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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,undersigned understands that this per.it .ay be subject to "deed restricti~ns" which may be ~ore restr,ictive than City
<br />regulations. The undersigned assut'S responsibility~for cOlpliance with any applicable deed restrictions.
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a c~ntractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations, If the contractor il not licensed as required by law, both the owner and contractor May be
<br />cited for a sisde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart_ent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they "ill be responsible. If you, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<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 2ephyrhills,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SOleone other than the
<br />'owner', I certify that I have obtained I copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOIMencement,
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work "ill be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but ~l e not limited to:
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<br />. Depart.e~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelllent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent uf Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />. US Environaental Protection AQency - Asbestos abatement
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<br />I alsu certify that, if fill laterial is to be used in FlC.od 20ne "A" or "A,etc.', it is understoc,d th3t a drainage plan
<br />addressing a 'colpensating vulute" will be sublitted which is prepared by a professi~nal engineer reqist~ied in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, ur
<br />set aside any provisions of the technical cudes, nor shall issuance of a permit prevent the Building Official frOM thereafter
<br />requiring a correctiun of errors in plans; construction, or violations uf any code. Every permit issued :haII becole invalid
<br />unless the Mork authorized by such permit is coalllenced within six months of issuance, Dr if H~I'k authol Ized by the per_it is
<br />suspended or abandoned for a period of six lonths after the tiJe the wDrk is commenced. One 90 day e:tensiDII of tile, lay be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six month period, ur the project will be considered aballdoned.
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<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 "NOTICE OF COMMENCEMENT".
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<br />CONTRA
<br />DATE__~-f:.~_!fr.Lfy.
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<br />~ /J
<br />NOTARY AS ,. ~'
<br />CONTRACTOR . _~- (~~~~-~~~
<br />" Nota Public, Stott of Florida
<br />MY COMMISSION EXPIRE"~~~~~!~P~~_~~::3,1994
<br />Bonded Thru Troy kJin" Insuranc\) me.
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<br />SIGNATURE_ __~__ _.' L_______
<br />OWNER 0 AGENT
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<br />DATE____~f:-j~LL-_j-'-/-_i-f2.!---.-------
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<br />NOTARY AS TO-=1 i . (/~' /;
<br />OWNER OR AGENTZe-U~_~-' LLf&!::!:.~_"":..~L-
<br />Motary Pu lic, State of Florida
<br />MY COMMISSION EXPIRES~~~Wtij~JJ~~4
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<br />Bonded Thru Troy Fain. Insurance Inc.
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<br />SIGNATUR
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