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<br />~
<br />CL..",&TIONS OF PERMIT AFFIDAVl.
<br />. A.~~NOTICE OF DE~D RESTRICTIONS
<br />lh, 'nder.IIII. ....r.t.nds thlt this "rllt I" b, lubJ.tl to .d.id r,strittiDnl- Whith I" .. tor. 'I"flt'lv, 'h.n eli,
<br />r'I,lltl.nl. Th, unllf.llned IIIUI.S ',splnslbllll, for [Dlpl'.ntl with In, .pplle.'l' d..d rl.'titti,nl,
<br />
<br />9. UNLICEN~ED CONTRACTORS AND .CONtRACTOR RESPONSIBILlTIES
<br />If the .wner h.. hirld I cDntratt.r Or tOntrlctDrs to and.rt.., lOr', lh., lay bl rlquired' ta b. 1ic,n," In Iccordant' with
<br />Il.le Ind l.cll r'gulatllnt. If th, canlr,ct.r I' nDl lit,ns.d II r.quir.d " Ilw. 'Dlh \h, ..ntr Ind c.n'rlctor II' h.
<br />fll.d f.r I lild....nor vl.ll\lon Ind,r Itltt 1... If lh. oln.r Dr In'tnd,d cDntr.ctor Ir' untertlla .1 t. ".t Ilclnllnv
<br />requlfel..t, lay appl, f.r the Int.ndtd .Df', th,y I,e .dvis.d to cont.ct the City of Z,phyrhlll. IIll.lng le,l,tllnt, (913)
<br />788-"11 ,
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<br />Fur\htrl.r" if th, owner hal hl,ed I cDntrattDr .t contratto,s, h, il ,dvIsed to hive th, clat'let"C., ,l,n ,.rtl.ns .f thl
<br />-Contr.tt" "c'llns' .f this appllc.ti.n for Ihich'lhey will bl rlspDnSlbll. If 'D8, IS th, Olnlf 'I," II thl contr.tl.r,
<br />you .fl Indic.tlng thlt ,ou, rlther th.n th, contrlctor, I" '1IpOhlibll fD' the lor'. I' the contrlct., .lth.. ,ou to li,n
<br />.s c.ntrlctor th.t II' ~, .n Indlcat'on lh.t hI Is not proplrl, lictn5ed Ind il not entltll. to "r.lttlnl prlvllel'S in the
<br />City .f Ztphyrhilll,
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<br />C. TR~NSPORT~IIQN IMPACT FEES AND UTILITY CONNECTION ~FEEB
<br />
<br />D. CO~STRUCTIQN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 t.rtlf, lhlt ., the .ppllc.nt, hlY. bteft prDvid.d with. c." .f -FIDrida's Construction ll,n III - NtttDwner'. PrDtletiDn
<br />Buld,' prlplred b, th,.FIDrlda U.part..nt of Agrltultur. Ind tDnlul.t Aff.irs. If lhe .ppllt.nl I. 1'..lne ,lh.r thin the
<br />-'In,r', 1 tl'tlfy thlt I hlVI .btaintd a cop, of thl IbD'1 d.ltrlb.d doculent and pro.ls, in gODd f.lth 't d,llvlr it to lbe
<br />-'IRlr' ,rl,r 'I tOIl.nt,,,nt,
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<br />, E, CONI~ACTOR'SLOWNER'S AF~lQAYIT
<br />I e,rt'f, thlt all the lnf.r..tl.n In this Ip,lit.tl.n 15 IttYflt, Ind th.t III .ork lill be dont 'n ctlplilnc. with III
<br />1"llc"., .1" T'IUI.ti.. t'",'rlt'lon, loning, Ind llnd .Iy.lop.,nt.
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<br />Appllcltl.ft ,. he,"y ..d. t. .btlln . p.rllt to do wor' .nd In,t,llltlon IS indlcat,d. I cerllr, thlt II Jer' .r
<br />Instlllltl.ft hi' c'''lnetd p,lot tl ilsllne. of . p~r.lt an' that all lor' .111 b. p.rfDr.ed to 1III .t.ndlr'l .f III I.ws
<br />r"ulltlng tlftltruttlen, Cit, tDdel, IDn'ng 't9ulltlonl, Ind Ian' dev.loplenl rt"lltl,nl In 'hi Jurl..ittlon. I IlsD
<br />t,rtif, that I under.tlnd thlt th. 'Itullllons of ,lh.r 90vernl.ntal a"nei., "y .pply t. thl lnl,nded lor', .nd th.t 1\ Is
<br />IY r,spDnslblllty to Id.ntlfy whll Ictions t lucl t"1 II be In eotpliancl. Guch ".ncl,. lnelud, bu' .re n.t li.il.d 10:
<br />f D!Dlrll'I' of En,iraDlln'.) R,lullliln - Cyprlll 'Iyhel's, N,tland ArtiS .n' EnvirDnlent.ll, 8enliti'l llndl,
<br />Ulter/Ulste.at,r Tr'llI.nt
<br />. IDutbltt' Fllrld, later nanlal",t li,trltt - Ullls, C,pr,ss BI,held., U.tllnd Arels, Alt.flng Ua'.rcour".
