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eta Tao o City of ZophyrttHLs Pennit Application Fmx$1378041021 <br /> Building Depannneirl <br /> NOTICE OF DEED RESiRICTIONS:The uder-..k,ned urderi nds Dot Mb parcel may be sub of Io'dccC rmtrldia wNdl may be cower rcstrfd by <br /> thm Caahy m Ttw raVow-bilify la campLveo wth any oppLcabdo dead resirfdit— <br /> UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSginrRES.O Ve owner has twW a catracmr or mrMradom to undortoke w0dr.mry <br /> may be required m be ficermed in accordance with data and local nVuLtiars.U Ilia contractor b not kemod raz required by law.bah Rao OwW arad <br /> ,ntb A may boated for a rnhg oxnor riotbon under state Lm U Ora oancr or iMvd m ed otraebrea ur a cortan act'lo Dart ag licaraz raprem <br /> a �0 iho flamer fen hired edd a contractor or contractors,to a&h to term Me Bretton of TI7 Blo [�09 <br /> app6eaim ter dicta O vM be reapans3ia U you,c3 U m O+MLY �()nk a d floc� r3lorh'd th5 <br /> hey 11pn as Ore oaa;narlar,If671 may b0 on 64ctiora Uol the b cad property fearctd trod b <br /> not anh!&A to wirnArg p'wileIK'y In Paco Carty. <br /> TRANSPORTATION tMPACT/UTiIJnES IMPACT AND RESOURCE RECOVERY FEES:The Undersigned understands <br /> that TrarmPGda on knP ad Fecs and Recou-,s Recovery Fees may apply to Ow comiruction of raw building,cta nge of wa In ciistkxg buldin}7,or <br /> eiRarcbn Of CXiS"hUldgM 137 cpodicd lo P¢xn County Ordmamrn number 03-07 are 0"7,m amended.The under-J¢aed ail:o uadcr la ado,U� <br /> meeh fee:.s nny be lkm volt be idanli at Ow nano of pomrttirr,T.If Y fuihr uderdoo0 Oral TrraportsUon krvW Fern Ord Renousco Recovery <br /> F=rtauct be paid prior to rco&Av a'c rirrralu d omRurx-f or ka l pmcr rakm&it Ow project does not rood»o arrwiieYo of occupancy of rust <br /> poaacr nciooca.then Seen me l bo paid prim to pmmil icsiaarn.Fu4►anu mv.I Pa:.m Canny WatorrSarr krgad hies oro duo.May meta be laid prior <br /> to pormil i==nca in accordanca uida applicable Pasch Wnly aatrmwc>z <br /> CONSTRUCTION LIEN LAZY(Chaptr 7t9.Florida StabAm as aaoarWidk U vduaboa d mat is SY.500.00 or morn.I Canby Vial I.the appfictt. <br /> Nava been promled wiM a copy d Ow'Fbrkb Caa:LuL9on Lien Lea-411mmeaarufs PlWamaa Guido'pcysrsl by the Florida Depa anent d <br /> ATICult am and C arum rAUai m It tlaw lip-' is sarmorao dhcr tRaa ttw'owme I certify Oct 1 rmvo obtained a copy or roc above dr~.amed <br /> daG rruNg and prami-,a in good taitn ka doivu'l la tea Vance prior to mntrarecanad <br /> CON RAC'TOITSMYOXII73 AFFIDAVIT:I atrvy that as im Wa n tion in the application is aoc rata and that all ax x%w9 be dmo an mmpFarxa ahn <br /> a0 oppiesL/a Linea tegkia rag oaeauc5orr ratio and Lard devcbpnurt Apprcatiaa b hereby mada to dtaln o pcmA to do work aid inatallatm as <br /> b%S=d.I eeatly that no uak or trrta&zo a I=cmumved prior to hoar nor of a pert and Oat all work ell ben performed to., standards of all <br /> tsars reg4aing aartructi L Carty and Cily codes—kxJ R'9uLgarn,cad bad devdopone t regulaons in 0*kAukfom I abo nwrGTy lien 1 <br /> undacta+d Qaal re regutztion s d afcr Oovernrnet aryaadcs ray apply to the irdendod work aid Unit d is my