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<br />,~:c;r',!D IT: (j~j::; Ci'c, i"CI1['1 I T
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<br />I:'~ I Dr\'.' 1" ":-
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<br />A. NO-;"ICr:=: OF ~~f::F:-J~__IJ7J:;TrnCTIONS
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<br />The undersigned underst3nds Ih~1 this p~rmlt may be subject to 'deed restrictions' "hich ~ay be ~ere reslrjctivD than Cily
<br />regulations. The undcrsignd ~,ssu~er, respDnslbllitfJor co~pliance Hith any applic;,ble deed restrictions,
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<br />E. UNL I C;::~JSJill CCIL!.I.flQCTORS AND CONTRACTOR RESPO!':IS I n I 1_ I T I r:~S
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<br />If the o~ner has hired a ccnlr~cl~r Dr contractors to undertake Hork, 'they nay be required to be licensed in accordancD Hilh
<br />5tate and local regulations. Jf the cDntractor Is not licensed as required by l~", beth the ouner and cDnlractDr "lY be
<br />cited f~r a nisdeaeanDr vio!~lion under stale la". If the OHner or Intended conlractor are uncertain is tD H~a! licensing
<br />requir~:ents !\ay apply fe.r I,::,' inlcnd2~J HorK1 they are advised tc' ce.ntact the Ci Iy e,f Zephyrhi lIs Dui lain": Dcparber,t, (813)
<br />788-6611.
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<br />Further:ore, if the Dlin!:r h25 hired a contractor or contractors I he is advised to have the contractDr(s) sign portions of the
<br />'Contractor Sections' of Ih!s 2~p!ication fDr which they "ill be responsible. If you, 25 tho CHner sign as the centrae!or,
<br />you are indica!in'] t:1at Yl,I", rai,her tlDIl the contriJctor, are 'rrspc'nsible fDr tho \i{,rr.. If the [C,nlr"cle.r l1i"hc5 y;.u \[. sir,n
<br />as cC>r,lrac!c,r 1'1::1 ;."'( be ;,;: iddiu:ie,n thil! he is not prc'perly licensed ~nd is not entilled te, pH~iltir,g privilegcs h !t,e
<br />City c,f Zephyrhi!\s,
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<br />C. TRAN:.";PQJH811DL!....J_.t'lc0CT FEES Af\ID UT I L I TY COf\lf\IECT I (J..~L_Efr::~i
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<br />D.
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<br />CONSTRUCT JJ.E'l._.L-J.I::r.1_LA\.-L
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<br />(CHAPTER 713. FLORIDn STnTUTES, AS AMENDED)
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<br />I certify that I, the ilpp!icanl, havD been provi~ed with a copy of 'Florida's ConstructiDn Lien La" - iID~eoHner's Protection
<br />Guice' prepared by the Flc,rid.1 !)rpilT\:;ont of I\griculture and Consu~er Mfair5. If lhe "f,plle"n! i<, s(.:c.6r,c ot~,er Ihan the
<br />'oHner', I cerlify th"l j :,,"12 (.blr,ined a. copy of the above described dc,cu;r,ent "nd pre,,,,j,e in ~(,od f;;ith to dclil'H i\ !e, lh~
<br />'own~r' prior to cos~en:r~c~:,
<br />:1.';.::.:. i:.
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<br />E. CONTRACTOR'S/pWNER'S AFFIDAVIT
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<br />I certify that all the infDrDJtion in this applicatiDn is accurate and that all work \1ill be done in cOlpliance with all
<br />applicable liMs regulatinu c~nstructiDn, zDnirig, and land developoent.
