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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject tD "d2ed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility r~r cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to: undertake work; they ~ay be required to be licensed in accordance _ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />ci ted for a lisdueanor violation under state !all. If tile owner Dr intended contractor are uncertain as to what I icens i no
<br />requirelents lay apply for the'intended lIorK, they are ~Mi~d' to contact the City I1fZephyrhills Building Deparhent, (813)
<br />788-6611.
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<br />Furtherlore, if the Ollner has hired a contractor or contractor5, he is advised tb have the ~ontractor(s} sign portions Df the
<br />'Contractor Sections" of this application for llhich they will be'responsible. If you, as the owner sign as the contractor',
<br />you are indicating that you, rather than the contractor, are responsible for the lIork. 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 perlitting 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided llith a copy of "Florida's Construction Lien Lall - HOleollner's ProtectlDn
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a ropy of the above described doculent and promise in good faith to deliver it t" the
<br />"ollner" prior to co..encelent.
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<br />".
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work lIill
<br />I a~plicable lalls regulating construction, zoning, and land developaent.
<br />
<br />be done in co.pliance with all
<br />
<br />Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no 1I0rk or
<br />installation has coa.enced prior to issuance of a perlit and that all lIork will be perforled to leet standards of all la"s
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify IIhat actions I lust take to be in cr'riiance. Such agencies include but are not li.ited ID:
<br />f Denart.ent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environmentally Sensitive Lands,
<br />Water/Wastellater TrEat.ent
<br />f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterll~ls
<br />f De art.ent of Health ~ Rehabilitative Services Environlental_Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatelent ,
<br />I also certify that, if fill Ilaterial is to b" 1I!':2d in Floer! -,'!I" f)r "A,etr,., it 1', Hndersto,)L' that a.,.draina1J~pl..r.
<br />addressing a "colpensating volute" lIill be subMitted IIhich is pr~pared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A perait issued shall be construed to be a license to proceed 111th the work and not as authority to violate, cancel altEr: or
<br />set aside any provisions of the technical codes, nor shall issfJance of a ~erlit prevent the Building Official fro I therEofter
<br />requiring a correction of errors in plans, construction, or vi01ations of any code.. Every periit issued shall beeole invalid
<br />,unless the 1I0rk authorized by such perlit is cOltenced lIithirl ,IX lonths of issuance, or if wurK authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the ~; .,e the work is cO.lenced. One 90 day extension of ti&e, ~2, be
<br />allolled for the perlit with fee charge of SI5.00. The extenSiJ!l shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth peri~d~ or the project lIill be considered abandoned.
<br />WARNING TO OIIIIER: YOUR FAILURE TO RECORD A NOTICE OF CO"t1ENCEi1ENT I'lAY RESULT IN YOUR PAYING THICE FOR HIPROVEI'IENTS T01[,UR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH VOl'R lENDER OR AN ATTORNEY BEFORE RECORD I YOUR NOTICE OF
<br />COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOLD AND POST A "NOTICE OF OMMEI KENT"
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<br />~.~r9<'
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<br />S ATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ,:'>)_\ SeD
<br />
<br />The foregoing instrument was acknowledged
<br />befol-e me this .31 MAR('~ 19.,gz. by
<br />
<br />STATE OF FLO~' -/ ~
<br />COUNTY OF _ ~~ ~
<br />The foregoing instrument was acknowledged
<br />befcq-e me thiS)--'30 , 19-U- by
<br />
<br />~O~tJ S. 'CLAN'rO!\L <JR' \AI/I/oX'd J-/ 7!Jo~s~n .
<br />who is personally.kric.wn to me m- who (€s . \o'lho i's pel-sonally known to me or \'1ho ha,=
<br />produced I=t.. DJ<. C 4~34i'" 2/ 3D? -0 e91)pro~uced, f'1 [)l #7 S/ ~ -,~ )f<D-//~-).?/9CJ
<br />as identi 'cation and who did/did not - as IdentIfIcatIon and who dId/dId not
<br />take an oath. 'i;ake oath. '
<br />
<br />(Signatul-
<br />
<br />
<br />
<br />~ d c,.., /iojP/d-.
<br />~nature) C!
<br />p rr /) r1 J 'r .A- 1);1-:t, ,('
<br />(~ame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />L::{) ^ JJh J 5 (,{:rr 0 tJ
<br />(Name Typed, Printed ur Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My ~"mmiB~lgfl Qj(l)lres Jan. 28 1995
<br />~OfliJeti thru Pattefson - Becht Agency
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<br />~:t:~:~.~:;:~~ .~~',,~: !:~:;jr~~~~~,:;~~~,:"~~
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