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<br />cmmlllUWl lW IIElth,
<br />
<br />,d' 1 \) It V 1 ,
<br />
<br />(). ~oU CE OF DEEP REST n I ~~T J ON~
<br />
<br />,,'
<br />
<br />The und~nigne(".,ndenhnd' thit lhh ptrelt.uy, h ."bjecl to 'deed rl5trhtillrl.1 ::dlh uy be IlIn ruhilhve ~:,.n Cily
<br />regulitlo~'. lfie undersigned .ssules responsibll'Iy for clIopll.nc, wllh .ny .ppll':iLI, d~ed re"ricli~n'.
<br />
<br />D. IJNLlCE~SEO CONTRACTORS AND CONTR~CTOR RE~pnl'ialDILITI~S
<br />
<br />If Ihl lIwntr hai hired a clIntrac'or or contrl~'or' ,. undlrtak. wor.~. thlY lay bo r.,ulrld 'lI bl lic.ns,d in I;r~rd.nce Nitti
<br />.lih .nd loul regulitllln5. If the untuclor it no' Uunnd Ii requhlld by hll, bot" lh. ollner Ind u.nh.'c'H uy be
<br />cited for a .hduunllr vlolitlon under .hll I.... If 'hi uner'lIr Inhnded nnhathr arl uncertAin Ii h IIb~L Iiuh\ing
<br />require.ent, lay apply fllr the Intended wor~, 'hey ar. advised 'lI [lIntlcl '~I CI1V .f l.phyrhilli Building pep~ft.e~t, IBI31
<br />188-6611.
<br />
<br />Furtherlore, If 'he lIlmu tin hired a nntuctDr If nntrllhn, h. Is Idvhed h, baYI! 'he unlrittc.rhl "gn !.mtlorI5 lIf tile
<br />'Contr.ctor Sec'lons. of this .ppllc.tlon fllr whit~ 'h.y will be respllnilbll. If ~~~l .. lhe IIl1n.r .Ign .. 'h. 'lIn'raCi~l,
<br />y~u are I~dlcatlng that YllU, !ath,r Iban Ihl ~lInlr.['or, .re re'pllnslb'e fllr lhu wlIrk. If Ibe lllnlr',IlIr IIlshts YllU III ,i~"
<br />i5 trInlract~r lhit liY be in Indlc.tilln 'hil h, h no' ,rllperly liur.nd ar,' Is "ot ...IUtl,d to penlttlrlg prllllhgn il. tI.I'
<br />City ~f Zephyrhllls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CPN~~CTI0N FEES
<br />D. CONSTRUCTION LIEN LAW CCHAP!ER 713, fLORI>>~ ,STATUTES, AS AMENDEU)
<br />
<br />I eerllfy th., I, the .ppl'e.nt, hiye been provl.e. wllh.. copy of 'Florid.'. t~P.Iluc'l~n lien laN - "~.e~~nfr'. Pr~II'[Ii~h
<br />Guide. prep.rld by 'hi Florid. Dep.rt..n' of Agrlcullure .n' [onlu..r Aff.lr.. ~f thl appll,an' I. 'D'I~~I D'~ur thin t~.
<br />'~..nfJ., I urtHy tll.t I hiVl ~t.hlne. a un of 'hi abovI dunlbtd dllcu.en' ,.rl' ,rulll In tr.od filth to dt,nvtr il lu II,~
<br />.~..ntr. prior to co..ence.ent.
<br />
<br />E. GONTRACTOR'S/OWNER'S AFFIOAVIT
<br />
<br />~
<br />
<br />I [erllfy thaI .It 'he Infllrlat'~n In Ihl, .ppllt.'I~n 15 iccurall .nd Ih., III ~lIr' 11111 bl dll~e In C~'Pllar!f Nilh ill
<br />.pplll.ble laws regul.llng elln5truell~n, l~nlng, .nd 'Jftd develop.enl.
