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<br />COND I I I L'i'I~ UF F'Ef~''II T (.~r: r;: 11)(W If
<br />n. NUTICE OF DEED RESTRICTIONS
<br />Ibe umi;;;i9~';i";;;;;';r~';i~lh;t"th'i;.p~';'.~i't";;y-b~-.'~l'bjl!ct to "dnd r~strictillns. which "'Y bl! .ore restrictive tllan City
<br />re9uJatiQns. Th~ und,rsign@d a5~u'es responsibility f~r r~~pli~nf.~ Mith ~ny ~rplicabl~ detd r~stri(tion~.
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<br />r;l . !).t!b.J~~~_~L.,g'pI'ir f3t.tQJ:Q[i9...B,I:~P_._!;;;.Qt!.IB.o.~ImL B.S9LQ!~?..t?J..hLI1gf~ .
<br />If the Il~net has hired a tontrattor or contractors to undertste "or~, they ~ijY be rtquired to be licensed in accordance with
<br />stat! and 10cII rl!9ulltiDn5. If the cDntractDr is not licensed as fequired by I~M, boih ih. owner and t~ntra(t~r lay be
<br />cited for a lisdeleanQr violation under state la". If the OM"ef or intended cDntractor art unttrtain as to ~hat 11cln51ng
<br />requirp'l!nts .ay apply for thl! intended "Drk, they ar. ~dvi~ed to contact the ~ity of Zephyrhills Building Dfpart.entf 19131
<br />799-bbll.
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<br />Furtherftote, if t~e o"ner hiS hired I (ontractQf ~r contract.OfS, he is advised t~ hiVS tbs cDntractDr(s) sign pprtiDns ~f the
<br />'Contractor Sections" of this application for "hiCh they Nill be responsible. If you, as the ~"n!r sign's 'the contractor,
<br />y~u are indicating that you, rather than the tontractor, are responsible f~r the Mork. If thl! contr~ttDr "ishes you to sign
<br />as contractor that .IY be an inditation that he is n~t properly licensed and is not entitled t~ ptrlittinq privileges in the
<br />City of ZephyrhiJls.
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<br />c . T Ri~Ne..f' 0 F:\T AT !J.!!:L_tUP (..\!:;'LEJi.!;;J:,l_!:l!'J1LJd.I!h-l -':.L,-.r;.b!I.~N..IF.:.Id:!J_.!J.bL.f:...~~J:i
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<br />D. ~UN6 TRUG.L!'Qt:Lb..:Lf;!L'=ft.H. (CH';)f~"F.:R '7 J :3 ~ FI..On I Di) ST':HUTES ~ AS (.'I'1ENIJED)
<br />r certify thlt I, lhe applicant, have bel!n provided ijith B copy of 'fl~rjda's Construction lien laN . Ho.eo"n~r's Protpctipn
<br />Suid@" prepared by the Florida Drpart,ent ~f Agriculturl! and CDn~UI~r Affairs. If the applirant is In.tone other than the
<br />"o.."u", I certify that I haVE! l\btainL'd i copy of thl! ll~o\'e dl!!icribl!d llpcl!lIIent and pro"in in it'Dd faith to deJivl!t it to the
<br />"Q"nl!r" pri~r tt' cO~'l!ncel~nt.
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<br />I::. . r;9N.r:J':(}!::TQB..~/Ot,.1~.~R.:J?__HEr:_V2.D.Y..1..I.
<br />I c@rtifv that all lhe infDrMatilln in this appJjcati~n is aC[Ur3te and th~t all "or~ *ill be dDnp in to.pliante "ith all
<br />~pplj(ablt la"5 regulating constructi~nf loning, and land deveIDp.ent.
