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<br />APR-21-94 THU
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<br />9:05 GENERAL HOME DEVELQPMENT P_02
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<br />COI'!I) I T 1 OI\jS OF PERI'U -r AFF 1 DfW IT,
<br />A. ~OTXC~ OF DEED RESTRICTIONa .. h ~t
<br />The underslgnrd underlihnds that this p~;:;a lIay lit 5ubhd to 'd~l!d :r$tdcHons~ which uy b. Ion ~l!str\ctlVI! \ ~n 1 Y
<br />r~~ulations. The undersigned aS5U_C~ rc,ponsibility for tD.plianc. Kith any appl1c~ble deed rvslrlc\lons.
<br />
<br />1:) UNL I CENSED CONTRACTC1nS AND CONTRACTOR F<E:S--.e.QJ::!~tI B I LIT I e:~
<br />&::'w _ " d ~ k'h b~ rc ulred to be llccnscd In accordancl Mltta
<br />If th. o~nQr hali hired l contractor or c~nlractDr' to un crta^c wor , · ~y lay q b
<br />st~tl and. local regulations. If the ,tontractor I~ not iicanscd as required by laM, both the OKner and contra~t~r l~ay ~
<br />c'ted for I Iisdelcanor violation under ~tate law. If t~c owner or intandcd contractor are uncertain as to "~ clns ng
<br />. ,:\ul"atnts "y .,,1 Y I" th. intond., ""k, th.y ar. ",i", t. contael the Ci tJ .1 Z,phyrhil Is 1,i1,ing D.parhenl, IS131
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<br />'78S-L6H.
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<br />Furtherlore if the OKn~r has hired a c~otractor or cDntractors, he is advised to have the contra'tor~s) sign portions of the
<br />'contr~ctor'Settion5' of this application for Mhich they Mill be responsibl~. If you, as the owner 51gn as the contractor,
<br />you are indlcating that you, rather tha~ the contractor, are responsible for the Mork. ,If the contr~ct~r _ishe, you to sign
<br />. as contractor that Day be an indication Ihat he is not properly licensed and Is not entitled to perl1ttJng privileges ln, the
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<br />City of Zephyrhills.
<br />
<br />c. rRANSPORTATXON IMPACT ~e~S AND U~ILITY CONN~CTION ~EE9
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<br />D. CONSTRUCTION LIEN L~~ (CHAPTER 713, F:O~IOA ST~TU:ES, AS AME~DED)
<br />I certify that II. the applicant, hive b~~n provided with a tOpy of tFlorld~ 5 Constructlon ~len La~ - H~.eDMner I Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affilrs. If the applIcant is SOleone other than the
<br />'oMner', I certify that 1 have obtain~d a copy of the aboye described docUDcnt and pro_ise in good faith to dfliver It to the
<br />'Diener' prior...to COllI!ncnent. '
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<br />, E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in~his application is accurate and that ill Mork Hill be don~ in co.pliance with all
<br />applicable la.s r~gula\inq tonstructiDn, .ooing, and land develop.ent.
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<br />Application is hereby .~de to obtain a p~r.it to do Nork and Installation as indicated. 1 certify that no Mork or
<br />installation has cO.lented prior to iSSUJnce of a p~r.it ind that all Hbrk Mill be perforled to leet standards of all JaMS
<br />re9ulating construction, City cod~s, zoning regulations, and land developlant regulations in the jurisdiction. 1 1150
<br />certify that I understand that the regulations of other govern-ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify IIhat actiol!! I lust take to be in cOlpliance. Such llgllncies Include but are notH.Bed to:
<br />. Deoarll!nt of Environ.ental R~~ul~ti(ln ft Cyprrss Bayhcads, Wetland Areas and Environlentally S~nsitive Lands,
<br />" Water/Wastewater Tt~at4tnt
<br />t Southllest Florida Water Xan~Qescnt D\S~ w Wells, Cypress B~yhcads, Wetland Areas, Allerinq WattrCDurs~s
<br />t ArlY Corps of Enllinrll''5 - Seawalls, DtlC,h, Hilvi9~blt Wiltl!TltaYs .
<br />f Departl~nt of H~i1lth , R~h~bilitat!ve Snrvires, Environ.ental Health Unj~ . Wells, WasteHater Treat.~ntl S~ptic Tanks
<br />. US EnvironlentaI Protection AQ~ncy w A~bestos abatement '
<br />I also certify that, if fill ..terial is to be used in Flood Zone ~A' or 'A,ett.', it is undQrstood that a drainage plan
<br />addressing a 'co.pensating volule' Hill be sub.i~ted which is prepared by a professional en91neer registered in the State of
<br />Florida prior to pertit issuance.
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<br />A perl it issued shall be construed to be a license to proceed with the "ork and not as authority to violate. cancel alter, or
<br />set aside any provisions or the technit~l COd~5, nor shall issuance of a pertit prevent the BUilding Official frol thereafter
<br />requiring, correction of errDrs in plan:l, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the Nork authorized by such peroit Is cOllenced Hithi,n six Bonths of issuance,' or if Hork authorized by the per.it is
<br />suspended or abandoned for a period of SIX Booths after the tile the work is coaQcnced.' One 90 day extension of ti.e, lay be
<br />allo~td for the perllt "ith fte charge or '15.00. Thp extension shall be requested in writing tD the Building Official. An
<br />approved inspection must be logged durin~ each si~ lonth period, or the project will be considered abandoned.
<br />WARNING TO OWH~R; YOUR fAilURE TO RECORll ~ NOTICE OF COHhENCEI1EHT MAV RESULT IN YOUR PAYING lIHCE fOR 1I1PROVEI1EIlTS TO YOUR
<br />PROPERTY. IF YOU JNTEND TO OBTAIN F1HAljl~1IlG, COllSUlT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR IIOnCE OF
<br />COKXENCEHENT, JOSS UHDER 11,500 IN VAlU; DO UOT HEED TO RECORD RUD PDS~7 OF COHmCmHr",
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<br />51 NATUREl OWNER OR AGENT SIGNATURE, COHT~ACTOR
<br />J...... ).(;).,- P 3 ~ .. .S-f'- 01.9 G' - ~ 2>2- - g~o. >>-:l? J
<br />\
<br />
<br />
<br />was ~cknowledged
<br />J l(J_ by
<br />
<br />STATE OF FLORIDA
<br />coulm OF .
<br />The foregoing instrument
<br />bef c.re me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF "-
<br />The foregoing instrument
<br />before me this
<br />
<br />was ~cknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who h~~
<br />produced
<br />as Idonti fie.tion .and whcI d id/d id not
<br />tal(e a.n oa.th.
<br />
<br />~ho is persDna.lly known to me or who has
<br />produt:l?d
<br />as identification ~nd who did/did not
<br />ta,ke .an oath.
<br />
<br />(SigniAture)
<br />
<br />(SignatUl-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY 'pUBLIC
<br />
<br />,(Name Typed, Printed c.\- StClmped)
<br />NOTARY PUBL Ie,
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