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<br />. .. CONl>ITIONB OF PERMI"t AF'FIOAVIT
<br />A. ~OrlCE OF DEED 8EBTRICTION~
<br />The und'~II.nld under.tlndl thlt thll ,erllt .a, be lub!Ict to -deed re.trictlon,. which IIY b, lor' r"trlctive thin City
<br />,'tal.tl'ftl, rhl uft',r.ign.d "la.'1 responsibility fOT ro.ptl.nt. .ith Iny .pplic.bl. dlld rtltrlc\IDftI.
<br />
<br />9. UNLrCE~~~Q ~QNTRACTORB AND CONTAACTOR ~~SPONSIaILITIES
<br />If 'hI ownlr hi' hlrld I cent,.tt.r 0' cont'lctor. to und'rt.ke .ork, thlY IIY bl r~qulr.d to be Ilclnll' In Iceerdane. .Ith
<br />sta'e and Ilcll r.gulallons. If lhl toat'lct., il,not licensed as requir!d by I'M, both the oln.t Ind cDntr.ctor lay be
<br />eltld 'or I tl..t.tlnor vlalltion Ildtr Itlt. llN. I' the OMntr or lntendtd contractOr Ir. unc.rtlin ., to ,hat ltefnllnQ
<br />rtquirelrnt. IIY Ipply for th. int.nded IDrk, they Ire advisld to tontact thl City of 2.phyrhllll Building Dep.rt'Int, (813)
<br />788-6611.
<br />
<br />,
<br />
<br />Furthlr..". lf lh, olner h.1 hlred I cDntractor or cpntrlctorl, hi is advised to hlvi thr contrlctD,fs) Ilgn pDrtloftl of the
<br />'Cont"ctor Bletlon.- 61 this .ppllcltlon for .hlch they Mill h. rl5poftsibll. If yov, II lh. o~ntr 11Qft .1 thl tontractor,
<br />you Ir. lftdlt.tlng thlt you, rlther th.n lb. COftttlctor, Ire relponlibll for thl Mork, I' the tontr.ctor ,llhll you to liVn
<br />a. contrlctor that I.Y be In ledlt.tiDn thlt h. II not properly lic.nlld Ind is not ,~titltd to ptr.lttllg p,lvlllglS in thl
<br />Clt, of Z.,hyrhlllli
<br />
<br />c. T~e~8PORTATION IMPACT 1~~~8 AND UTILITV CD~N~CTION FEES
<br />
<br />D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I t,'tify lh.t I, 'hi l,plltlftt, hlWl bltn pr.'ided with. copy Df 'Florida'. Construetion Lit" LaN. Ho"oMntr.s Protection
<br />Guidi- pr.,.t.. by 'hi FIDrida Dep.,tIIR".f Agrlcultur@ .nd eOllultr Aff.irs. If thl .pplitant II lo'.ont oth., than the
<br />'own.r', I elrtlfy that I h... obtained I cop, .f 'hi Ibo'l dllcrlbld dotu.tn' .nd prollle In IDld filth to d.ll..t It to th.
<br />'o.ntr' prior t. CDlllnt'lelt.
<br />
<br />~ E. CONTRAC~Oa'~l~~'S AFFIDAVIT
<br />I tertlfy thlt III thl l"farll"a, In 'hll .pplle.tllb II ttCU'I'1 .nd thlt III wDrk _ltl " don' In to.plllnt. Mith III
<br />Ippllclbl. II.' 'ltulltlnt coftltruction, loning, Ind llnd ',vtlop..nl,
<br />
<br />Appllcltlan II htr.by ..d, to ,bt.ln . p.r.lt t. dD lOr. lad Instillation a. indlrlt!d. i tfrtlfy th.t ID wDr. or
<br />inltlllltiDn hll CDII,nced prior to lssu,nce .f . p.r.lt and thlt Itt Mork lil1 b. p!rforlld tD le.t ,tlftd'tds of ell 11.5
<br />r,vull'inv cDn.t,uet'on, tit, cDde" toning regulations, Ind land dlvllop'Int rlgutltiDns in thl Jurisdiction. 1 Ilso
<br />certify tb.t I und"ltlnd thlt lhl r.gulltions of othlr go",nllntll .g~ncl., .ly Ipply to the intlnd.d lork, and thlt it il
<br />IY r..pon.ibility to idtntify Ihlt ietion. t .vst tlk. to be In cOlplilnc., Such Igencies Include bvt Ite not li.it,d to.
