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<br />CONDITI0NSrQl,..trfd'Ml;,rFFXDAVXT
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<br />NOTI~E OF DEED RESTRICTION~btJ'~~J{"
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<br />MV COMMISSI
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<br />-...----
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<br />...
<br />
<br />A.
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<br />The ,undersigned understands that thii perlit I'Y b. lUbi~t \. "dltd r.,trictions" Mbi~ "Y b. lor. r'ltrjctiv '
<br />,,'.1011.... tho ...".1'.... .~\~."tJ..~. '!" ..., ,,!1,,"!'.'\'!cll....
<br />
<br />B . UNL I CENSED CONTRACTQ~~" ~~D ~IILtI.~Qtt~~pPQNiHn".J T t ES
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<br />~""" ", ,'.. ,..,...,..,,"--,'....,;<,.."'....-,.,..,~.-"-------"'".-..""" ...'.
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<br />If the owner has hired I contractor or contr.ctor, to uadrrtak. work, 'they lay be requi,,, to b. lic.nled i. at
<br />ltate Ind local rt~uhtionl. If the contractor i, not iic..... ., required by 1111, bottMM .....' .... cntr:1f.
<br />cihd for a Ihdlllanor violation lIad.r .,.,. 1111.' If _ ....r or in'.ndtd ton\nc\or .rt un"rhin 15 to ""d,
<br />require.ents lay apply for the intended work, tbey Ir. ..Yi....'. cont.ct tbe City of ....yrhilll lull'llt
<br />188-6611. ...."
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<br />Further.ore, if the owner has hired I contrA'tor or con~rlctor', be i, adviled to have tb. contractorCs) li,a
<br />"Contractor Sections" of thil Ipplication for whicb tbey lIill be respon,ible. If you, al the owner lig. II
<br />you art indicating that you, rather tbln tbe co"tflc'or, .rt r..o..i~lt for the lIork. ,If the contractor "iibll"
<br />as contractor that ~ay be an indicltion thlt be il not pro",ly lice.It' and il not entl\J.d"O pertl\'l..- .
<br />City of Zephyrhills.
<br />
<br />C.
<br />
<br />TRANSPORTATION IMPACT FEES ~~p \JTIkITV CONN7CT~~ FE~S
<br />~TRUCTION LIEN LAW(CWAPI~R 713. fLORIDA ST~~pTES, AS
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<br />D.
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<br />I certify that I, the applicant, have been provided .i~ I ct",.f "f~orida'. Co~'t~~~~ Lien Law - Hoat
<br />Gaid.' p"p."d by tho Fl.rid. Dop"l_t .1 At,I..I"". "" - Alfain. IllI>tOjfUca.1 I. ..-
<br />"owner", I certify that I have obtailed ,~c." .f,,~.~,ibt. _otUlen~ and prQIl" in tood fa\'_
<br />"owner" prior tD cOllence"nt. . '. ,.......,.~ " ._, .~o,~ ~ ...
<br />, _ . " ,\ "!H .:, ,i '
<br />E . CONTRACTOR I S / OWNER · S AFF I DAV I T i -1/'
<br />
<br />SoJ
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<br />I certify tbat ill tbl infDrlation in tbil applicltion i'IC'Ul.t. Ind that all IIOrk "ll~e done in c",'
<br />.ppUcabl. i... ",.I.b"" ,,".Imll.., ...i... "" ""'" !IJI...., .'
<br />
<br />Application is hereby lade to obtain a perlit to'do 1I0,k,a" ill\ill~lion as indicated" I certify that no
<br />inshllation hiS cOllenced prior to inuI",e of I P"IU Ind tllat IllllOrk will be per(trled to leet 1\1
<br />regulating cons~ruction, City codes, 1011:114 reguiltio..~' .~_l'Dd develop.,nt re9ull\~'" in the iurildictit
<br />certify that I understand tbat tbe rlgulationl of oth.r gov.rllln\ll IQencies laY iPPIY~O the intended ..t~
<br />.oy ",p..'lblllly I. id..llly ...1 ..U." I ...Ilalata ...1...1...... So,' .!.nol.. I"i.d. b!11 ar"'," .
