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<br />... ....~' ...-= ... ... ~ ... ... ~. ... ... ... ... ... ... ... ... _ _ _ ... ... ... _ :,: ... ... _ _ ... ... _ ... ... ... ... ... ... ... ... ... ... ... ... __ ::""':" -:";;,~'~'~";;i'!:" ~ ':'~"'_" _." ..._' ;-...'...',,;, ... --..."\i""o.;............. IliI .# ... _
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<br />'-11-~2 WED 12:44 GULF. COAST. SIGNS
<br />NO 'v' ~ L.UI~U.l r .1 Ul'lb WI'- r-'~t-(M IT AFF I DAV I T
<br />A. NOTJC~ OF DEED RESTRICTIONS! ,
<br />ihlll Und-~~<;i~~f'd 'und'~~5hnd5-that this .~~i1r ~e subject t~.;'del1d :istridions" "hich uy be lare rfstric:tive th.n CHy
<br />re9ulitloll~, Th~ undersigned a~sU'es rUiponslbl)lly for COlp[~~nte WIth any appli~able dred restrictions.
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<br />P.02
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<br />13. UN!_lC~N.SE:.Q_CONTR~CTOR~J:lNO G.QNTRAflQfLBE:~E~qNS.L@JJ...tr~lli.~
<br />If the OMn~r h.~ hIred a contractor or tontractors tD undertake work, they lay be required to be licen5~d in acc~r~ancr wit
<br />5tate and local regulations. If th! contractor is not lic~n5eJ as required by law, both the owner and tontratt~r .ay be
<br />cite~ for i li!.dt'leanor violation under state IllM. If the olln~~ Dr intended contractor ne uncertain as \[1 "hat licensing
<br />requlrel~nts .dY apply for the intended work, they are advised \0 contact the City ~f Zephyrhills 9uildlng O&p~rtlent (8131
<br />7BB~6bll. '
<br />
<br />Further.~f~, if the owner hiS hired a tontractor or contractors! he is advised to have the tontractor(sJ sign p~rtiDns of th
<br />'Contr~ctor Se(ti~ns" of this application for Mhich they Mill bt responsible. If you, as the o~nef sign as the contractor,
<br />you are indicating that you, rather than the contrictor, art re~ponSible for the Mork. If the tontractor Nishes you to siqn
<br />as contractor thut lay be an indication that he is not properly'licensed and is not enfitled to pertittin~ privileges in the
<br />City of Zephyrhills.
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<br />c. IRrlt~.9.F:QRJilT1.Q~l Il'1PACT ..FEES AND UT t.L I TV CONNF.J;.LI ON FEg,~
<br />I ' .
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<br />D. COP.~~THl}~T I ON L I EN....kB}! (CHAPTER 7 ~ 3, FLOR I DA STATUTES, AS AMFNDED)
<br />I certify that I, the applicant, have been prDvided with a copy 'of "Florida's Construction lien La" - HGle&wner's Protection
<br />6uid." prrtpared by th,e Florida Deputaent of Agriculture and torlsu.er Affairs. if \h" a'ppliCill'l\ is sOIe-(\ne t.ther than the
<br />'owner', I cl~rlify that I have obtained i copy of the abDve des~ribed docuDent and pro.ise in good faith to rteJ i~er it to th
<br />'owner' prl~r to COII~nte.ent.
<br />
<br />E:. CON'IF,(lCTOR'S/OL-JNER'S AFFIDAVIT ,
<br />I certif'y 'th~t al'l the inforaati;;;'i;U;is 'application i;-acturate and that all ..c.rk will be dClne in co.pli~nce lIith all
<br />appJicibl~ laws regulating construction, zoning, and land develDp.ent. .
<br />
<br />ApplicatiDn Is htr~by lade to obtain a per.it to do work and ins\allation as indicated. I certify that no w~rk or
<br />installation ha~ cal.enced prior to Issuance of a per.it and tha\ all Nork will be perforied to leet standards of all law5
<br />r~gulating cc,n~lr1.lction, City C(ld(!!i, zoning reo"laHons, and 1an~ de\'elDpunt regulatiDns in the jurj"dictiCln, I also
<br />certify that I understand that the re~ulations of Dther 9overn.Jhtal agencies .ay apply to the intended w(lrk, and that it is
<br />'Y r1rsponsibility to identify what actions I lust takl to be in ~olplianc~. Such agencies includ, but are not lili\ed tOI
<br />I ~~'p'art'r..n\.olJn..v.tr.~~~!'!1!U~l!l!!.!~ - Cypress Bayheads, lIet\~and Area$ .nd Environunhlly Sensitive L~nas,
<br />Waler/Wastrwater Trea lent .
