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<br />JUL-U':j- :j..j t-t-<! U:j:,,:,o !V:!....! I r UI- LI:J-'H,kHILL:::. II::L 14U::::ll..j 'roo ":'C::':j..:.,
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<br />i:l::J44 /-IJ,,:,.
<br />
<br />CONDITIONS. OF PERMIT AFFIDAVIT
<br />'c A. -w NOTICE OF DEED RESTRICTIONS
<br />Th. .nderll,ftId Inltrlt.ndl th.I Ihls ,er.lt ..y be lubi.et to -dl.d r.strietiDnl. which .'y .. .or. rl.trittiv, than Clly
<br />rl"I.lllftl. The unllt.llned IIIU"S res,anslblllty for [olpllane. .ith .hy applic.bl. deed rl,'tlcli.ns.
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<br />9. U ICEN D CON RACTORS AND NlRACT RESP SIBI ES
<br />If thl .Wltr h.. hired I cDntratlar Or contr.ctors to anderlake IOrk, lb., lay b. r.quired' t. bl litensld in accordante with
<br />Itlt~ .nd Ilcll r.,u1atlaftl. If the c.ntr.cl.r is nDt licensed al required ~y 1,", bath the olntr .nd c'~'r.clor .ay bl
<br />tit'd f'r · .ild.~anor vialltion under Itll. 1.1. If lhe Diner or Intended cDntr.ctor ITf unc,rt.in .1 to ~.t liclnsing
<br />require"'I, II, appl, f.r the Inl.ndfd Nork, Ih.y are advised 10 cont.cl the Cily Df 2.pbyrhIJI. Building ,.,a,llInl, (8J31
<br />788-66U,
<br />
<br />Furtbtrltrl, if t~, OWftlr hi' hired I tanlr.ctor Dr conlrlctors, he is .dvis,' tD hlv, lh, tlntr.ctorCI' sign p.rlions of the
<br />.CDatr.cl.r "ctlehl' .f thIs .,pllc.tion for .hith they .111 b. rlspanslbl,. If 'D', IS the o.nlr Il,n .. thl contr'tID',
<br />YD~ It I indic.Ilng thlt ,ou, rlther thin th, conlraclor, ar, responlibl. for th~ wark. I' the tontrlttor NIIb.1 ,DU 10 li,n
<br />II cDntrlctor Ih,t II, .e .n lndleltlon thlt h. is not prop.rl, licensed Ind il not entltlld to 'IrllltlMl pri';I.", In the
<br />City If Zephyrhilll.
<br />
<br />c. TReNSPDRT~'(ION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CO~STRUCTION LIEN LAW (CHAPT&R 713, FLORIDA STATUTES, AS AMENDED)
<br />J c,rtlf, thlt I, tbe .,pllcant, hlv, been ,ravided 11th. c." of "Florida', Conltructi~n Liln L.. _ MtIIoNnfr's Pr.teetiDn
<br />Suide' ,rlpa,.' by the Flarld. Bep.rt..nt of Agriculture and Conlu..t Af,.i'l. If lhe ',plle.nt i, .....nt .thlr th.n the
<br />"Oln.r', I certlf, th.t I hlv, ebt.intd I tDpY Of the abo,. dlscribed dOculent .nd pr'llse in IDOd f.lth 'I d.li"r it to Ih.
<br />"Olner' prior t. l....nt'lfnl.
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<br />, E. CONTRACTOR'SLOWNER'S AFFIQAVIT .
<br />I ee,t11, thlt .11 the lnf,r'llion in Ihls ,pplicltion is Ictur.tl Ind th.t III Nork lill b. dont In ctlplilnt. w;Ih all
<br />Ippllc"I, III' rlfulltlag construction, loning, 'Ind'Jtnd 'eYllop.,nt.