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<br />Application is hereby ~ade to obtain a peroil tD'do ~ork and instal121lon as indicated. I certify that no Hork or
<br />installatiDn has co~~enced priDr to issuance of a per~it and that all work Hill be rerror~ed to meet standards of all la~s
<br />regulating [{,nstructic.n, City [[.dcs, zuning regulatic,ns, am! land dcvelopment rClj\llalie'115 in tI,e j\lrisdiclie,n. I alsD
<br />certify that I undcrstand thJt the regulations of other governmcntal agencies ~ay apply' ID the intend2d "Dr~, and that it is
<br />r.y responsibility Ie, identify IIhat actions I ,~ust tab! 10 be in compliance, Such ilgcncies ir,clude bll! ~le ile,t lir.iled to:
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<br />. J. >
<br />I DeDart~ent of Environ~ental Reoulation - Cypr~ss Dayheads, Uetland nreas and EnvirDnmenlally Sensi liv~ L3nds,
<br />Hater/HasteHater Treatment
<br />I Southwcst FIDrida Ha\rr'"anilne~cnt District - Uells; Cypr~ss Oayheads, Hetland Areas, Altering Y2trrcDufses
<br />i Ar~y CorDS ~f Ennineer~ - Seaualls, Docks, Navigable Hateruays
<br />i Dep"rtcent {.f Hi.'alt.li_LI:s:!'J}.llilitiltivp. Services, Environrr,ental lle,.!tlt..Jl.iJ..U. - lie-lIs, llitstnl3tcr Tr{~t.:.:::I. Septic
<br />I US En'{ire.n~('nl;;l Pre, te.!:Ji c.r, t.r.ency - I\sbestos abate~ent
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<br />Tanks
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<br />.lso certify that, if fjlllla\~rial is to be used in Fle,od Zone 'A' c.r '/I,dc.', it is uitoc.r"le,[.j tit.d "drainage. plan
<br />addressin~ a 'cD~pensaling yolulc' Hill be sub~itted Hhich is prepared by a prDfessien~1 engiit~cr rC0j"l{r{~ in lhe State of
<br />Florida priDr to per~it i~suance.
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<br />n per.ltit issued shall be construed tD be a li~ense to proceed tlith the Hc,rl: "nd ne,t ;1" illlthe,rily Ie, I'i[,j:,tc, cance! "Iter, or
<br />set aside any provisions of the technilal codes, nor shall issuance of a permit prevent the Building Ufficii! fr{~ thereafter
<br />requirir,g a cCorrectie.n (,( errors in plans; cc,nstructic,n, e,r '1ic.}ations c,f any ((,de. Ever)' pc'r"lt isslI,'J ,~dJI bece'le invalid
<br />unl(.ss the H(.rk a\lU,e'l i;d by such perr.;it is cc.m~enced Hithin six Jlonlhs e,r iSsll.1JiCe, e,r if 11[.1 I: altll"" 1;00 Di the per!it is
<br />suspended Dr abandone:! [[,r a perie,d {.f six ~onths after the t'j;lle the Hurf: is ce,r,menc(.d, l1f,e 'I,:; day c.~lc"sioll of li~e, ,JY be
<br />alle'HeiJ fc.r the per;\it tlllh fci.' chiirge of $15,00. The extensic,n shall be rcqllJ:steiJ in Hrilir:~ l[, :hc' 8l,jlJing Official. An
<br />dpproyed ir.s~Jeclien ...usl be !{,qged during each six month period, c,r the pre.jecl Hill lie ce,nsi,!,'r::d d~;,ii,d:'ild,
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<br />WARN I NG TO Ol,nJEfl: YOUR FA I LURE TO RECORD A f\IOT I CI:: or=- COi'1~~Er,ICE~1ENT f'1A'r'
<br />RESULT IN YOUH Pr\YING TWICE FOR IMPROVEMENTS TO YOUF~ PROPErnV. IF YOU
<br />INTEf\lD TO OBTAIN FINANCING, CONSULT WITH YOUR LEf\lDER OR AN Al'TORNEY
<br />BEFORE Rf::CORD Ii.![., YOUR NOT I CE OF COMMENCEMEf\IT. JOlJS Uf\IDUi $2,500 I N VALUE
<br />DO NOT NEED TO "'ECDZD POST ,A "NOTICE OF CO'''~:'/
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<br />SIGNA TURE U'i"Eii-6~P;;;,-;.-;q--K~~ GNATUm~_CO,"rii;;~S;:~iI;:;:Y- ktJitJN
<br />DA TE ____.___I.f2~d~::,_~6..___.:._______,_______ DA TE ______../12.:...2:.3 _-_'f5:.. - - - --- - ----- ---
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<br />NOTARY AS TO ffJ."
<br />OWNER OR (',GErH __ . ~_-?!..:f,L~~::L {J~_ ~~_
<br />AnI~ w:~iJ'
<br />MY COMMISSION EXrrnrS______________________
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<br />NOTARY AS TO ~
<br />CONTRACTOR_____~~~ a,-~!!.~
<br />"' k frrnL.ii:E::IJ '$.B R~ i/V IV
<br />MY COMMISSION EXrIRES__________________
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<br />KATHLEEN J BROWN'
<br />My Comrninion CC449029
<br />Expires Apr, Of'!. 1999
<br />Bonded by NFNU
<br />800,224-6368
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<br />"'....1 Pl/~
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<br />u"I,;.'~,~'f:'
<br /><1't:: or: f\.\:'~'
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<br />!(ATHLEEN J BROWN
<br />Mv Comml88lon CC44Q02Q
<br />Expires Apr. 02. 1999
<br />Bonded by NFNU
<br />SOO.224-~
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