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<br />:~:Ul~1) .
<br />
<br />is en: jl~HI'I,
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<br />.nl'''. t
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undenigned undentinds thit thh perlit uy be subject to "deed rutricUlIr.s. which liY be '~rl' reilridive tI,." Clly
<br />re9uliltioll~. fhe undu5iqned iUUleS responsibility for clI.pli.nu wilh illY .ppl1CiI~le d~ed rf:5trictilllli.
<br />
<br />8. lJNLICENSED CONTRACTORS AND CONTRACTOR RESPONSlllll-ITItB.
<br />
<br />If the IIwnl'r hiS hired i clIntrictor Dr contri~torl '0 undertike work,. thlY ,.y bl r.~uir.d tll be licensed in iCClIrd.nce Nilh
<br />.\i\e .nd IDCil Je,:\ulitillns. If Ihe contriChr h not Uunud .. requh..d by hw, bDth th. olllnu illd ",ntriC"'r aiy be
<br />cited for i .I.dueinllr vlolition under ihte Iill. If thellwner'lIr intended contuchr ire uncerliin il h IIlti! licehil1l9
<br />require.enti aiy apply fllr the intended work, they ire idvised tll clIntict thl City of lephyrhilli 8ulldinq Depirtleflt, 18131
<br />788-6611.
<br />
<br />Furtherlore, If the IINller hi' hired i clInlrictor or contriclllrs, he i. idvlsed 'II hive 'he clIntr.ctllrlsl liqn pOftill1l5 IIf Itle
<br />'Con!rictor Sections' of this ipplicitlon fllr whicb tbey 11I111 be respllnlible. If YIIU, ii tbe IIwner ilqn ii lhe clIlllrici"r,
<br />YIIU ire i~diciting thi' YIlU, rither thin the clIntrictor, are re5pllnsible fllr 'he wlIrk. If lbe clln'riclllr lIi5hl'1 y"u III ~191l
<br />is clIntrictllr thit liY be in indici'illn lhit he il no' prllperly licellsed ind is nlll .n'ltled tll perlitti"q privileqts ill 111~
<br />City IIf lephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify Ibi' I, Ihe ipplicint, bive been provided wl'h,iI copy of 'Florldi', Clln,'ruc'illn Lien LiW - ""leIlWner'i Pr"I~(lillll
<br />Guide' prepired by Ibe Florldi Depirt..n' of Agricul'ur. ind Conlu.er Affilrl, .f 'h. ippliclnt 'I 11I'.~~, ~lt.r thin II'M
<br />'~Nner', I certify ttil I hive lIblilned I c~py of 'h. ib~ve de,crlbed dllcu.enl I~d pr~.II' in gllod f~llh I~ deliver il tll I~e
<br />'IINntr' prl~r 10 co..encelenl.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFF'DAVIT
<br />
<br />I certify thi' ill the inf~rlatilln in this applltllllln l, iccurite ind 'hil ill M~rk lIill be dllhe in c~lpliillce Nilh .11
<br />applicible IIW5 regulating c~nslructi~n, l~ning, ind land dtvelop.ent.