<br />
<br />Applicltl.~ II .treby ..dt to ~btliR . per.it to do wort .nd install.tlDn II indicat'd. I certlf, that .. ..rk pr
<br />inlllll.tlon hi' cD..tneld prlot to ilsllnet of . ptr.il and thai .11 lOr' .ill bl p.rforled to ...t ,t.ndar.s If all J.ws
<br />r'Inlatlng tDnstructlDn, City tod.., laning regul.tionl, Ind I.Ad develap"nt r.gul.tions in 'h. Jutls.lttlon. I .110
<br />tertify th.t t undetlland Ihlt the regul,tianl af Dt~lr govern.enlll 'Iencies "y .pply tD lhe Inllnded 'Dr., .nd Ih,t It Is
<br />IY r,sp.lllblllt, tl Id,ntlfy whal Ittions t la.t I,k. ta b. in totpli.ntl. Such IIeneil. inelud, but .rl n.t li.ited to:
<br />· DeD.rllllt .f En,irDftllfttal R,.ul.ti.n - Cypr'll Blrheldl, NetJlnt Ar.as and Environllnl.ll, Senlitl'I Llndl,
<br />Uat.r/Yastew,I" Trllt..nt
<br />, IDUtb.tat FI',id, later nallalllnt li,trlct - 1.111, Cypress B.,h'ldl, I.tl,nd Are.s, Alt'ring I,llrelurlfs
<br />I Arl' CDr.1 Df ElIllltrl - l'aMllls, Docl., Navi,abl' l.t,rIlYS
<br />t D"lrt..nt ., ""Ith l R".bl11,-tl,. SIr,iCIs. (nvlrlnalnt.1 Hellth Unit - UIlls. M.ltellt.r Tre.t..nt, Septic Tlnk.
<br />t US ERvlr'ftllnta. Pr.tlctlol Alentj - Asb"ta. .b,telfnt
<br />I aJID clrtlfy "1', if fill .,teri.1 is t. 'I Ulld In Flood Z.ne 'A- or .A,ett.., it il und,r.'oed tblt . dtlinlll pl.n
<br />Iddr.ssl" I -raap'nsltlng volulI' .il1 'e sub.itled which il pre,lred by a profession. I eftgineer rtgi.Ilrld In lh, &tll. of
<br />Florida prior to "rllt illulne..
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<br />A p.rait Issue' Ihlll b, construe' ta b. I lie.ns. to proce.d lilh the Ror. Ind not al luthor!t, to viol.I" Cine,! ilt'r, Dr
<br />set Isi'. Inr prlvlslons of Ih. Ilthnic.. code., ner IhaJI issl.nte af a p.r.it pr,vtftt th. Building Offlci.l ft,. tbrr..ftlr
<br />reqUiring · carr,,'lln If etrors in pl.ns, construction, Dr ,iol,tltns af In, code, E~ftr p,rlit il.... thell breole invalid
<br />unlesl th. Nort luthorit.d by such p,rllt II cOlllnced ,itbin sli IDnlh. of issulnt', Of if NOrk luth,rlz" ., the p,r.it is
<br />suspended or .b.ndontd for I p'riod of six lonth. .ft.f th, ti'l the .ark il CD.llnt.d. One 90 iay 'It,",IIn ., tilt, I'Y bl
<br />.110le' '.r tbe per.it with f., ch.rQ' .f tI5.00. lb. ..tenslon .hlll bl rlquest,. in .riting to the Juil.in, Official. An
<br />appr.,'d inl"cti,n Ivst be IDgged fqring elcb 511 IDnth p.riD'. or, the proj.cl lill b, conSider., ,'andontd.
<br />NARHIMS TO DURERI YOUR FAILURE TO RECORD A NOTICE OF C~NCEftENT "AT RESULT IN YOUR PAYING TMICE FOR INPROVENENTG TO YOUR
<br />PROPERTY, IF YOII '_UNO TO OlTAIN flllMICIMB, CONSUlT WITH YDUII LENDER OR All ATTORNEY BEFl~e RECORDI. YOUR IIOTJCE OF
<br />COItIOI:EllENr. 108S UNDER .e,500 Itl YM.UE DO NOT NEED TO RECORD AND POST A -NOTICE OF COlIENC€lEJH'.
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<br />BI6MTIIIE. .... ottI!!!::?
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<br />J
<br />BISMTUReI CONTRACTOR
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<br />STATE or FlORIIA
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<br />~~~eg.ln~~t "00 ackno"ledged
<br />before m. th15~-31 ,~ , 19~ by
<br />
<br />f!I~ .&.>>.1),1/.// '_
<br />who is p.~.onally known to me or who ha.
<br />produc.d , ~
<br />as id.nti1l~. 10n and Hho did/did nDt
<br />take an oath.
<br />
<br />STATE PF FLORIDA
<br />tOWnY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />wa. acknowledged
<br />., 19_ by
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<br />v _ "'"-
<br />who i. per.on.lly known to mR or who has
<br />prDduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />(Signatur.)
<br />
<br />(Name Typed, Print.d or Stamped)
<br />NOTaRY PUB~I~
<br />
<br />SUZANNE K. CASTO
<br />MY COMMISSION' CC 375036
<br />EXPIRES: May 18. 1998
<br />BllIldIcIlbnt NulIIy PubIc IhIIrwrIlIra
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