<br />, Ol'lrt'lnt ~f ~nvirDn!lnt.l ~'aul.'ian . Cypr.ss Ilvhelds. Vltllnd Arll. and EnvirDn.lnt.lly SInlltl'1 llnds,
<br />U.t,r/W'lteMlte, lr'lt~Int
<br />, SouthM'lt Fllrld. Uliff ~.~..en'~l'lrlct - NIIls, Cyprlss Blyhl.dl, NIlllnd Ar'II, Altlring U.tlr(~Ur,..
<br />t Arl~ CorDI Of Enllnl.r. - S...,ll., Dottl, ",vlQ.ble l.tlrw.YI .
<br />, O~.r'I'nt of H'alth , Rlhlblll'ltlY. ",vle'l. EnYlron..nt.1 H'alth Unit - WIlli, W'lt.".t" lr.atl.nt, Slptic Tlnkl
<br />. ~S En'ir.nl,"'.l Prltlc'lon AGency . Asb.stll .b.t..,"t
<br />I aliI c.rtlfy thlt, If ftll .,terl.l 11 ,. b. 'I.d lft Flood Zont 'A' or 'A,ett.', It il vnde,.tood thlt . dr.lnl" plln
<br />Iddrl.sing I 'ta.p.nl.tlng yolul.' Mill be lub.l",d .hlch il ptlp.red by I proflllionll In,lnelr r.giltlred in thl 8tl\' of
<br />Florid. prlor t. p.r..t ilsuane..
<br />
<br />A plr.it itsutd Ihall b. eonstratd to b. a ltcenl. to proclld lith thl "Dr' Ind nDt II luthority tD, viol.t't tint.l .ltl', Dr
<br />Stt .sid. any provilionl of th. t!chnicll tod,'. nor Ihall ilaDlnC' Df . perlit pr,yent the BUIldino Official fr'l the'.lfter
<br />requiring. lorr,ctlDn .1 ,rrOfS in pl.ns, con,t,uetlon, or .lolltl.n. of Iny cod,. Ev.ry p.flit i.luld Ih.11 blCOII ilvllid
<br />unltss thl ..r' luthoril.d by such perlit 11 cDllenced witbin slx tonths of Issuancl, or if Nork luthorl2ed by the p.rllt Is
<br />su.p.ndtd ot Ib.ndoned for. p,riod of lix .onth. ,'t,r the tltl thl ~Drk 'I tOII,ne,d. One '0 d.y ,.t.nslon of tl.., ..y b,
<br />allolld for the p.rllt "Ith fl' Charll 0' '1~.OO. The ,.'en510n sball bf requested in .titln, to the Building Officill, Aft
<br />Ipproved In,plctlDn IU.t .. )o991d during 11th II. iOnth p'TIDd. ~r th, proJ.ct .ill bl co"sidlr.d Iblndontd, .
<br />"ARNIN' TO OIlMER. YOUR F~ 0 RECORD A NOTlCC O~ CD""nC~"ENl flAy RESUlT IN '. AYIN ICE FOR IMPROveRENTS TO YOUR
<br />PROPERTY. IF YOU IN TO OBTAIN ANCIJIi. CONSUlT IIITH YOUR LENDER OR AN AT EY DEFORE R ROtNS YDUR NOTICE OF
<br />CDKMfNtEMENT,'O ER .2,SOO 1M DO NOT MttD to RECORD ANGPOST A 'NO E O~ CDft" ENl-,
<br />
<br />
<br />
<br />9tAtr or 'lORIOA
<br />COUllTY OF Pasco L
<br />The forevoln; instrument
<br />b.fDr. me this 9/9/93
<br />
<br />wa. acknowledv.d
<br />. 19_ by
<br />
<br />STATE OF FlDRIDA
<br />tOWllY tw Pasco
<br />The fDregolng instrument was aeltnowledged
<br />before me thi. 9/9/93, 19_ by
<br />
<br />Gordon R. Larkin
<br />who 1. p.raonally known to m. or who ha.
<br />prDduced ^J / rr -
<br />.. id.ntlflc.tl~n and wh& did/did nDt
<br />
<br />take~~
<br />
<br /><Slgnatur.)
<br />,nON
<br />
<br />toR) E P\:t~t. 2&. ,qq4
<br />Wtf COIT'~o~ CC036747
<br />
<br />Gordon R. .Larkin
<br />who 1. per.onally known to
<br />pl"e.dueed
<br />as lden
<br />take a
<br />
<br />me or"'who has
<br />
<br />
<br />-
<br />
<br />
<br />(Neme T
<br />NOTARY
<br />
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