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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTiONS
<br />The undersigned understands that this perait~ay be subject tD "deed restrictions" which lay be lore restrictive than Gity
<br />regulations. The undersigned assuaes responsibility for cOI.,liance 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 undertak2 work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is no~ licensed as required by law, both the owner and contractor lay be
<br />cited for a aisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are aLvlsbo to I.Jntact the City of 2ephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, 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 YDU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the Luntractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that aay 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 with a copy of "Florida's Construction Lien Law - HOleowner'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 prolise in good faith to deliver it to the
<br />"owner" prior to cOI.enceaent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, 'and land developaent.
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<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perait and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environaental ReQulation - Cypres~ Bayhe~ris, ~etland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewatec Treat.ent
<br />I Southwest Florida Water KanaQeaent Distric~ - Wells, Cypre~s Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaNalls, Docks, 'lavigi1ble Watenays .'
<br />f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />..
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<br />A perait issued shall be construed to be a licEJse to proceed with the work 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or ~iolations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is coalenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed,for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six lonth periJd, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""E~r.E"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCEKENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />- pi.. I",~~ it t>pf7MeWR- ~ ~WJJE,e.
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<br />~~~~~Y O~/lo~li / M/;AJU <=j1L
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<br />The foregoing in~trumWnt was ac~nowledged
<br />before me this [)an S. ,19 9? by
<br />
<br />Wllald J) !~buf([~c fL,
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take;;)Y:i':i74 iJ 174 J
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<br />(Signat~ve) . d; ,,0
<br />-I) 1)J1"~/(~ /, II-JL j
<br />(Name Typed! . 'r i nte o!' Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />t was ac~~owledged
<br />, 19~ by
<br />
<br />who is per known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~~ .~'lf-~
<br />(Sig2t.~r.) c;. L
<br />lwtlw~ j. f15 L"
<br />(Name Type, Frinted or Stamped)
<br />NOTARY PUBLIC
<br />
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<br />NOT Any Pt:?:~~;; ~r: j\'i';:: (;}~ :...., :~~:::(-:<~\ i\'f Ic.A~G~
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<br />MY CO;1~!.:'~;:;~:;t~~.~ ~n.:::,':~,:','; ,:!~.:~,{ ;). 1" .! 1}9:5
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