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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penH.ay be subject to "deed restrictions" which .ay be .ore restrictive than City'
<br />regulations, The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations, If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor 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, 1813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections" of this application for which 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 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 pertitting privileges in the
<br />City of 2ephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<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 Departaent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co.aencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work Dr
<br />installation has coaaenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environtental Protection AQencv - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan
<br />addressing a "cotpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code, Every per.it issued shall beeo.e invalid
<br />unless the work authorized by such pertit is cO.leneed within six tonths of issuance, or if worK authorized by the perlit is
<br />suspended ~r abandoned for a period of six tonths after the tite the worK is co..eneed, One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection tust be logged during each six tonth period, Dr the project Nill be considered abandoned,
<br />WARNING TO OWNER: YOUR ~AILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEKENT",
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The~foregoing instrument
<br />before me this 4- I!;?
<br />
<br />was acknowledged
<br />, 19.2.2.. by
<br />
<br />STATE OF FLo~ ~
<br />COUNTY OF 'J!jVYl flfl7 0
<br />, The forege1ing instrument
<br />befct\-e me th i s J..j'II/)
<br />
<br />"las acknowledged
<br />, 19~ by
<br />
<br />tf J..J..,6tI-
<br />or Stamped)
<br />
<br />G~ Be&'AH
<br />who is per onally known to me or who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath. f\ " d//~/t
<br />)J,/JA'.P./ ,=,,/.e:i:.l31'L
<br />(Signatur~ L' .~
<br />-:12111/1//;: @. IfZlL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificatain and who di~/did not
<br />take an oath. . C?~fi~ IL-
<br />l 0A1P./ ~J!i!L~
<br />(Signature)~
<br />~//1N(f
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
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