rcsponnib1ity to ktrfify att l morn I <br /> m=t take to be In mmplaace.Such agcadas IrKl de but are rot frtited to <br /> - Depaltment'cl Environmental Protection-Cypress Bayheads,Wetland Areas and EnvironmenWily Sensitive <br /> Lands.Water/WastawaterTreatment. <br /> - Southwest Florida Water Management DstricVWells. Cypress Bayheads, Welland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health S Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency Asbestos abatement <br /> - Federal Aviation AUthondy-Rtmways. <br /> I u:d=L d Out IIr taMm*V res7dclian apply to Ore use of fit <br /> - Use of fill is not allowed in Flood Zone'V'unless expressly permitted. <br /> - it the fill material is to be used in Flood Zone'A•. it is understood that a drainage plan addressing a <br /> 'compensating vohmre will be submitted at lime of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone A'in connection with a permitted budding using stem wan <br /> Construction.I certify that 01 will be Used only to fill the area within the stem wall. <br /> - if call material is to be used in any area,I certify that use of such fill Wa not adversely affect adjacent <br /> properties If use of 6D is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application,for lots less than one(1) <br /> acre which are elevated by fill.an engineered drainage plan is required. <br /> U I as Ow AGENT FOR nM OWNF3i I vor, in good faith to iform Ow caner or the pwrwb ma cmx men set forth in ilia a15davt prior to <br /> ,mmanczng mnctudOn I W40TIsa dal a wpwxa pant may be MQ ed for electrical work,pkmnbiag,sign,we13,poob,air eandiiorvu.gas,a <br /> otlrr ic:ata onm eel spa-s5ealy Indaded in ew applicGaa.A prnril lraued shall bo arnVu d to ba a icor6e to procaed win Ow wane mad not as <br /> auOa"to vioLae,cannel otcr,ar cot side ary MVIVI=Of oho loctrret atdr--nor rao0 csv.aeeof a pamA pnvem one Buidag OlTiciai L'an <br /> oweatter reQubYg o convcka d omar In pLvr�eaelucWn orvk bl=d my,des.Every ppm+3 issued Lhai b= m IftU.tkf un%=Oda worlr <br /> -a anzad by such pomil b mrremnaed will six[nadir d penal 4warm or I work oull orhM by Qua panel is suspended or abandoned for o <br /> period d six(6)mmttm aftn►Ow rim are cork Is convaanr.4 An cdonman may bo raquentod.in wnlbm ham the Building 0iruzal for a podod lid b <br /> oco'd ply(90)days and w@d dsmar.7ate justfrable edam for Owe Gdore m Irwonk aa=cs Sa ninety(90)arc-reLeve days-Do Jcb b oarriadered <br /> rbandmed <br /> WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT tAAY RESULT iN YOUR <br /> PAYING TWICE FOR iMPROVEMENTS TO YOUR PROPERTY.IF YOU TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LMER QEtAN <br /> FLOfrtDA 1T7-W <br /> Man 0 COMTT <br /> Subszribed t •�ok w er Seed a for afParrcd)te�re rrc taac� - <br /> Who Wm ilmoprto Wh pnahaa oopeoporaonepy.kromionworbastrwmptoljcW , <br /> as syiterdfka9m. -- <br /> Puux Nalary P&J11C <br /> kAGENT <br /> CarePro. � 6! 6 t%� C Mffi jon Pilo <br /> Namo cc It"typal dad or stxnpaa at ttotry Wed.Ptd+'d or ctarnpW <br /> Notry Public Stall of Florida <br /> Nikol Emilia ZUrite-Farfan <br /> a A6y CornrrtlMion GO D67Q61 <br /> E41rMIG OVIO/2021 <br /> 1 - <br />