|
<br />, CONbIT10NS OF ~ERMri A~~IOAVIT
<br />A,. t!OrJ~I! pF DEE~ B~TRICTI0NS.
<br />The u"dlrsllnld under,t'nd, th.t this perllt ..., b~ lubJeet to -dlld restriction,' which IIY bt 'Drt restrictive than City'
<br />t'tut.tl,"" T~t dft'I,.I,nld ."utl' 'esponslblllt, for to'ptllnte 11th any .pp'i~lble dl,d reltrlctlons.
<br />
<br />~. UNL1C~~~i~~QNTRACTORS AND~~ACTOR R~s.PONSleILITIEq
<br />If thl .~I' hi' hlrt' I co~tt.t'&r or contrlctor. to und.rtate ,ork, they .IV bl ,@qulrld to be llcenlld In Icc.rd,nel with
<br />stlt. Ind Ilc.1 r'Iu11\lons. If 'hi t6fttrlctor IS,no\ llcens.d as rtquirtd by I'M, both thl 61ftlr and contr.ctor I'Y b.
<br />cited for, Illdtleanor vltlltlon Inder Itlt. 11M. If th. oMnlr 0' Int@nded contr.ct~r Irr unclrt'ln I' to ~h.t !lclnllnQ
<br />rtqulre.ent. I.Y apply for th. In\end.d work, they Ire advised to contact thl City Dr 2,phyrhilll Building Dtpart.ent, (813)
<br />788-6611.
<br />
<br />Furthtr.o'l, If th, olner hll hired I tontr,elor or contractors, h. 11 Idvll.d to hlv! th~ ton'recterll) Ilgn ,ertl6ftl .f th.
<br />'Contrltt., 9lctlon,' .f this ."llcltlon for Ihlch thlY Mill b. f'5ponsibll, If you, " th. oMntf liO~ .1 the contractor,
<br />you Ir. Indlr.tlft9 'h.t you, ,.thlr than lhl tontt.ctor, .fl rl!ponslhle for lht M6ri, If tht contrlctor wlshll you tD Ilgn
<br />II contrlctor th.. I" ,. In lblltlllon thlt hi " not prop.rl~ licensed Ind il not ,~tltl,d to per.ltlln, p'l,llegel lri th.
<br />Clt, ., Z.phyrhllll.
<br />
<br />c. JRA~SPORTATION IMPACT J:I;~S AND UTILITV CQNNl::ttllON FEES
<br />
<br />O. CONSTRUCTION LIEN L~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tfrtify thlt J. 'hi ."llflnt, have bl.n prD,'d,d with. copy Df 'Florida'. ConstructlDn Ltin ta. . Mo.,elnlr', Prttectleft
<br />6uld.- prlpat.d by 'hi F!Drida Deplrt.,nt-D' AgrlcDltur@ and C6nlu.tr Affairs. If th, .ppltclnt tl ,o"~nt othlr thlft th.
<br />'oW"I", . e.rtlfy tha' . h.v. obtained. topy of th. Ibov. dlscrlbld dleu..nl .nd prolll. In lood f.lth to d.ll,., II I. thl
<br />'Ofntr' prlo, t. tOlleneel'nt.
<br />
<br />, E. CONTRACTOa'~lQW~~'~ AFFIDAVIT
<br />t c.rtlfy thlt III thl lnfe,..tlen In thls ."Jlt.tI6b II atcu,ate and thlt III M&rk _Ill bt ~on' In cO'pllane. with III
<br />appllclble I... 'lOulatlnt toftltruttlon, lontng, Ind land dlvllop..nt,
<br />
<br />Appllc.tl'~ it htr.by .ad, to Dht.'n . plr.'t to de wort Ind tn!tall.ti6n It thdtrlt,d. i c.rtlfy thlt nD work Dr
<br />Inst.ll.tiDn h., eft"tnced prior to ItSulnCI .r a ,'rllt and th.t It\ wort wtl\ b@ p,rfnr.,d t6 Ittt st'~~'tdl or lit law,
<br />rl9ullting construction, e"y CDd", toning 'Igulatlonl, Ind llnd developl,nt r'9utAtiftn5 in th. Jurlsd'ction. I 11'0
<br />crrtify thlt I understand that the 'e9ulltlonl of other 90v,rn.'nta' ag@ncla, "y apply t~ the intended lort, and thlt it il
<br />IY relplnlibillt, te idtnt\fy wh.t Ic"onl 1 lust tlke to be in tOlplllnt', Such Ilfnci.. inc'ude but ate not It.ited tot
<br />, OfDart"ftt of tntiron.,n\.l ~'aul.ti.n . Cyprl" 'Iyheldl, Wetland Artll and Envlrun1ent.lly gensttlve llnds,
<br />Vater/W"teMlter trllt~ent
<br />, Bouthwllt Flerlda Uattr "IOlJt_e~llttltt - Mells, Cyprlss 'ayh'ldl, Nettand Ar'll, Altarlng VattrCDur...
