<br />\..vdUl.i..ll.iH:J Ul' Ici'.HfH'l' lHl'J.UlWl'f
<br />.1\. _.NOTICE OF DEEDRESTRIC'tIONS
<br />The und!tdllntiU~iIMdiUiaftiiIlI perin lilY be lIIub jller: 10 ~dlllld felltr icUonlt. which "r be lOre reltricf.h" : ".tn City
<br />[@gulalJonB. fhu undersigned 88BUl9S reRpOngibiJily for cUlpli8nce with any 8ppJicabl~ deed rettrJctJont.
<br />
<br />JJ. UNLICENSED COnTRACl'ons 1\.NlJ COU'!'IU\C'l'on IlK6PONSIBILITIES
<br />If t.he o;;er bas hired i-contractor Or contractor st.!! undllCl'kAworl, they lay~be reguir&d to be fictllled In ICf:Ordanet with
<br />8late and local revuI8tion~. If the contractor J8 not licensed en reguired by law, bulb the owner lOG tDfttrtctor .., be
<br />cJted lor a 118delf8nOr violation under atate law. If th@ owner or Intended contractor are uncert.ln I. to -hat IJctnBlng
<br />f&9uirelents ~1 avp1V for the intended work, t.hey ille advised to contact thp. Cltl of Zepb,lhllll BulJOlng Dlpartllftt., (8J3)
<br />788-6611 .
<br />
<br />hll:tbl!llOil!r if the (I.ner hu hired. 8 contractor or contractO(R, hI! is advised to have the contractor(.) .ign POIUoot of tilt
<br />.Contractor Section,' of tltle lIpplicatlun for which they will be responsible. If you, ilA the OImer lip II tile CDltractor,
<br />you are Indicating that you, ratller than the contractor, ille responsible for the vod. If tile contr.c:tor wi.... fOCI to Ilvn
<br />88 contractor that laY be an Indication that he IR not properlV licensed and J8 not entitled to PlIJlttJDg prlrJJ.,.. In t~
<br />City of ZepbrrbilJA.
<br />
<br />C. 'l'lyufBPOHTA'I'ION IMPACT F,:EES l\NDjr~'IlJITY_ CONli~CTIQ.1L FEES
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<br />IJ. CONS'l'RUC'!'10N LIEN Lf\W (CHAPTER 113, FLORIDA STA'rUTES.I AS MBNDED)
<br />I cftrtlfy tbet 1, the 8pplicBnt, bavR been provided with a copy of .Florlda's Construction Lien Law _ HoIeoIaer', Protection
<br />Guide- prepared by the Florida Depattlent of Agrlcullure anti Consuer Affairs. If tbo opplicant I. ..... otlter UIu tilt
<br />-owner-, I certlC, th~t I hll~e obtaIned a copy of the above described doculent ana pro_lse in good f.lth to dl1J'ef It tu tb~
<br />.owner- prior to ~C!l9nt.
<br />
<br />. e
<br />I
<br />
<br />E. CUN'rlU\C'l',oH' f:)/OWNER' S AFfIDlli:!:
<br />I certify that all the inloraation in this appJicallOn Is accurate and that aJl work wIll be done In COIplllQCI with .11
<br />applicable lar8 regulating construction, lonlng, and land develop.ent.
<br />.. I
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<br />Application is bereb, Jade to obtain a par_it to do work and instailation al indicated. I celtifr tbtt dO worl or
<br />in.tallatlon bag COIIenced prior to iRluance of a per.it an~ that all work will be plrforled to ...t Itlndlrda of III 1...
<br />regulating con.tructlon, City codes, lonlng regulations, and land doveloplent regulation. In the jurJ.4Ictlon. I .110
<br />certlfJ that I uncJentand that the l8quhUone of other govern-enhl 8gencifl8 Iill apply to tb, IntlllGec1l1Orl, IDIJ tUt It Ja .