<br />I
<br />I S(luthw(>.~...F l~.~.i~a Ilat"r l'anaCllJll1nt Dhtrid - Wit} 15, Cypre!i5 8~yhllads, Wet land Are~~, Alter i nQ llaterCc.ur5~~
<br />I ArlY CO[JlL~L.r,,!l.g.1netrli - SUMalts, Docks, Navig.blt WOlterwaY5 .
<br />. ~l!~!.!!~.nt .r..f .H.I!.!.lJh L Rehabilitative Services, Environlll,t'l.t.aJJ~lB.!l...Y.n.ll - lIells, Wastfuter Treahent, Sp.ptic Tanks
<br />t !!.t!'n.:dr:.Dn,l!lntal...frohdion Aqe_n.,U - Asbestos abituent : ,
<br />I also certify tholl, if fill tilteriill is to be used in FI~od io~ "A" Dr -A.eh.', it i~ understcood that a drilioo9l! plan
<br />addressin~ a "(I'lIpl!nsilting volule" will be sub.itted which is pr~pared by a prcofessional ,engineer registered in the State of
<br />Florida prior to perlit issuancll. .
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<br />A per.it i~!oued ~h~ll bl! construed to b" a litens. to proceed wi\h the "Or~ and not as authDrity to violate, c~nr.fl alter, or
<br />5"t aside iny prvvisioni of the t~chnital todes, nor shall i55ua~ce of ~ per.lt prevent the Building Offici.l frcl. thereafter
<br />requiring i correction of error5 in pl~ns, construttion, Dr viDt~tion5 of any code. (very pli'rlit issued shall b~cc.le invalid
<br />unless the Morl authorized by 5uch perlit is cO'lenced Nithin si~ lonths of issuancf, ot if wDrk iuthori~ed by the perlit i5
<br />5uspend~d Dr ab.ndoned for a period of six .onths aft~r the ti.e'thl .orl is co..enced. One 90 day extensic,n of ti.e, lay be
<br />alloll~d fDr the perlit with fee ch~rge of 115.00. The extension'shall b. reque~ted in writing to the Building Official. An
<br />approved insppction .ust bt I09qed during each six lonth period,lor the prDject "ill be considered iband~ned.
<br />WARHIHS TO OWNrnl YOUR FAILURE TO RECORD A NOTIC( OF CO"MENCE"E[! KAY RESULT IN YOUR PAYlNG TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ENDER OR AN ATTORNEY BEfORE RECORDING YOUR HOTICE OF
<br />COKK(NCEK[NT, JO&S UHDER f2,~OO IN YALlIE DO NOT NEED TO RECORD ND POST A .HOTICE OF COMMENCEMENT".
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<br />....A .~-,~
<br />S16NATURF: OWNER OR AGEHT
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<br />stATE OF FLORI~A 't,
<br />CbUHTY OF . ~'\~~ ___.___
<br />t~e foregoing instrument W~5 ~ckn~wledged
<br />b~fc're me this .._, 1~_ by
<br />.
<br />
<br />::-Ro..M.~o....~..._ \\l.J\'\.~ ____. __._-_
<br />~~o is porson~lly known to m~ ~r whO h~~
<br />produced ___.'
<br />af identification c!\i"t~ wt'"iC' did@id r1B.>
<br />
<br />~n ~~~rt ~. ~ \\lC'A .
<br />oR ~S..,__~,_
<br />($li\\a\;U~
<br />; .01"\ tie. 3"". M~~ ____.______
<br />(~ame Typed, P~inted pr Stamped)
<br />~QHt8V PUBL_I~
<br />
<br />SlATE 01= FlnRID,~
<br />COUlHV OF _ ...._.., .....
<br />The foregoing Instrument
<br />bef<:.re mE' th i s
<br />
<br />W~$ ~cknowledged
<br />, 19_ by
<br />
<br />who is pGl'" !;'ic.n", 11 y Imeown to me e'r who has
<br />prc.dl1ced '.~'" .._____
<br />~5 ident~fi~4tion and WhD did/did not
<br />tahe an c.~d.h.
<br />
<br />(S i g \,a t Ll r Ii! )
<br />
<br />(Nc!\me TYPQd, Printed ~r St~mped)
<br />tj.Q.,T.flRV FJI.F:LI..l.:'
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<br />.Notary Public. State of Florida At large
<br />My Commission Expires 10.22.94
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