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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~ds that this peuit.ay be subject to "deed restrictions" IIhich uy be .ore restrictive than City
<br />regulations. The underSigned assu.es responsibility for co.pliance lIith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor or contractors to undertake lIork, they .ay be required to be licensed in accordanc, lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor .ay be
<br />cited for a .isde.eanor violation under state lall. If the ollner or intended contractor are uncertain as to IIhat licensing
<br />require.ents .ay apply for the intended 1I0rk, they are advised to contact the City of 2ephyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are respo~sible for the Nork. If the contractor IIi shes you to sign
<br />as contractor that .ay 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 FEE$
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<br />D. CONSTRUCT T ON L I EN ...L t!U (CHAPTER 7 t ?, FL OR I DA (':IT A TUTES , AS AMENDED)
<br />I certify tbat I, the applicant, have been provideu Nitb a copy of "Florida's Construc~ion Lien Lall - Ho.eoNner's Protection
<br />6uide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"ollner", I certify that I bave obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"olln!r" prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all 1I0rk lIill be done in co.pliance lIith all
<br />applicable lalls regulating construction, zoning, and land develop.ent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no 1I0rk or
<br />installation has co..enced prior to issuance of a per.it and that all Nork lIill be perfor.ed to .eet standards of all Ialls
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.entaI agencies .ay apply to the intended lIork, and that it is
<br />'Y responsibility to identify IIhat actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/WasteNater Treat.ent
<br />f SouthNest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seallalls, Docks, Navigable Waterllays
<br />f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastellater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if f;ll .aterial is t~ hp usef i~ F100~ Znfl~ "~. ~r "A;etc.", it i5 understopd that a drainage plan
<br />addressing a "co.pensating volu.e" Nill be sub.itted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
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<br />A per.it issued shall be construed to be a license to proceed Nith the Nork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Officijl fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the Nork authorized by such per.it is co..enced lIithin six .onths of issuance, or if 1I0rk authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the lIork is co..enced. One 90 day extension of ti.e, .ay be
<br />allolled for the per.it lIith fee charge of sis.oo. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROYE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COft~E"ENT. JOBS UNDER $2,SOO IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCE"ENT".
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<br />SI6NATURE: CONTRACTOR
<br />
<br />~~~yO~FF~~~~~~~______________________
<br />
<br />The foregoing instrument was acknowledged
<br />before me this ~L~~____, 19~)_ by
<br />
<br />________~Jw~~_~~~tirl~~_________
<br />who is personally known to me or who has
<br />
<br />produced _______________________________
<br />as identification and who did/did not
<br />
<br />~:~:_::_::~~~~~--~---
<br />
<br />(Sig~ture) ~ -\- ~
<br />____~-~LCCij-_-~-L~--~l~---C.~,.-J:..~
<br />(Name Typed, Printed err Stamped) 0 '\~S:)
<br />NOTARY PUBLI C
<br />NOTARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: Dec. U, 1994-
<br />BONDED THIlU NOTARY PUBLIC UI'IDIIIlWlll1'&~
<br />
<br />STATE OF FLORIDA
<br />
<br />Cnul:TY OF __________.---------------------------
<br />The foregoing instrument was acknowledged
<br />before me this ___________, 19_____ by
<br />
<br />~h~-i~-p;~~~~;lly-k~~~~-t~-;;-~~-~h~-h;~
<br />
<br />produced _______________________________
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(N;;;-Typ;d:-p~i~t;d-~~-St;;P;d)--------
<br />NOTARY PUBLI C
<br />
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