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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />~A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.plianr.e 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 .ay 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, 18131
<br />78B-b611.
<br />
<br />Further.ore, 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 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 per.itting 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prosise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<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 .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance, Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is cOI.enced. One 90 day extension of ti.e, .ay be
<br />allowed for the pertit 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"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 />COK" NCE"ENT. JOBS UNDER $2,500 IN VA UE DO NOT NEED TO RECORD A POST A "NOTICE OF COMHE EHENT",
<br />
<br />
<br />
<br />STATE OF FLORIDA ()
<br />COUNTY OF t:.'ft-5CO
<br />The foregoing instrument was acknowledged
<br />before me th i s r\lN Q..m'ou Uo, 19 C? <) by
<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF As (..0 _
<br />The foregoing instrument was acknowledged
<br />befol-e me this f'\1)fGtmbu'Ik> , 19 q)" by
<br />
<br />
<br />
<br />'whc. has
<br />
<br />who is personally known to me .r who has
<br />produce
<br />as identificati
<br />take an oath
<br />
<br />
<br />who i personally known
<br />produce
<br />as identificatiD
<br />take an oath.
<br />
<br />,~
<br />
<br />(Signature)
<br />
<br />(Signature) ,
<br />JJa wilL --.JUXU'l
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />fJo.*-oJ";.Jo-- ,SWOvr)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public, State of florida
<br />My Comm, Exp, Oct. 12, 1999
<br />Comm, No, CC 501333
<br />
<br />
<br />NATALIE SWAN
<br />Notary Public. State of FlorIda
<br />My Comm, Exp. Oct, 12, 1999
<br />Comm, No, CC 501333
<br />
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