<br />. .~_. ..'.' __ --:-_ - .:. _. ----0' .~. .-:-. ... :. ~\
<br />I DeDiT\le~t of EnvironltntalRe~ulation - Cypr"I BlylIuIII.-1IftlD4. AfIUincl Enl!~r.lnyse,,~i'\i!f
<br />Ya'tr /WII'eu'tr Trt.'I"l' " l'. ,~.
<br />I Southllest Florida water' "anaoelln' District - "'Usrey".. lay__5, Wl!tlilnd4J~l,!ing ~W
<br />I Arlv CorDS of EnQineers - SeawIlls, Dock" Navigable Uater.lYI ' '
<br />. D. arIM.I .1 He.lIh ~ Rm..bll'\a. ..1. .... U.II . U.ID.,~' t!l\!li!ft.
<br />I US EnvlTonltntal pro\echon floeJICy. '7' ft5b.I\OI abltllllllt/ ' . .,..,.'
<br />. . '" :, .;. l' "... );;'~ft
<br />..~
<br />I a15o.tertify that, if filllaterial il to be uI.d ift;iFlolllZlpa 'A" Df "A,dc.", it"!, understood 'h.t J 4c:
<br />addrening a 'colpll'nuting volq." ..Ul ~,.ubli"td ..ie"MI--prepared by il p~of~tliio"f e~ineer uQi.
<br />Florida prior to perait issuance. I ' ,',', .~; . , ..". T"T',:
<br />. . "'l,
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<br />A p"oit I,,,,.d ,h.1I b. "..1,.11I I. b. . II'.... 10 "ot.... oll.1lIt ..,k .ad..I.,..I_"ily I. '1.(
<br />ii' "id. ..t pro'ish.' .1 lb. 1"".lcal "d.., .., ...11 i...."'. .1 . ponll pmali" Ihe Bulldl.. llff .
<br />,.qul,Ing . ,.""Ii" .f .".,. i. pi...; ,...I'KII... or,.lol.ll... .1 ,.y ,.d.. iI"y p.,oil I.,uad :
<br />unless the work authorized by such perlith coulnc" .Uhi1llh aonth5 of iS5uance,"or if ltork luthor nIl'
<br />""p..dell " .b.nd...d I" . por I'" .1 .\1 ...Ib. ol~ iN' U.. I.. ..,U. '....... .~.,. 90 d.y ".......
<br />o allowed for the perait lIith fee charge of $15.00. Th..x''''lion II\all be requested".' Ung \0 thl! 8u ,
<br />.ppro,ed I..p.<lI.. .." b. 1.".. during ",b .\1 "'''''~~\~' " Ih. pro;,,1 oi1l,t"..idorlll .......,...
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<br />WARNING TO OWNER. VP\JR FAIL\JRE""TO'RECORD A NOTi~OF COI1I1EN .
<br />RESULT IN YOUR PAVING TWICE FO~,.~.,~EM5iNTS TO. V.PROPERTV.
<br />INTEND TO OBTAIN FINANCING, CON$U~TWITf(VOUR ~eNIIR OR AN A
<br />BEFORE RECORDING YOUR NOTICE OF ~Q~M~NCEMENT. ,J YNPER $2,
<br />00 NOT NEED TO RECORD A~ POST.~'''~TICE OF CO .,
<br />, ,~:.; ,rj,:,.. ~>,,}
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<br />SIGNATURE~~~~~
<br />1?.1'0~N~R_~~~r'r-1.27-. (P
<br />DATE____~___~~~~--------------~-..~~r.
<br />">:~.,,~....,,
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<br />" * ~. .. ..,c. ....' J\fPT,flRV. A$'
<br />~ .' _~~-:_ CONTRACT
<br />
<br />NOTARY AS TO
<br />OWNER OR AGEN
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<br />
<br />MY COMt1
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<br />'-JU'OiiH l. SCHAPER
<br />NotaV PutlIIc. Slate of FIcrIda
<br />My Comrn. Exp. Jl.I'le 6. 1997
<br />No. CC 292357
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