<br />.f responsibility to identify what actIons I -u8l take Lo be in co.pllance. Such agencies include but are not 11Ilted to:
<br />· Deparllent of BnvlrODJental Regulation - Cypres8 Bayheads, Wetland Areas and En,lronlentallr 81D8itlvt LandI,
<br />Vat~r/Na8tewater TreaLlent
<br />· Boulbwest Florida .a~er "anag8lent Di8t~lct - Neils, CypreS8 Bayheads, Wetland Areas, Alterinv W.tercourl81
<br />· ~ Corpl of !nglneerl - Sea.alll, Docls, lavlgable Naterways
<br />· DlPar~t of HJilth , Rababl1itatlye Sl!rvices, Bnvironaental Healtb Unit ~ NellI, Waetewater rreatlenl, SeptIc IIDla
<br />· ~ anrlrOOlRnlaJ ProtectlDn Aqen~ ~ Asbestos abatetent ,
<br />I alao cartlff that, if fill -atertal Ie to be used in Flood Eone WA" Or WA,etc.., It Is under.toad tlat a drl1Dege plan
<br />addressing a 'COIpen8atlng ,olute. .111 be &ubRitted whlcb 18 prepared by a profesllonal engineer [8glltered II tbB 8tatt of
<br />FlorIda prior to petllt Issuance.
<br />
<br />c A per.It issued shall be construed to be a J.cenBe to proceed with the work and not 88 aulborJtl to 'lol.t., eIDCIl alter, or
<br />let allde anf pfovl.lOnt of -tbe technical codel, nor Shall j8~u~ce of , pelltt prevent the Building Offlclll frGI ~..ftlr
<br />requiring a correction of errors in plans, construction, or violatlon8 of anr code. aver, PIlIlt ll'uea ...11 becoIe lDrll1G
<br />un!e.. the wort autboriled br luch perlit Is cOllencp.d within si~ IOnthe of ISluance, or if IOrt lutborllld b, tbe PIlIlt i.
<br />IUBpended or abandoned for e period of sir lOothu after tbe tile the worlis c_enclKl. ont 90 da, alDJon Df u., ., be
<br />allowed for the perllt with fee charge of tI5.00. fhe GKtenllon shall be (equested In writing to tbI BuII41ng Offlcl,l. AD
<br />eppro,ed inspection 'URt be logged during 8ach 81l IOntb perIod, or the projlCt .wll1 be cOft,lderedabeadoned.
<br />WWIX' TO (NOR; YOUR PAILURI fO RICORD A HOTleR OF COMllflClHIlfl' MAY RRSULI 1M YOOR PAYING nlCl POI IIIPROV&lur8 ro IfXII
<br />PHOrIRIY. IF TOO Utll/fD TO OB1'A1II FlIIARCIHG, CONSULT vlln YOUR LIJNDIR OR AN ATTORRBY JJlFOllI RICORDllg YOUR JOrICl 0'
<br />l'tNURCRHllffT. JOBS !}MUIR S2, 500 Iff V"LUB DO HOr NUl) TO RECORD AfrD POSr A "NOT leK OF COHKRMCIHlJltI.
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<br />.. jiGMtu.ii:~iif~.7""'~aiGii~~~_'.
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<br />The foroQoitlg i08trwnent wae acJmo'dedgad
<br />before lIIe this ,_k_=.I.E.,-_t 19_~Z. by
<br />
<br />;~;;.;~ ~..n to ....-;;rWhOhiiii
<br />48 idetlt!f{caHOil Bnd wilo dId/did .n-oC-
<br />;;;:,j:;i.;:;~~, aJJJ1rk4.
<br />(ii....TyiiOd;j41~~.;..~r oy__
<br />!tOT 11!tJ._. rUB..k~.<;
<br />
<br />/~. '~ Nancy A. Moody ,
<br />.' i*: MY COf.MSSION * CC534806 EXPIRE..
<br />. '~l FebnI8Iy 21, 2000
<br />. "'Cf,.!r-" IIOHIlEDTHRlI TROY ~IH INSURAHCE, If'lt:
<br />
<br />SlATE OF FLORIIJA
<br />COUMn Of J{L'=.!:;~~_~c ~o u '} #-'f
<br />Tho foregoing inetltUl9ut was acknowledged before me this -/O::H.,:!i?~Ji 19_-'-.2 by
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<br />~TI" C-I ~ _~ 7?,I.!..'=&~
<br />who is personally known to J118 or who ii..
<br />prOduced ~, k':~__--'=oL.~S C
<br />
<br />~: id:.~t~::~~~ ftD~h~:~s"t
<br />lil~.~-'.. . ...-.----- .-_
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<br />(ttame 'l'yped-;-p r j, II r 1iti .or~.8 tMpBa )
<br />li~'!.~!fLl1~.B~I~
<br />
<br />OTARYSEAL
<br />DIANA M DADDARIO
<br />NorARY PUBUC STATE OF FLORIDA
<br />COMMISSION NO. CC625202
<br />My COMMISSION EXP. FEB. 27.2001
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