<br />. Ar.y CorDI .f Enalnel'. - St..llll, 'Otts, "av'l.bl, M,t,rWIYI .
<br />. D,~.rt"n' of "111'h , Rlhlblll'I"v, ',rvlt". Envlron.lnt.1 BtlJjJtUnlt - WeIll, Mllt'"lt.r Tr'ltl.nt, Q.ptlc Tanke
<br />t US En,'r."lentll Protlctlon AGenty - ASb,.tol .b,t,.,nt
<br />t ,liD c.rtlfy that, 'f fill Ilttrl.l II to ,. u.t' In Flob' Zon' 'A' Dr 'A,Itc.', it II under,tDod thlt . dr.lnl" ,'In
<br />Iddr'llin, I 'tolplns.llnt YDlul.' will bt IUbll'l'd .hlch 't p,.~ar.d by . prof."iDnll I",tneer regllte'ld in thl 9tat, 0'
<br />Fl.,ld. prior t. p.,.,t ls.uanc..
<br />
<br />A p,r.lt la,utd sb.11 bl tOnltrue' to be a lietnlt to procl,d .ith thl Mork and nDt I. luthDrity to vlol.'e, tant,l .It.r, or
<br />ttt .tld. Ifty ,rOVllloftl of thl t,chnltal cod,., nor ,h,ll 1ls"lntf of . plr'lt prevent the Bulldln9 Official fro. thetta,t,r
<br />r.qulrin; I rorrlctton 6' ,rtors In pt.n!, con'ttuttlo~, Or vl~lltlons or Iny tode. Ev.ry per.it illuld Ihlll beco.. lnvltid
<br />unl.sl the wor' .utho,'r.d by ,urh pfr.lt II [o.l.nctd within IIJ lonths of issuant', or If work .uthortled by tht p.r'lt It
<br />lusptnded ot Iblndoned fDr . ptrlod of Iii lonth' .ft" thl tit' thl ~Drk It [~II'nc,d, Ont 90 d.y fltensten .r tl.., ..y b.
<br />IlloM,d fDr thl plrllt "lth tit chlr,. or '15.00. The ..tenllon Ihall bl r&quested In Mrltln. t6 the Bulldln, orfitlll, Aft
<br />,pproved in'ptcllDn IU.t bt Jottld durin9 tath ,I. 'Dnth p.rJbd, ~r Ihl proJ~tt will be tonsldere. ablndon.d, .
<br />WARNING TO OWNER, YOUR 'AILUA' to RECORD A NOllte O~ CO""[NCEft[NT "AY ReautT IN YOUR PAYING TNICE FOR I"PROVE"ENT8 to YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN tINANCING, tONSUlT NITH YOUR LENDER OR AN ATTORNEY DErORE R~COROIN8 YOUR NOTICE or
<br />tORII!Iltt1t!NT. lOtI IIlIKR IO,ltO 1M L1J1: MIlO! Il[U to MtlIAO A~ ~.
<br />
<br />
<br />
<br />SISNA i. OWNE~ Oft A SI6NATUREI CONTRACTOR
<br />"
<br />
<br />
<br />
<br />\.
<br />
<br />LI
<br />
<br />RIAtr or 'lORIOA
<br />COUNTY OF Pasco
<br />The foro;oin; in.trum.~t wa. acknowledged
<br />bwfDrw ""I thl& 11-';::;, 19 _a by
<br />
<br />C. eo r''j .e.. S 0 UJ 4-
<br />who 1. p.r.on'11~ known to me or who ha.
<br />produced ~
<br />a. ld.ntlflettlon and who did/did not
<br />
<br />t~~~~
<br />
<br />(S'lnltur.)
<br />"tt'4 ~. 'E..: i-~"i\
<br />(Name Typed, Prl
<br />NOTARV PUBL-Ie
<br />
<br />STATt OF FlDRIDA
<br />tDUMlY I.)~ Pasco'
<br />The foregoing instrument was acknowledved
<br />before me th 111 11/2/, 19.2l- by
<br />
<br />1&.8>"
<br />
<br />Gordon R. La:r:kin
<br />who 1B pltrs;r..n.U y hnown to me or.... who h...
<br />prt\due~d ... _nLg
<br />.. ldentlflcatl~n and who did/did nDt
<br />t~n oa\~, '.
<br />~R::c Ln ~
<br />(St9n~turl'~)
<br />Lnla M. Britt~n
<br />CNeme Typ.d, Pr nt.d or
<br />NOTAfW PUElL1C '
<br />
<br />. ~
<br />
<br />
<br />~~..- ....
<br />
<br />.- ...........
<br />
<br />LULA M. BRITION
<br />..t~'~ .".'i\ Notay Public. State of FIorido
<br />My Comm. Expires Sept. 28. 1994
<br />No. CCQ36747
<br />
<br />Stamped)
<br />
<br />LULA M. BRITION
<br />Notay PublIc:. State of FIoIIda
<br />My Comm. Expires Sept. 28. 1994
<br />No. CC036747
<br />
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