all I... <br />r.gul.tiog c...trucll.., City cod... ...Iog r.gul.tIons, .ed land dov.l",,"t regul.ti... in lb. jurisdiction. I 'Iso <br />certify that I ueder.t.pd that lb. regul.ti... 01 oth.r go'......t.1 .gencl.. "y apply to lb. intended lOri, and tIot It i. <br />,y r.,poo.lhlllty to Identify wbet .ctl... I ,u.l t.l. lo be in cuspli.nc.. Such agencl.. iocl... lot are not Iillted to: <br />· Deporlsont oi Bo'ir.....t.1 Oegul.tino ' Cypr... Oarbeads. W.tl.ed Ar... ..d In'i......lallr Sensitive land.. <br />Nater/Nastewater Treatlent <br />t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses <br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways <br />· De .rleont of Reallb , RoIahilILati,. Ser,lce. Eo'lr.....t.1 8..llb Doit ' ..11., Bast"'ler Yreaboeot. Septic r.... <br />· US EnviroDlental Protection Agency - Asbestos abat~ent <br />I .1.. certify that. if fill ..lerl.1 i. to he uoed Ip 'Ieud Zone '.. or ....tc.., it I. understood that. drainage pi.. <br />addressipg · 'COSpensatlog ..I.... .ill he .uloltt.d which I. pr.p.red hr . prof.88I...1 eoglo... regi.tered 10 1Io Stale of <br />Florida prior to per.it. issuance. <br /> <br />, A peroit I'.ued 01011 h. con.trued to he . llcon.. to proceed with the 80rl and not .. aullorltr to 'iolot., caocel oiler. or <br />..t ..id. an, pr..i.i... of tbe t'Chnlc.l cod", our .1011 i.,..... of . per.it prevent the BoIlding Official ([QI lioreofler <br />fequiriog 0 correction of .rmr. in pi.... cuo.truction. or 'iolotions of .ny cod.. See" perolt I...ed a10Jl becoso lDr.Illd <br />001... th. IOrl authuri.ed b, ,uch per.it i. COIIOnced witbln .i. IOOthl of I.....", or if oorl autboriJed b, lie perolt i. <br />.nspend.d or abendoned for · period of .i. eoolhs .ft.r tb. ti.. 1Io IOrlls _. Iloe 90 day "lenalno of tloo, '" be <br />'11owed for the p.relt wilb f.. ch.rg. of $15.00. rhe OIteo.lou sholl he requOlled io Irlllng to th. BoIlding Official. An <br />approved inspection .ust be logged during each six IOntb period, or tbe project will be considered abandoned. <br />_IIG to lXilII8: - PAlUlRR to RSCllIIO A IIOTICB 01' ~ HAr RBSULr I. _ Y.lllG mCiIlBl ~ 10 IOUII <br />PROPERrY. IF YOU INTIiND TO OBrAIN FINANCING, CONSULT NUB YOUR LRNDllR OR AN ArrORlfRY BRFORB RRCOMING YOUR HorICI OF <br />COHHENCHHRNr. JOBS UNDER $2,500 IN VALUE DO NOr NEED TO RECORD AND POST A "NOTICR OF COHHBNCKHENT". <br /> <br />SIGNATURB: OIilfER OR AGENT <br /> <br />SIGNATURE: CONrRACTOR <br /> <br />srATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STArR OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was acknowledged <br />before me this , 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 oath. <br /> <br />(Signature) <br /> <br />(Signature) <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br /> <br />(Name Typed, Printed or Stamped) <br />NOTARY PUBLIC <br />