<br />. ArlY Cor.. If ElIlteer. - 8'IRIlls, loc'., MI,I,.bll I""WI,S
<br />, le.irt'lnt If He,lt. , R'habllltl'!" Slryicl!. EnvlrDnlenll1 "'11th Unit - Utlls, N..l"ltlr Ir'I'.,n'. S"tlt Tin'.
<br />, US Envlrtnllnt.1 'rltlC'IDI Alentf - Asb'llDI ab.t'l,nt ,
<br />I 1110 e.rtlf, '~It, if fill l.lerl,1 is t. 'I uled In Floo' Zln. 'A' Dr -A,ett,', it I. andlr,lo,' th.l . dr.lnlgl plln
<br />addr'lslftt I '[D'Plns.tlng YOlu..' lill ., 5Ib.itl,d Ihich il prep.red by a profesliDnl1 envln.., r'llltlrld In th. st,t. of
<br />Flltl', prior to ,.rlit illUlntl.
<br />
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<br />A ,.r.lt ISlue' ah,11 bl tonstrued t. b. I Ilt,nse to prot..d 11th the lor' In' not II .uthorlt, to vl,l.t" ~lnt,1 Iltlr, or
<br />set .,1'. Iny prlytsltnl of Ihl tlthnltll code., nor Ihlll ISlulnte or I p"llt pr.yent thl Building Offltl.. ft.. 'hl'tlflt'
<br />requiring I [,rr,ctlon of .trorl in pl.ns, construttlon, Dr vlol.ll.ns Dr any cDd" Eytty p,rlit 11111' ,hill b,cole Invllid
<br />unltss lhl Mort luthorlz.d by such perllt i. tOI"need witbln Ii. IDnths 0' lssulnee, Dr .f .or' lutho,lz.' " 'he p,r.it is
<br />susp.nded or Ib.ndontd for. ,Iriod of six .onth. Iftl' lh, tll. tht lor' Is tDII,nt.d. One 90 'a, ..l,n,I.. ., tl." IIY be
<br />.110li. fir the perlit with fl. charo' of .15.00. lh. '.ltnsIDn Ihlll bt "qulst,. in .ri\lng to the I.il.inl Officill. An
<br />Ippro,ed Insplttlon lust be logg.d _urlng 'Ich 51. lonth p,riod,. or tht prDjlet ,ill bl tDnlldlf.d ,'andoftld.
<br />VARNIN' TO OVMERI YOUR FAILURE TO RECORD A NOTICE OF.tO"~"CE~"l MAT RESULT I" YOUR PAYING TVICE FOR IKPROYEft(MI9 10 YOUR
<br />PROPERTY, IF YOU INTEND TO OBIAIN FINANCINg, CONSUlT Mil" YbUR LENDER OR AN ATTORNEY 8~fORE RECORDI", TOUR NOTICE OF
<br />C_NCEItEMT.~ JOIS UIlDER t2,590 1M VAlUE DO MOT MEED 10 RECORD ""D POSI A 'M OF COIIENC(IIEIIT',
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<br />9 IBMATUftE I
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<br />CNBme Typed, Prlnt.d Dr Stamped)
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<br />~ATe OF flORIDA AT Lt.I._
<br />MY COMMISS,ON EXPIRES FEBRUARY II, I".
<br />BONDID THRU ASHTON AGENCY 1fC.
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<br />'I.Il " FLORIDA
<br />tIUIn OF HILLSBOROUGH .
<br />Th@ for@going instrument wa. acknoMledg@d
<br />before! me thl9 December 13~. 19~ by
<br />,
<br />David W. Plott
<br />who i. perwonaliy known to... er who-ha9
<br />pr8dlf~8d
<br />.. Identification end who dtdIdld not
<br />hke an OAth
<br />,'J.,~~LA r ~OA./'lt Ii. 9.. at
<br />(Signatut.)
<br />Kathy E. OV~rstreet AA 317679
<br />(Name Typed, Printed or Stemped)
<br />~OT9~Y PUBLIC
<br />
<br />",a. lIcknow}@dged
<br />, 199..a.. by
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<br />!C.
<br />
<br />Natarv l'ubHc, 5t::;fo €If FbridCl
<br />My C::,:mlli-:,,'r;; ;~o_' "\-~, 25, n9~
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