<br />
<br />Aprlieatien is h.rtby lade to obtain a prr.it to do "Dr. Ind installation as indicit!d. [certify that no .or~ Dr
<br />in!tallitit'n has cD..enced prjQr to issuance of . p~r'it and that all wnrk ~ill bE! perfor.ed to le.t ,tandards of all laws
<br />regul~ting tonstrutti~nf City codps, iDninq regulatiDnsr and land develop.ent rrgulatiDn5 in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other 9~wern_ental ~qenr.ie5 .ay apply to the intended "pfk, and th~t it is
<br />"y responsibility h identify Ilhat At\ions I lust tat! to be in cDllpliilnce. Such agenciu include but are not li.lt~d to:
<br />, ~art.ent Df EnYif~n.ental~ReQulalion - typress Pavheads, Hetland Areas and Envirnn,entally S.nsitive lands,
<br />Water/Hasle"at.r Trtat~ent
<br />· SDuthwest Florida Mater "an8Q~.ent lislrirt - Neils, Cypress ~afheads, Hetland Areas, Altering datercourses
<br />~ Ar.r ~orps of Engine1t! - Sea"alls, Dotts, "avigable Watrr~avs
<br />t Depart.en' pi Health' ft.habilitativ! SerYites, EnvirQn.ental Health Unit M Wells, Wastewater Treatsent, S!ptic Tank5
<br />* US EnvironlentaI PrDtection AQenty M Asbestos ab.tl!~ent
<br />I also t.rtify tha\~ if fill ~aterial i~ to be vsed tn FI~~d Zone "A" t'f "A,etc"1 it is understood that a ~rai~ag' plan
<br />addressin9 a 't~.p~nsstjng vplu~!' ~ill be sub.itted ijhich is prepared by a prQf!5Si~nal engineer reqlstpred in the St,t@ of
<br />rl~rida prior t~ per.it issuante.
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<br />A rer.it is!ued shall be c~nstrued to b~ a litellse to procied with the ~or~ and npt as authority to iiolate, canepl aJtff, ~r
<br />set aside iny provisions Df the technical t~dest nor ~hall i5sU~nte of ~ pl!r~it prevent the Building Official frol thereaftfr
<br />tequiring I corr.ction IIf errors in plans, constructlM, (If violations of !lny tod,. Every per.it iuued shall blrcL\1!1! invalid
<br />u"le5s the "ork authorized by 5Uth pl!r.it i5 cOM,enced within lix lonths cf issu~ncp, 01' if work auth~rized by the per.it Is
<br />suspended or abandoned fDr a period of si~ ,onths aft~r the ti.e the wDrk is (ol.enc!d. One 9G day e_t,"sion of tile, .ay be
<br />all~"ed for the per.it "ith fee chargl! of 1'5.0Q. The ewtension Shall bl requested in writing tD the Building Official. An
<br />3pproved inspection .usl be Jogged during each si~ .onth peri~dt or th~ project will be c~nsiderl!d abandonfd.
<br />WARNING TO OWNERl YOUR FAILURE TO RECORD A NOTICE OF COnnENCEnENT nAY RESULT IN YOUR PAVING TNICE FOR IKPROVE"ENTS TO YOU~
<br />PROPERTY. IF YOU INTEND TO D8TAJN FINAN&INS, CDNSUlT WITK YOUR lEftPER OR AN ATTORNEY BEFORE RECORDING YOUR NDTTE,E OF
<br />CO""EHCEHEHT. JOBS UNUER '~,500 IN VALUE DU NUT t~EP TO RECDRP AND POST A "NOTICE OF ConnEHCE"ENT".
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<br />-~ 8i~
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<br />SI6NATURE: CONTRACTOR
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<br />~ D
<br />9JGNA'URE: OWNER OR AGENT
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<br />\u{
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<br />STATE OF FlI}.I4DA.
<br />rOurlTY or ..:Y-f rl1 d j Q.~'
<br />Th~ ft.rego i ng i n!5trument WoiIS ~~;,('Wl ~dged
<br />bp.fr.'J"f:! me th i 9 fP1t;(- -d 1, 19.::L:;f- by
<br />
<br />W~f~al~/~i~( m.yr wl;O has
<br />
<br />~ fH'Ctth.lce
<br />ClS
<br />
<br />STAlE OF rl~ ~
<br />wUrm OF ~ '/!'tD d 1 Q.... <\ ___~ .
<br />The fDregDing instrument~was ~cknowledged
<br />befclre me th i s ~:1-..... ~., l 19!2!:L... by ,
<br />
<br />\-Iho i
<br />prOdI.ICp.I.1
<br />as identification
<br />~ th.
<br />
<br />has
<br />
<br />~
<br />~~ (Sign~~uIP ,
<br />"- ,./-f~ 7fE;g/ (':.CS!:t
<br />~ ( ame Typ~d, Printed
<br />NOTARY PUBLIC
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