<br />
<br />Appllcitlon il hereby .ade tll IIbtiin a per.i' '0 do work ind instilli'llIn is indiciled. I c.rlif. Ihil nil NlIrk ~r
<br />instilli'i~n hi' to.leneed pr'illr to i,suanee of . peral' ind thi' all wlIrk wltl be ptr'~r'l'd tll .eet slilhd.rds lit i111 I.~~
<br />r.guli'ing tonstru~tion, City CII~fS, lllning regul."on., ind lind develllplehl regul.'illni in the juri&diclilln. I ~1&lI
<br />certify 'h.,:. underltind thi' Ihe r.qulitlllnl 0' .'her g~Yernlentil igehcies a,y jpply to 'he Intl'hded wlIrk, ind lhi' il i~
<br />IY responlibility to identify whit ictlons I .u" lih h be in [(I'pUir,c" Such igl'hC~eS ir.elude ~1I1 ... lI~t IIlited 1111
<br />
<br />- Depirt.ent of Enylronlentil Requlitill~ - Cypr.,. liyhe.dl, We'lind Artil ind Envlr~naen,.lly Stnsiti~t lilids,
<br />W.ter/Vil'ewi'c' Treit.en'
<br />· S~uthwe&' FI~rldi Witer "inage.en' Dis\rifl - Well,_ Cypress 8iyheid" Ve'l.nd Ar'il, Alttrih9 Waterc~ursts
<br />. Bray ClIfP' of Enqi~eerl - SMiWill., D~ckl, Hivigibl. W~I.rw~YI
<br />· Dl'~art.ent IIf Heillh L R~h.bilititlve Servtc'i, Envlron..nlal Heillh Unil - Well., Wiilewiler ffllit,ent, Seplic l.nks
<br />. ys Envlrc.nnn\il Pnhqillll Aqenc{ - A~be,hi ibite,,"t
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<br />.1
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<br />I illO certify 'bit, if fill literlil il tll be ule4 in fl~od Z~n. 'A" or "A,etc.', il 'I under,t~lId tllil i d.alnige plill
<br />iddre~~lng a 'cll.penlillng vllluae' lIill be lublitt.d whicb Ii prepired by . pro't..i~nil ellgillt.r reqlil~(~~Oill lhe Slile "'
<br />Floridi prlllr to perlit i55uin~Il, I .
<br />
<br />o
<br />A perlit ,.Iued Ihill be conslrued to b. i licen.. to proceed wllb Ih. wllrk and nllt il aulhllrily III Villlil., cinctl illlr, ~I
<br />sel iside any provisi~hs IIf Ihe lecbnlcal c~de., nor ,h.ll issuince of i per.lt prllvent the Building uttici~1 tl~1 lLere.'Ill
<br />rllquirin~ a cClrnctiCln of erHfi in phni, clln5trllcUlIn, r.r viCllitillnli (If iny nd" Every perlit i"lll.!~ ;I'ill be"'.e ill".t id
<br />unllili 'he work au'hllriled by such penH h cunnn4 wUhin Iii. aor.thli of iiiuinu, IIr if IIl1lk i1ulltullled by lhe ~er.1I I~
<br />suspended Dr i~illdoned f~r i perilld of Ii. I"nth, .fter 'he tlae 'he work I, '"I.enced. Dlle 90 dir ~31~niloll of li.~, a41 Lc
<br />illllwed for theperait with fee chuge IIf $1:1,00. lhe e.lenllllll Iibill be requlited In 1Ir1'ing 'II thl! Buildiug Offici.1. hll
<br />ipproved inspectilln IUS' bl' I~gqed during eich II. IClnth p~riod, Clr 'he prlljllc, lIill be c~lIsiderl'd ~b~I~"lItd.
<br />
<br />WARNING TO OWNERI YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPRUVEMENTS TO YOUR PROP.ERIY. IF YLJlJ
<br />· INTEND TO OBTAiN' FINANCING, CONSULT WITH YOUR LENDER OR AN AI10RNEY
<br />BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALlJE
<br />DO NOT NEED TO RECORD AND POST A "r~OT ICE OF COMMENCEMENT",
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<br />
<br />· SIGNATUAE_ tk ~-JtJl~gL___ GJGNATUIlE____~~_______ #.
<br />'. -j-'=[)- OUNER OR AGENT~a-tlrJ k-t.~ CONTRACTOR ~ ~
<br />,DATE_____IL~~~~-~~------~--------------- DATE_______~~3_:i-~________________
<br />
<br />NOTARY AS TO ~
<br />OWNER OR AGENT__~-- _~__
<br />A47J.I ~e=}J ,.13R o?W.u
<br />MY COMMISSION EXPIRES______________________
<br />
<br />KATHLEEN J. BROWN
<br />State of Florida
<br />_=~=~995 I
<br />
<br />NOTARY AS TO
<br />CONTRACTOR___~~~iJ_~~
<br />h A7H '-'=- E7..l7J: J31?~ IV
<br />MY COMMISSION EXPIRES
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<br />'i'
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<br />'i'
<br />
<br />KATHLEEN J. BROWN'
<br />Slate of Florida
<br />u,Comm. EllD. AQril2, 1995
<br />CollIn. , tc ()95617
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