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<br />CONiH T 1 UNU 01= I't:lth I
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<br />A. NOIlCE OF DEEP RESTRICTION~
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<br />lht undl!nlgnid undinhnd5 'hat 'hh pin" uy h ,uUtC' '0 'deed ruhicU"r.s' lIhhh uy be IlIn r"hictive U,.n [ily
<br />requli'iofts, Ihe undtniqned o1UUIII .nponllbUUy for ulplhllU wUlI .ny 'ppllc."le dud .uldcUllns,
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<br />n. li."ll.JCENSED COtilllACTORS AND CONTRACTOR RE~Por~t,11 P II. IT I Ea
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<br />If th. IIl1nn ho15 hind. untuch. or unhuhn ,. und.rhkt Nork" th.y ..y ~II required '".h UUnied In mordinu lIilh
<br />Ihte ind loul nquhlir.n., If the conhu'or h no\ Uunltd II requited ~y lolli, h'h 'hi Ollntrud unblchr uy be
<br />cited for . Ihdeaunll. vlDh"on under Ih'. hlt. If \h. ".ner' '"~ Inhnded unhlc'", If' unu.hin II h Illl.~ liu"\lllg
<br />require.en'. I.Y .pply fllr the intended 110'., 'hey Ir. Idvlsed ,,, elln'.e' '~1 CI'y of Zephyrh'lls 8u'ldin, Pep.rtleJt'1 IBlll
<br />198-1161 I.
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<br />Furlhe..o", If 'he r.lmr:r tin hi.ed . "'nhathr .r unhlthn, he h .dvhed ,,, hu, 'hi unh ut'r..h I .I,npo.Ur.r.s "' tI,e
<br />'[on'..ctor Sec'lons" of tbl. o1pplici'IDn f"r IIhlc~ 'hey will be respr.nslbl.. It Yhll, .. 'h. lIlIne. sl,n .. 'h. '"h'r.cillr,
<br />y"u .re i~dlc.'In, Ih.' y"U, r.lh" 'h.n 'hi e"n',.r'or, ..e resp"nslbl' '"' 'he M"r~. If Ihl clln'.,c'". wisht. y"u III 5igll
<br />.. u.nlnc \lir th.I uy be in Indiutilln 'hi' h. II no' ,'''per I y licensed If.d h rlL t tnU' Itd III peni" lr.. prlv, h~r:5 i I. lI,r:
<br />City IIf Zephy.~IIIs,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY COMNECT[ON FEES
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<br />D. CONSTRUCT ION L I EN LAW (CHAP!ER 713, flOR I DA STATUTE,S, l\PiA,,''=:NDEl>)
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<br />I certl'y th., I, Ihe .ppllcinl, hive been provlded wllh,' topy or 'florld,'s t~nt'ruc'l"n ~Ien Li. ~ H'le~.n~I'S PI~'tcli~1I
<br />Guide" prepued by 'hi Fh.ld. Depiftunt .r Agriculture and [on.ullr Afhl.., If 'h'.pp,\I,.'I' b 'UIlI,..1 oU,,, ,tou II,.
<br />"lIl1ner", I c..'Ify 'hit 1 hive lIb'.lned a cr." of 'h. .bov. d.scrlb.d docuten' I~d pr.~I,i lD"r.O~ fil'h 10 d>>Ilv,r il tu II,~
<br />""lint'" prlr.r 10 co.tenCetenl'
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<br />E. CONTRACTOR'S/OWNER'S AfFJPAVJT
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<br />I c.rlify 'h.' .11 'he Inrorl.'lon In 'hll .pp'Ie.'IIIn I' .ccu..,. .nd lh., .11 WII.t wl'I b. dll~' in c.apll.~ce with ill
<br />o1pplico1ble I'ws r"ul.'ln, consl.uc'ion, zonln9, .nd l.nd deveIDplen'.