<br />
<br />Appllc.llon II her.by .ide 10 IIb,.ln . per.I' I. do work and 'nsl.II'II.n '1 Irdle.'e'~ I c.rllf,.IL.t n~ NJ:U ~r
<br />In5hlla"~n hiS [Duennd pr-l~r to hsu.nn of . perl" .nd Ihal .U ..~r' 1Iit! h p!'rf~rltd I~ lul Shfldilfdt ~f ill lillS
<br />regul.'lng ton.trucllon, Clly c~~es, lonlng regul.ti.nl_ ind lind devII~p'I~I fl,ullllllnt In 'LI .urI5dl,il~~. I .15~
<br />certify 'h.':1 undlr.I.nd 'hi I tbe regul.'IlInl of .Iher .~vefn.en'al ..er~le5 "IW .~ply '0 Ih. In't~dld ~~rk, ind IL.I II is
<br />,y responsibility to Identify whit actl.ns I IU" I... 'lI be In ulpll.rll'. SlIch ,.tflC~U hlclude bill .11 II~I liaill'd hI
<br />
<br />, Dep.rtlen~ of Envlroneenlal ReQul'ltoQ - Cypre., "wheads, WI'I.nd Arias and ~nvlr~neenlilly Stn.III~e 1.lId5,
<br />Wiler/V'IIIII.tC" 'real.ent
<br />. S~ulhwe.' Florida N.ler "anaq,.en' Dlslr'll . Velll, Cypr.ss Baybead., Vetlah' A(t's'iAlltrl~, W.lerc~ur$t'
<br />. eray C~r,. of EnQlh"r, . 6r'M.I'., D~(k., "'YI"~'I Villrlliy. ~
<br />, DtPiJhent IIf "e.lth L Reh.blllhUv. ServIn', hvtronlfnhlJ!!.!Hh Unl' ~ IIfll., tlntellahr huhe,,', Sepllc lanks
<br />. ~S [nvlf~nafn\.1 Pr~Iec\l~n AQencv - Asb..to. .bi'e..nl
<br />
<br />.'
<br />.
<br />
<br />" iho certify Ihil, If fill uh:rhl II to bl 11..4 In nllod 211M 'A' or 'A,elc.', it h undenh~d 11,.1 . d'illn.gt plan
<br />iddreuln~ . .'..ptnutln~ v~luae. ~11I be IlIbI"'" whlth II prep.re' by . pr"hnhn.1 eroglr.ur n9i5tr:fl:,j'ln Ihe Shle ~f
<br />Florid. prl~r t~ per.I' Issuanie. I
<br />
<br />.
<br />A perlll ISlued Ih.ll be construed 10 bl . IIcln.. I. ,rotl.' 1I11h Ih. Mllr' anI n~' .1 aulh~rlty '0 vl~lit" l.net' illl', ~I
<br />511 nlde iny proYllllIr.s of lhe technical COdll, nor ,hall Inuince Df i pllnll prn'nl Ih. 8ulldlng Uffic Ii. flu III~reil"l:I
<br />nqulrlnC) . urn"lon of flnn In phn., construe'hn, lIr violations ~f .ny 'fide. tVlry ,enit I"ul!~ iiia" becue In'lilid
<br />unless 'he lIork au'h~rll,d by such p.ratl 15 to..eneedwllhln ,I. lonlh. Df l'lu.nc'r ~r If 1I111~ .ulh6~lle~'~r Ihe perlil i~
<br />suspended ot aba~doned f6r i perl~d of six aonlhi ifl.r Ih. 'Iae the lI~rk Is 11I.lenrt'. 'O~I YO da, ~xt,n'lov of li.I', I't L~
<br />.1I~Ned ror "..ptrtll with h. thuge ~r $15.00. 'he uhn.I6n .h.1I be req,,,.,.'1II In IIrlUng ,~ thu 'ull,4\'11) Offlciil. AI.
<br />i1pproved In5pt(t1~n .Ult be I~ggl!d during euh il. IlInlh period, or Ihl pro;e.. 11111 h cor,sldertd ..b...dlll,td.
<br />
<br />WARNING TO OWNER. YOUR FAILURE TO RECORD A N(HICE OF COMME'''CEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T'J YOUR PROP.ERIY. IF VlJlJ
<br />.. INTEND TO DOTA'IN'FINANCING, CONSUl.T'WITH YOUR ~'(NDER OR AN. A'TORNEY
<br />BEFORE RECORDING,YOUR'NOTICE OF COMMENCEMENT. J~BS UNDER $2,500 tN V{)UIE
<br />DO NOT NEED TO RECORD AND POST lit ;OT ICE OF CCit1t~ENCEMEN r" .
<br />
<br />
<br />
<br />. SIGNAT~~~~R-MENT;:;;;~.~GNATOOI.___~~~-~
<br />t DATE_________;f:.2..3_::.9...2___~--------------- PATE_ ---..-___11_-..23_:.9b___ ..._________
<br />
<br />NOTARV AS TO .......1/" /l~ ~
<br />OWNER OR AGENT__~-- ~_ __ __
<br />/<-f/(}It.-6i:.U . . .b/2~
<br />MY COMMISSION EXPIRES______________________
<br />
<br />NOTARV AH TO ~~# /J y
<br />CONTRAcT'ln__._,..__~-.~-~
<br />~u;~"j :jf:-J3~,.j
<br />MY COMM! SSlOi~EXPIRES
<br />
<br />
<br />KATHLEEN J. BROWN
<br />Slate of Florida
<br />UrComm. Exp. April 2. 1995
<br />Comm.' CC 095617
<br />
<br />
<br />KATHLEEN J. BROWN
<br />Slate of Florida
<br />. MrComrn. Exp. April 2, 1995
<br />Conm. Ice 095617
<br />
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