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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />lhe undersigned understands that this pertit may be subject to "deed restrictions. which aay be lore restrictive than City
<br />regulations. lhe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If lb. ,.n.r b.s bir.d . "nlr.,I,r ,r "nlr.,I,rs I, ,nd.rl... .,rk, Ib'y "y b. r'n,ir.d I, b. li,.ns.d in .",rd.n" .ilb
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />r'n,ir...nls "y .pply f,r lb. inl.nd.d ..r', Ib.y .r. .d,is.d I' "nl.,t lb. Cily ,f Z.pbyrbills 9,ilding nip.rt..nt, 19131
<br />79B-bbll.
<br />
<br />F'rIb.r..r., if lb. ,.n.r b.s bir.d . "nlr.,t,r ,r ,.nlr.,I,rs, b. is .d,ised I, b.,. tb. "ntr.,I,rlsl sign p,rli,ns ,f tb.
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />y" .r. indi,.ling tb.1 y", r.tb.r Ib.n lb. "nlr.,I,r, .r. r.sp,nsibl. f,r lb. .'r', If lb. "nlr.,I,r .isb.s y" I. sig.
<br />.s "nlr.,I,r Ib.1 "y b. .n indi,.li,n Ib.1 b. is n,1 pr,p.rly li,.ns.d .nd is ,,' .n'ill.d ,. p.r.itting pri'il.g.s in 'b.
<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 ,.rlify Ib.t I, lb. .ppli,..t, b.,. b..n pr"id.d .ilb . "py ,f 'FI.rid.'s C.nslr"linn li.n l.. - H,..'.n.r's Pr,I.,li"
<br />G,id.' pr.p.r.d by lb. FI,rid. n.p.rt..nl ,f Agri"II,r. .nd C.ns,..r Aff.irs. If tb. .ppli,.nl is s,..,ne .Ib.r Ib.n lb.
<br />',.ner', 1 ,.rlify Ib.1 1 b.,. ,bl.ined . "py ,f lb. .b". d.s,rib.d d",..nl .nd pr,.is. in g"d f.ilb I, d.li,.r il I. lb.
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />1 certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a perlit and that all work will be performed to .eet standards of all laws
<br />reg,l.ling "ns'r,,'i,n, Cily "d's, ,.ning r.g,I.II.ns, .nd i.nd d.,.l'p..nl r.g,I.li,ns in lb. i,risdi,li,n, 1 .Is.
<br />,.rlify Ib.1 1 ,nd.rsl.nd Ib.1 lb. r.g,I.li..s .f ,Ib.r g".r".nl.1 .g.n'i.s "y .pply I' lb. inl.nd.d .,r', ..d Ib.1 il is
<br />'y r.sp.nsibilily I' id.nlify ~.I .,Ii'.s 1 ",sl I... I' b. in ".pli.n'.. ~,b .g.n,i.s i.,I,d. b,l .. .,t li.il.d t.,
<br />
<br />I Departlent of Environ.ental Reaulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Ldnds,
<br />Water/Wastewater lreattent
<br />f Southwest Florida Water Manaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arlv Corps of Enaineers - Seawalls, Docks, Navigable Waterways
<br />. n.,.rl..nl .f H..llb I R.b.bilil.li,. S.r,i,.s. En,ir.n..nl.1 H..llb U,il - H.lls, '.sl...I.r Tr..I..nl. S.pti, T.n's
<br />I US Environtental Protection Aaency - Asbestos abate.ent
<br />
<br />I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc.", it is understood th~l a drainage plan
<br />.ddr.ssing . '".p.ns.ling "I"" .ill b. s,b.ill.d .bi,b is pr.p.r.d by . pr'f.ssi,n.1 .ngin..r r.,i,I"" in tb. SI.I. ,f
<br />Florida prior to pertit issuance.
<br />
<br />A p.r.il iss,.d sb.11 b. "nstr,.d I' b. . li,.ns' I' pr"..d .ilb lb. .,r' .nd n,1 .s .,Ib,rity I, ,i,i,I., ,.n,.1 .It.r, "
<br />s.1 .sid. .ny p",isi,ns ,f lb. 1.,bni,.1 "d.s, n" sb.ll iss"'" .f . p.,.il pr.,.nt lb. 9,ilding Hffi,i.1 fr" Ib.r..fl.,
<br />r'n,iring . "".,Ii.n ,f .,r,'s i' pl.,s, "..I",li.n, " ,i.l.li,ns ,f .ny ,.d., E,.,y p.r.il iss",d .b.11 b.".. in,.iid
<br />..1m lb. .or' "Iborized by ",b p.nit is "...."d .itbin si' "nibs ,f i,,''''', or if ",k "th" "" b, lb. p."il is
<br />s,sp.nd.d .r .b.nd,n.d f,r . p.ri,d ,f si, .,nlbs .fl., lb. Ii.. lb. .". is "...n,.d. 'n. '0 d.y ,.I,n.i." .f Ii.., "y b.
<br />.11'''' f,' lb. p"'il .itb f.. ,b.rg. .f .\5,00, Tb. .,I.nsi,n sb.11 b. r'n,.sl.d in .rilin, t, lb. '"ildi', nffi,i.l, An
<br />approved i nspec tion lust be logged dur i ng each si ~ lonth per iod, or the pre' ject wi 11 be cClosidered ilb.sIJdoned.
<br />
<br />WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED/) TO RECORD AND POST A II NOT I CE OF COMMENCEMENT II .
<br />
<br />
<br />SIGNATURE~~ ~=f~'-'t-d
<br />~-----OWN~~~----------:
<br />DATE____~!~ ~ --------------------
<br />
<br />SIGNATURE
<br />
<br />
<br />MY COMMISSION
<br />
<br />'1 /"
<br />_ ~_2___________________
<br />
<br />
<br />, [). i.^
<br />- - -~-~~-~----
<br />XPIRES_~,J~~-----------
<br />
<br />MY COMMISSION
<br />
<br />
<br />\. j).tJ ,
<br />S___~~~--:~---
<br />
<br />~ Russeij S Muli
<br />~ ~ My Commission ooo.384i
<br />01,..',/ Expires July 22. 2005
<br />
<br />!~, Russell S Muli
<br />\. c:y:.,) My CommWion 0004364
<br />01,.. Expires July 22, 2005 i
<br />
<br />NOTARY AS
<br />OWNER OR AGE
<br />
<br />,.
<br />
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