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<br />.........,......",.,... ,', -~... _..
<br />
<br />A6 NOTICE.OF DEED RESTRICTIONS
<br />The un~Qrslgned understands that this perlJt .ay be subject to "diad raltrictionl" ,hleb 'Sf be IOrt f.ltrlctiv. tb~ eitr
<br />regulations. fbe undersigned 888U1es responsibility for cOlpllance 11th InY applicable deeG reatrictiona. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RBSPO~~IBILITIBS
<br />If the owner bas hired a contractor or contractors to undertake work, thty lay lit required to .be liewll! in acoordancI with
<br />atate and local requlationa. If tbll contractor is not licenled II required by law, botb t.bt 0IIn8t and contractor., be
<br />cited for a .lsd_anar violation under atate law. If the owner or intended contractor arl Wl.clrtain &I to "hat ltc.Ilng
<br />requlr8l8nts "J apply for the intended work, tbey are advised to contact the City Of Zephyrhllll Building Departllftt, (813)
<br />788-6611.
<br />
<br />PurtheflOre, it the OkRer baa bired 8 contractor or contractors, he JI advised to ha', thl contractor(l} lign portiona of the
<br />.COntractor Sectious" of this application for IbIeb they wll1 be rnpon.ibll. If you, as the 0III11t lion a. till CCI'IuactOl,
<br />you are il1(1icatiog that fOU, ratber than the contractor, are responsible for tbe work. If the contractor 1I1lbu you to .1go
<br />liS contnctor that la' be an indication that be is not properly licBll81d and II not entitled to ptoUting prldlegu in thl
<br />CIty of ZephyrbillB.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been prodded lith II copy of IFlodda'. eonltruCUon Lien La, - lIcIeower'l Protection
<br />Guldel prepared by the Florida DepartJent of Agriculture and COnBUllr Affairs. If tbe applicant i. lOI8ODe otber than the
<br />1u.n8r", 1 certify that I have obtained a copy of tbe IIbove described dOCUleDt and prOli.. in goad faith to deli,er it to the
<br />"owner" prior to COIIeIIceaent.
<br />
<br />E. CONTRACTOR'S/OWN!R'S AFFIDAVIT
<br />I certif, that all the inforaat1on in tbil application Is accurate and that all .ork lill be done In eoapliance with all
<br />applicable IIVI regulating construction, loning, and land developlent.
<br />
<br />Application i8 bereby lade to obtain a perlit to do .ork and installation a. Indicated. I cartUr that no vork or
<br />installation bas CDIIenCed prior to issuance of B perlit and tbat all vork vIII be perfotled to ..et 8tand1r48 of III 1811
<br />regulating construction, City code., loning regulations, aod land developlent regulations In the jurl.dlctlon. I .110
<br />certify that I understand that the regulations of otber govBruentl1 ilgenciu ., apply to th8 Intended 10ft, and tllat It is
<br />If respon.iblllty to identify .bat actions I lust take to be in cOIpliance. Sucb agencies include but are not 11l1te4 to:
<br />* Departlent of In,lroDleRtal Regulation - Cypreal Baybeadl, Wetland Irea, end InviroDllntally Sensitive Lao4a,
<br />Water/Vllte.lter !reatlent
<br />t SoutbMast Florida , Vater ManaQlllnt DIstrict - WelI8, Cypr888 Bayheadl, Wetland Areal, Altering Watercourses
<br />· Ar~ CoIlll of lDqil18trs .. S....U., Pacta, Jl'av1gable Watervay.
<br />· DepartleDt of Health' Rehabilitative Service8( EnvIrODlental Health Unit - Wells, Walte.ater tr8ltlant, Septic fants
<br />t ua InJlrcllll8l1tal Protection Avency .. Asbestos abatuent )
<br />t 0160 certify that, It till laterlal Is to be used in Flood Zone WA" or "A,etc.", it ia underltoad that a dr.inIgI plan
<br />addresling B 'CQlP8D8sting volute- .ill be Buhlitted "hieb is prepared by a profelsional engineer regi8tered in the State of
<br />Florida prior to petlit i.suanee.
<br />
<br />A perwit 1..uld shall be con.trued to be . license to proceed lith the work and not .1 authority to ,lolita, eancel alter, or
<br />.et asIde anr proviSIons of the technical codlS, nor sball issuance of a per.it prevent the Building OffIcial frel tbeteafter
<br />requiring a correction of errorl in plana, constructIon, or violatlaaa of an, code, Iv8tf petlit illuld ,ball beCOle Invalid
<br />unless the IOrt autborlled by euch peoit is ~nced within 811 IOntha of i..uanC8, or If work authorbld bJ tha pettit i8
<br />suspended or abantJon8<1 fot B period of Iii IOnths after the tile the work il ~enced. ODe 90 Gay 81t.eDlion of U.., II' be
<br />allowed for tbe pertlt .ith fee charge of ,15.00. The extBn810n sbill be reque.ttd In Iriting to the Building Official. An
<br />approved iupection JUlIt be logged during each sillOntb perIod, or tile project "ill be cODaldlred abaDdolled.
<br />WAaHIIfG ro OWIIR: YOUR FAlLURI YO RlCORD A HOTICE OF COMMBlfC!lfJlH'I' MAY WULf 1M lOUR PAYING DICK FOR IKPROVIMIftS fO YOOII
<br />PROPBIfY.. IF YOU IIDHD 1'0 DUlIN 'IlfANCING, COWSUL'f "IrH YOUR LlllDIR OR A1f AnOmy BBFOII RICORDIIIG YOUR JfOtICB or
<br />CfJIIDCIItIII!. JOBS UNDBR '2,500 111 VALUE DO Kerr HIID 10 RECORD AND posr A -IIO'l'ICB OF ClIOaClllln',
<br />
<br />
<br />~~;=:~ ~ ~ Dean Blankenship
<br />
<br />
<br />STATE OF FLORIDA
<br />coom OF Orange
<br />The foregoing instrument was BcknOMledged
<br />before .e this Sept. 8, , 19~ by
<br />
<br />known to me
<br />who 1s personally known to me or who has
<br />produced N/A
<br />BS identification ho did/did not
<br />take tho
<br />
<br />(Signature)
<br />Wanda Elsea
<br />(Name Typedr Printed or Stamped)
<br />NOTARY PUlLI WANlJA tLSLA
<br />&Iv Comm Exp. 7-25-'J7
<br />Bonded By SeMee !As
<br />Jjt); CCJ01700
<br />~-- lJ.,lD.
<br />
<br />SfAfK OF FLORIDA
<br />coum OF Orange
<br />The foregoing inB~rument waB acknowledged
<br />before me this Sept. 8. , 19~ by
<br />
<br />
<br />known to' me
<br />who is personally knOWD to me or who bas
<br />produced
<br />a8 identi i
<br />take an 4
<br />
<br />
<br />
<br />(Signature)
<br />Wqnda El Rf",a
<br />(Name Typed, Printed or Stamped)
<br />NOTAlfl PUBLIC
<br />
<br />WANM fOO
<br />~uy ~Ext>. 7-2$--!f1
<br />MOl , . Bclftded By-'~ Ins
<br />M8UC "dIJ100
<br />
<br />'.,i ~1rIIoIIII I tou.to.
<br />
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