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<br />Appllutlon Ii hereby ude to lIbhin . pen" h do w... .nd Inshlh",," .. IIflultd, ~ urli't H,~I ~~' "~I. IIr
<br />inshlhUlIn h.. collenced p,.IlI. 10 lnunn of . p.nH Ind 'h.' .1\ IIC1.t 1I1~\ h ptrforlfd '''It,. 5,'~r.~;r~s "' ill 1.115
<br />reguhl in. tDnst.u~ \Ion, [lIy u~u, nnln. reglll.Utn., .nd hnd devil lip"'., ff'~u~ .Uon, In It.. i~~ h~~~ \IfI~: I. I.~
<br />cerllry Ib.':l under.t.nd Ih.t 'he regu,.'Ionl of ,'her ,"vI.nlen'.1 I,e.~'el Ml, 6~ply to 'h. Inlt~dld Mil'.; .n4 'to.I it is
<br />ay rnponslblllty 10 Identify IIhll "U.nl I .u,\ hh h be in cupll"lc,. SU.'1 ~.':rIC~n Ir.clud. ""1 ile 1I11~ tititr:d 1111
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<br />, pep..I.en~ of Envlron.enlil Requ',"~ - Cyp.... '.yh..dl, UI'I.nd Ar..s .nd [nvlron.ln,.lly Stnsllifl libdi,
<br />W.,.r/V'I'.w.tr" lr..I.en'
<br />, Sc.ulhllu' Fhrldl h'.r "'niQUen' Dlstrlll- Uelh, Cypuu hybuds, Wtlhr.d Auu, ,AHt.ir"lhlelcr.llfn''j
<br />, 8[!y C~rp. IIf EnGIr,,,r, - SUIl.lh, BlIckl, NIVI'illl. lIihrlliYlf , , ,,'
<br />, D~Pifheol of "nlth L Rthiblllhtlve Sen'cII, fnvl,onll!nhl "!!11th Unl' - 1lelh, lIutewlhl lreit~en"Sp,F\i' lanks
<br />, ~S [ny~,.1 Prll'f['I~p Aqency - Albes'DI .Il.'eleot . ,
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<br />'1 i11s0 u.tlfy thil, If fill uhrl" Ii to b. uu' in FrflDd ZlI'" "A' Df 'A,ele,', " h tmde"I"IIdll..I.dl'tlnigt phn
<br />i1ddle.slnq . 'cr.'pins~'lng vlllule" will be ,ub.l".. Nhlch Is p.epl.td by . p.qf..'I~n.'eftglftEel leg,s'i{~d'!n Ihe SI,t, II'
<br />Florid. prlllr 'lI pe'li' issuincf, I
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<br />A pe.al' '.sued sh.ll be const.ued to b. . '1elnl. t. procl.d with 'h. NII.k .I~ no' .".ulh"'i~~ ,,, ~i'11t~~'c.ncil ill~T, ~I
<br />set Islde .ny p.ovlslon, "f 'he lechnlc.l eodll, r~r th.'I Issu.nc. of . pe,.I. p.lven' 'h. Building Ufflciil fr'l Ihereifltl
<br />nqui.ln, . urr~clion or- flun in phnl, unlhucU"". IIr vi"I_lIDns fir .hy cod" he~y pen" IsslIL!d .\.ill bec"u illv.lid
<br />unleu 'he 1I0rk .ulhorhed by such pe.." h ulnnud IIUMn 51. .onlhi If h.~Il.uu,or:lf~t.H'.ulh".neiYby Ihe penil is
<br />suspended ot Ib.Jtdoned ftor . perllld of .1. lon'hs .ft.r 'he tile 'h. II"'. II t"Lenced. 'D~e90 d., C*'i~~~~1I of ti.t, '.t ~~
<br />ill~II,d for 'lIepenll IIlth fee [h.... IIf $15.00. lh. IIhnll", shill lit ..qulIl"'d In'lIlllllujh U,'8111Idhtg Offi[i.1. t.t.
<br />ipproved Inspecli(ln .u.I be I(lned during luh ,1I IOn'h pt.lod, or Ih. ,rojl![lll~l1 h'tlIrlsldl!r~d'..bii.alif.f:d.
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<br />WARNING TO OWNER, YOUR FAILURE TO RECORD A NUTlCEOF COMME"'CEMENT MAY
<br />RESULT IN YOUR PAVING T, WICE FOR IMPROVEMENTS TO VOUR'PR,OP.ERI:Y,;"l~~I#IF VuU
<br />INTEND TD DBTA'I N' FIN C,MJai.",CDN, BULl WITH VOUR LENDER OR AN., ~~t\~'W~l?;~",/'/.
<br />BEFORE RECORDI. . ~" l~iQ:.Qf COMMENCEMENT" JOBS UNDER "~~~N'-'lfO'~UJE
<br />DO NOT NEED RECO ~ I~~~J\ "'iOT ICE OF COMMENCEMENT"! ...->."\S'<,,,,~ER</,%>;.. %
<br />.:: "'~c:J_ ERe?, ~... ~ "', "_ " ~. ':!~~" ~ tP: =
<br />::: ::.!-; '-;;,<:P~ =: ~' ' ::* tn' ....., :*:
<br />-*= .... ~ :*: " - - - ,e - 31f612 :~~
<br />SIGNATUR =: ". #GG317612 :cgg SIGNATURE / ~~" ~ ~:'$$
<br />-O~NER-~-?~~;;~';';';1 ~s~~~::;:- ----',CONTRACTO~,j;~,Ji~7~~~~~ty
<br />~~En'n .,~ . , ", "~II""cr~~.:-
<br />~~~ 'L. ......~~ C5 '!>:~ ~....._......, "/III'tllll\ll\'Y....._- .-
<br />"1., Ie SIr>;, II" / 02
<br />~_s:=__~ _:~~~~~:_________ DATE _______~_::___~:~?:_________
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<br />~~~:=y O~S A~~NT ___ ~~f1..__4~____ ~~~~=~C~,~~~-;.~-~~~~:--K
<br />~- A-rI...-.,tI'iI"~ ,,,,,..J._....;,,,. ,'5
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<br />MY COMMISSION EXPIRES______~~L-;L~-~__--- MY COMMISSION EXPIRES__~~~~~~---_-,
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