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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 to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tht t~tfactor is not ~ictnsed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the OWft@r or 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 Departlent, IB13l
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 r,sponsible 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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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, wit~'a copy of "Florida's Construction Lien Law - Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of, Agriculture and Consuter Affairs. If the applicant is soaeone other than the
<br />"owner", 1 certify that 1 have obtained a copy of the above described docu.ent and protise in good faith to deliver it to the
<br />"owner" prior to cot.enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this applicati~n.is accurate and that all work ,will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />" " .~. :, I .
<br />Application is hereby lade to obtain a p~r.it.to.dD NOrk and installation as indicated. I certify that no work or
<br />installation has cotaenced prior to issuance of i,p~r~it and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulatIons in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to the intended Mork, and that it is
<br />ty responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />t Southwest Florida Water ftanaQeaent District,- Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of EnQineers - Seawalls, Docks, Naviqable Waterways
<br />t Departaent of Health to RehabilHative Services.:'Environtental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />t US Environ.ental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to ,be used in Flood 20ne "A" or "A,elc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will'.be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construe~ to be a license to proceed with the Mork and not as authority to violate, cancel, alter, or
<br />set aside any provisions of the 't~chnical codes, nor shall issuance of a perlit prevent 'the Building Offitial froa thereafter
<br />requiring a correction of errors in plans, CDnstruction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such perlit is cOtlenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six 80nths after the tile the work is cotaenced. One 90 day extension of tile, aay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. A~
<br />approved inspection lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YO INTEND TD OBT FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT SUNDER 500 IN AlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />
<br />STATE OF FLQRIDA~ ~
<br />COUNTY OF ~
<br />The foregoing ins rument
<br />befctl-e me th i s
<br />
<br />was a~OWledged
<br />, 19 by
<br />
<br />
<br />(\
<br />who is persona Y known to ~e or who has
<br />produced ~f'\~'~ L\~Q..
<br />as identification and who did/' no.
<br />take Od1;;.
<br />
<br />
<br />(Si
<br />
<br />aor611Y fuauc., 5tA.1& OF:' FLOftll)A~
<br />.~; COMMISSION iUtRES::.ocT. 2. 1tlU.
<br />IJOlilIlII:D THIMI '''.T....Y .U8UC IIIC..-'I",'"
<br />
<br />//~~,
<br />SIGNATURE: C !jRACTOR',
<br />
<br />
<br />(Name Typed~ Printed Dr Stamped)
<br />
<br />NOTARY PUBLIC NOiARY flUBLlC. STAT! OF FLORIDA.
<br />MVCOMMISSION EXPIRES: MAR. 20, 1994.
<br />.ONDED THRU NOTARY PUBLIC UNDERWRITERS.
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