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<br />;
<br />. DeDarhe~t of Envir~nlental ReGulation - Cyprnl 81"; W.llilld ar'~1i and Envirttl.!"illy SensHive l.
<br />Wat.r/WlltelIIt.r Tu.tun' ..... .,.
<br />. Southllest Florida. water' KanaDellnt District - ~l1lf.ey""1 BayUps, Wet1and_r~!~ing ~~'lf~~~f
<br />. ArlY CorDS of EnQlneers - Seallalll, Dockl, Kavlljlblt Utt.rllays '
<br />. De artlent of Health L Rehabil.t ive e v b Unit - "'III' r Ir
<br />. US Environaental Protection A~,RCY - Alb..t.s." ...,....
<br />, ' ,'" '" ,~. <-
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<br />I aho .urtify that, if fill laterial is h be undlJR",Ztlll ~A!I pr "A,etc.', i
<br />addreninlj a 'colpensatinlj vol~e .lIiHb. ~~.tt'~'''''~..;,r..,~!1d bY il pnfl.~'
<br />Florida prior to per:litissuance. , '. l''iv ~)"' ' "
<br />. , :. ';'..~.,i ~"t:
<br />, .'c ';~
<br />", .. .'", " _-:\l'$'::" -', ,._ ..._~
<br />A pen it issued shall be construed to be a licenst ti -,rocnd lIith 1bl 1I0rk and not ;1~lItb.rity tOY',;
<br />set aside any provisions of the tecbnical codes, nor thall lSluanct of a perlit pr!v~,th' Building 81ft,..
<br />requiring a correction of errors in plan5; cons*ruct~~".,AYl.lItions of an~ cflde''',r~ p~nit ill. .,
<br />unless the 1I0rk authorized by such penith co...ncll'IIUllb six lonths of 15suance,.r 1f 1I0rk auth.ru
<br />suspended or abandoned for a period of liia lonths .,,!!'.tb. ti.. th, 1I0rk ill cOI.en~~ On~ 90 day exten$i
<br />allolled for the penH IIHh fee charQ! of $15.00. Th.{.dOlion &bill be requested'.riUng to th~ 8uil~
<br />approved inspection lust be logged during each six ~,p,.-iod, or the project IIi 11 I' r;~It.idered ilbiUdo
<br />. ~_ '~"._ v' .".. _.-t~. h"f~1,..,; .." ._;:~.. '
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<br />WARNING TO OWNER: VOUR FAILUR~TO~R~CORD A NOTICE~"OF COMMENCE
<br />RESULT IN VOUR PAVING TWICEFQR}:!'l"P~OVe:MENTS TQ y~ PROPERTV.
<br />INTEND TO OBTAIN FINANCING, CON8ULT WITH VOUR LENIIR OR AN ATT
<br />BEFORE RECORD I NG VOUR NOT I CE OF COMMENCEMENT. .TO. UNDER $2,50.,
<br />DO NOT NEED TO RECORD AND POST,j.l~t1R~ICE OF C T' · ..
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<br />. / ;J (~ ,", ~;~
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<br />
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
<br />
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<br />
<br />IT AFFIDAVIT
<br />'Lie'
<br />
<br />COND I Tl DNS"
<br />A. NOTI~g OF DEED RESTRICTID~S
<br />
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<br />The undersigned understands that this perlit I'Y b. 1Ub~~1 \0 Sdttd restrictionse Mhi" ..y b. lorl rlstrjcti
<br />regulations. Tht undlrsignld aISUIII~""'J.b.~i'~~~llftCe lIilh .ny .ppliC~\""I~~I~r!ctiolll'
<br />
<br />'. ,. ,.,~,-,.,~"..'.", l
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<br />B. UNLICENSED CONTRACTORS ANQ ~~rOR RESPOt'l~J'n,IIIES
<br />
<br />..,-~~
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<br />If the ONnlr bas hired a contractor or contr.ctorl to un4!rtlkl IIOrk, th.y lay be rtquirtd to bt liclnstd in ac~
<br />statl and local regulationl. If thl contrlc*or il not li~~ II required by II., bot_~1hl'....r .94 ,..tr"
<br />cited for a Illdeleanor vlola*ion und.r ,t.tlll..; If ~ .~r or intended contrlctor Irt unclrtain al to IIh., ,
<br />requirelents lay apply for the intendtd Nork, th.y are ~l"':to cont.ct the City of ~yrhilll luildl..
<br />788-6611. ).'
<br />
<br />Furtheraore, if the ollner has hired a contractor or cOD~r,don, he is .dvilied to havl "" contractor hI sign
<br />'Contractor Sections' of thil appliution for IIhich they .lll bl responsible. If you,lI'the Olin., lit. 15
<br />you .r.indicating that you, ra\ber thin the contr'c~of. Jr. f"'O~I~~\' for the Mork, ,~f th. contractor lIilh
<br />as contractor that ~ay be an indicltion th.t he is not pro,.rly licen,ed and is not ''"t''l,d~'O peraitt,,.,ri
<br />City of Zephyrhills.
<br />
<br />C.
<br />
<br />TRANSPORTATION IMPACT FEES ~p ~TILITY CONN~~~~f~ES
<br />.€eNSTRUCTION LIEN LAW CCHAPljR 71;;J* FLORID~ ST~~l.JTf::S,
<br />;..f,,- "
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<br />--[).
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<br />I certify that I, the applicant, bave been provided .i~. c.,yof eflorida', Con.~(uction Lien Lall - HollO
<br />6uide' prepared by the Florida Departlent of AQriculture Ind Consult' Affairs. If the .;plitlnt is so.....~.
<br />'ollnere, I certify that I bave obtlilld I, copy of''''e-,v, ~lCrib'" doculent and proai.. in food flUb to ...
<br />'Ollner' prior to cOllencelent. ' ,"' '. .--' .~,' ."
<br />,II,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVJT
<br />
<br />I certify that all the inforlation in tbis IPPlic.'iol i. Ie,ur.t. and t~at all lIork ~l'be done in cllPlli
<br />applicable hilS regulating construction, loning, .. n.,......M. ':\.'
<br />
<br />Application is hereby lade \0 obtain. perin to'do ..,k,;,.llllblldjon as indica~Ill... I tirtify that no
<br />inshlhtion bas cO'lenced prior to issuallC. of a per.U Ind th.t all .ork Nill b. p.ttr,"'to IHt'd_
<br />regula.ting construction, City codes, zoniog regul.\i...;' IDd.land developlent retul~"~ in the jurisdtcti.
<br />certify that I understand that the regulations Df othlr g.verDltntal agencies lay aPPli~lo 'he in\endlll"~~'
<br />,IY responsibility to identify IIhat actions IlUsttakru be in cD.pliince. Such agenc:iell include bul... '
<br />,,". -~.. ~.._~-~ ."""--"--,..-......,-~. -_.. ..' -'-""-".~"-""'-""'~-
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