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<br />CONDITIONS, OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restr.ictive than City
<br />regulations, The undersigned alSUles responsibility;for, co.pliance with any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ollner has hired a cc.n,tractoror contractors to undertake Kork, they lay be required h 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 lay be
<br />cited for a lisde.eanor violation under state law, If the [.wner [.r intended contractClr are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departaent, 1813)
<br />788-6611,
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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. Jf 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 permitting 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)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and ConsuDer Affairs. Jf the applicant is SOlec.ne other than the
<br />"owner', I certify that I have obtained a, copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to cOlmenceDent,
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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 developlent,
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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 COI.enced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other govern~ental agencies fiay apply' to the intended work, and that it is
<br />IY responsibility t[, identify what actions I lust take to be in cOlllpliance. Such agencies include bill ~1 e nc,l lil!ited to:
<br />
<br />. J _.,..
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~En~, Septic Tan~s
<br />I US Environaental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flbod Zone "A" Dr "A,etc,", it is understood th~l a drainage plan
<br />addressing a "colpensating volute" Hill be sublitted which is prepared by a professional engineer fegist211?d in the State of
<br />Florida prior to per.it issuance,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit iS511~d ;hall becoae invalid
<br />unless the work authorized by such permit is coamenced within six months of issuance, Of if Hol'k authDllzed by the pertit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hor~ is commenced. One 90 day 1?~IEosioll of tite, aay 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 ~ust be logged during each six lonth period, or the project will be considered abdlldoned.
<br />
<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 />SIGNATURE ~Jt.~{1L/'-;_____ SIGNATUa ~C~
<br />r~----O~ER OR AGENT .~VC: ONTRACTOR
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<br />DATE ___-Oc.~.26..r--~------------'------- DATE ___Q.G..t..Q..b-eL-2.9-,-JJJ2- ------ - ---------
<br />
<br />NOTARY AS TO /}' ._J~" NOTARY AS TO /7' ,J~ d 1
<br />OWNER OR AGENT ~~~Q._,s . _~ONTRACTOR_~~~Qd2l~S ~aj(--/
<br />Diana L. Judah ' ~ Dlana L, Judah
<br />MY COMMISSION EXPIRES__~_3D~-j 2~___---_ MY COMMISSION EXPIRES_~-3D~_j995_---
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<br />~
<br />
<br />DIANA L, JUDAH
<br />State of Aorida
<br />My ('.omm, Exp. July 30, 1995
<br />Comm,' co 1~978
<br />
<br />fJ(:.....
<br />iJll"
<br />
<br />DIANA L. JUDAH
<br />State of Florida
<br />My Comm. Exp. July., 1995
<br />Comm. , co 1tt978
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