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<br />GUI-IU.I. I .I. UNb '_It- r'l:.I-<JTIJ. I H>-- r J.l..iriV .I. I
<br />A.. NOTICE OF DEED RESTRICTIONS
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<br />Tbe und~rsigned underst.~s that this perlit ..y be subject to "deed restrictions" which I'Y be lore restrictive th.n~it,
<br />r.gul.tlons. Th. underSigned .ssutes responsibility for c'lpli.nee Mith any applicable dee4 restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tb. 'Mner b.s hired. contr.ctor Dr contractors to undertake MOrk, they lay be required to be licensed in accordance Mith
<br />s~.te .nd loc~1 regul.tions. Jf the contr.etor is not .Iicensed .~ required by I'~I both the OMne~.nd contr.ctor I'y be
<br />clte~ for. Ilsdeleanor viol.tion under state I.w. If the OMner or intended contractor art uncertiiri as tO'Mhat lictnsiftl
<br />rftluJreunts.a~ .pply for ",..intended 'IIOrk, they are advised to conbet the Ci ty of Ze..l.yrHU 15 Builllilg -artunt, 18131
<br />788-6611 . ' . .. . , ~.. ...,.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to ha~e' the' contrtctorlsJ sign portions of ~
<br />.Co.tnctor Sections. of this .ppHution for .hieh they .ill b, responsible~ .If '011, iSth, oMner'sign,1S the contrletor,
<br />you .re indicating th.t you, r.ther th.n the contr.ctor, are responsible for the Mork. 'Jf the contrictofMishes you to sitn
<br />lI'coriirKtor;- that ..~ be ~n indication thit be is not properly licensed and is flot entitled to perlitting privileges in iN
<br />City If Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify th.t I, the .pplic.nt, hive been provided with. copy of "Florid.'s Construction Lien L.w - HOleoMner's Protectil.
<br />Suide. prep.red by the Florid. Dep.rt.ent of Agriculture .nd Consuler Affairs. If the .pplic.nt is sOleone other th.n the
<br />.ollner., I certify that I h.ve obt.ined . copy of the .bove described doculent and prolise in good faith to deliver it to ~
<br />....r. prior to couenceRnt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that .11 the inforl.tion in this .pplic.tion is accurate and th.t .11 Mork Mill be done in cOlpli.nce Mith all
<br />ipplieible I.Ms rttul.ting construction, zoning, and I.nd developlent.
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<br />Applic.tion is hereby ..de to obt.in . perlit to do MOrk and inst.ll.tion .5 indicated. I certify that no Mork or
<br />inst.ll.tion has cOllenced prior to issu.nce of . perlit .nd th.t .11 1I0rk Mill be perforled to leet st.nd.rds of .11 laMS
<br />rltulating construction, City codes, zoning regulations, .nd land developlent regul.tions in the jurisdiction. I also
<br />certify th.t I underst.nd that the regul.tions of other governlent.1 agencies .ay .pply to the intended .ork, and th.t it is
<br />IY responsibility to identify what .ctions I lUst take to be in co.pliance. Such .gencies include but .re not lilited to:
<br />f !!Rart.ent of Environeent.1 Reaulation - Cypress B.yhe.ds, Yetland Are.s .nd Environlent.lly Sensitive Lands,
<br />y.ter/Yast...ter Treat.ent
<br />f SouthMest Florid. Water ".n.aelent District - Wells, Cyprlss Blyheads, Wetl.~ Are.s, Al~ing Watercourses
<br />f Arlv CorDS of Enaineers - Se'M.III, Dockl, Navigable Uater..ys . .
<br />f Deoart.ent of He.lth L Reh.bilit.tive Services. Environlentar Health Unit - Wells, Wastewater. Treatlent, Septic T.nks
<br />, f US Environaentil Protection AGency - Asbestos abatHlnt '
<br />I also certify that, if fill ..terial is to be used in Flood 20ne "A" or "A,ete.", it is understood th.t a drain.ge pI.n
<br />.ddressing . .colpensating VDlu.,. will be sublitted Mhich is prepared by . professional engineer registered in the State If
<br />Fl.ri4. prior to perlit issuance.
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<br />A perlit issued sh.11 be construed to be . license to proceed Mith the Mork and not .s authority to viol.te, cancel .Iter, Ir
<br />let .side .ny provisions of the technical codes, nor shall issuance of . perlit prevent the Building Official frol there.ftef
<br />requiring. correction of errors in plans, construction, Dr violations of .ny code. Every perlit issued shall becole inv.li4
<br />unless the 1I0rk .uthorized by such per.it is cOI.,nced lIithin six lonths of issuance, or if work .uthorized by the perlit is
<br />suspended Dr .bandoned for. period of six lonths .fter the tile the Mork is cOI.eneed. One 90 d.y extension of tile, I'y ~,
<br />.llo.ed for the perlit with fee ch.rge of tI5.00. The extension sh.ll be requested in IIriting to the Building Offici.l. AI
<br />.pproved inspection lust be logged during e.eb six lonth period, or the project will be considered .bandonld.
<br />WARlIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CDMMENCE"ENT "AY RESULT IN YOUR PAYIN6 TWICE FOR J"PROYEftENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF
<br />COIIIIENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMENCE"ENT".
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<br />J/&.v/'-Q. t:::,1~-kvJ w.k.v~lfi(. .Sn:VEC'OVST
<br />~T.: MER OR AGENT S16NATURE: CONTRACTOR I
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<br />
<br />('
<br />
<br />~ {..fo UtA f1'\
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA \") .")
<br />COWlTY OF 1 ~
<br />. The foregoing instrument was aCq~Wledg.d
<br />~.' ore me thi'~~O ,19 by
<br />
<br />~'Q.l)n k. _ _...J1-.
<br />~~d:~e~er~~~ly kno~to me or who has
<br />
<br />as identification and who did/did not
<br />
<br />~~ Q \ ~Ju.[)
<br />~natu(e) G \-
<br />~n. ~ f.l -n '-.Y) (\~ ~
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FlORI~
<br />alliin OF t'tl+ $( ()
<br />The foregoing instrument was ac~nowledged
<br />before me this ~."J,d-, 19~ by
<br />
<br />~r~..0 A t..l'\ou..>l4-01lJ
<br />who is personally k~wn to me or who has
<br />produced F\ott. \~ A ~ ("',' ~f':::. (,'c...
<br />as i ntification and'who did/did not
<br />take an oa h.
<br />
<br />..*'ii-.\:WJ!i:~~ BONITA G. JONES
<br />g.: ..t1Jl."\.~ MY COMMISSION # CC 3683/i6
<br />;~.A.~ff EXPIRES: March 22, 1998
<br />~':'f.iif.,r..~'" Bonded Thru Notary PublIc lJnderwrll8rs
<br />
<br />.............
<br />......~~.. OffiCIAL SEAl,
<br />! m1il' SUSAN A. McCOLLUM
<br />: ,&:t~ j My ce>m. mission Expires
<br />~ .~ { : A 'ril 16, 1997
<br />"':'>4 fi1:' . . '
<br />It. 7-~OFf~dI'..' Comn.. No. CC 268679
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