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<br />CCND i ,-:( CJ>';(:~ OF. pc::r.r"j I T ('oFT:.~
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<br />A. NOT I Cr: OF DEEr:> nr::STFlI CT I ON~;
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<br />The undersigned understands Il,at thi~ per~lt may b~ sublect to "deed restrictions' Hhlch may b~ a0r~ restrictiv~ than City
<br />regulations. The undersigned ,'5su~es responslbllltfJor co~,pllancc uith any applicable deed restricti,,",.
<br />
<br />B.
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<br />~t\H_ T CfNSF:D CQtIT!.3J.lf-TORS AND COt\ITRACTOR RESPQf.:!.fl I n I 1_ I T I f;S
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<br />If the ONner has hired a cDnlr~CtDr or contractors to undertake Hork, .they may be required ID be licensed in acc~rdance !lith
<br />state and local regulations. If the cDntractor is not lieen5cd as required by lall, both the ol,ner and cDntractDr nay be
<br />ciled for a nisdeJeanor violatiDn under state lau., If the ollner or intended contractor ~re uncertain as 10 Hhal ]ic~nsi"g
<br />require:ents ~,ay apply fH the intended lIork, they are advised to ((,ntact the City [,f Zeph'(rhills Duilding D",.arber,l, (513)
<br />788-6611.
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<br />Furthereore, if the OHner h35 hired a contractDr or contractors, he is advised to have the contract~r(s) sign portions of th~
<br />'Contractor Sections' of this application for "hich they lIill be responsible. If you, as the ~lln~r sign as the contraclor,
<br />YDU are indicitin~ that you, rather than the contractor, are responsible for the Hork. If the contracl~r Hish2s y~u \0 sign
<br />as C[,nlr2CIl>f th,:1 ~ay be ,,;1 indicathn that he is not pre,perly licc.nserJ ~nrJ is nut er,tilled Ie, pcr~ittir,q privilege.s ir, tt,e
<br />City (>f Zcphyrhills.
<br />
<br />C. TRANSPClRTATIO>l I!'1PACT FEES Af\1D UTILIT't CONf\IECTIOi') FEl::S
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<br />D.
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<br />CONSTRUCT I or~I_~l~.L~Lm'
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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<br />I certify that!, the appl!c;:nl, hJ'ir: !Jeen provi'ded with a copy (,f 'FlC>rida's C(,nstructie,n Lien LaH - !Jc,r.eown::r's Pr[,tertion
<br />Guid~' prepared by the FI[.rid" Dc'p,\rl::.ent of 1\9riculture and Consuller (,ffairs. If the applicant is s[,:~6r,e othE'r I~\an the
<br />'ollner', J cHtify that! ;;;:'1e [,btained ,I. copy of the above described document "rltl pre,~,I,e in q[,od failt, to dcli'{~r il. '.[, the
<br />'o~ner' prior 10 co~~:ence~e~t.
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<br />:,..:'.::...., ;
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<br />E. CONTR~CT~~~lQ~!NrR'S AFFIDAVIT
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<br />I certify that a\1 Ih~ inf8rD~ti~n in this application is accurate and that all Hork "ill be d~n~ in compliance Hith all
<br />a?plicable laHs r~gulating c~n5lructi0n, zonirig, and land developeent,
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<br />ApplicatiDn is hereby 5a~[ 10 ~btain a per~it to'do ~~rk and in5tall~tion as indicated. 1 certify that no work Dr
<br />installation has co~:enc~d priDr to issuance Df a p~rmit and that all work Hill be perforDcd to Eeet standards of all laws
<br />regulating construction, City codD5, zoning regulations, and land development regulalions in the jurisdiction. I alsD
<br />certify that J understand that th~ rr:gulaticns of other governaental agencies may apply' to the inlend~d "~rk, and that it is
<br />ey responsibility te, idei,tif)' liha! actions I t:lust tal:e to be in compliance. SUC:, ilqc"cir:s include bid ~le IiC,t linited to:
<br />
<br />. ,-
<br />I D~Dartsent (,f Envirr'n~,:i}i~:l Renl.l.1~tiDn - Cypress Dayheads, Hetland Meas and [n'lif('nl;,[r,\~lly Scnsi tj\'~ L:lnds.,
<br />Hater/Haste>>ater Treatment
<br />I S['lIthwEst F1Dri~a \latc!:..J:~~~Cj~!--'2'L!1istrict - lIells,' Cypress [layheads, Iletland r,r~as, j.lterir,'1 H~lorCDurs[s
<br />I Any C(,rDS d Enq i rll::L~~,. - Sr,;,I" II s, Dods, Ha'li gabl e Ila terllays
<br />I Departaen\ [,f 1!t';;IJJ"_L?t!,~~)JjL:tivp. Services. EnviroMental lIealth Unit - Ilc.lls, 1i"sl.cliJl.er Jre"L:':n~, Septic
<br />I US Envia!l~['~'l"_L-PL"-~lLcJ.L~rJ, l\qr:Q.9'_ - r,sbr:stos abatement
<br />
<br />Tanks
<br />
<br />also certify thai, if fill ~atr:rjal is to be used in FI'cood Zc,ne "A" [.r 'A,etc.', it is IIn(\[.rs\[,[,d tl,.d a draina~e plan
<br />addressing a 'coc?cnsating '101111e' uill be sllh~itted Hhieh is prepared by a profe5si~nJl en9ln~cr r0~is:~r0J in the Slate of
<br />Florida pric.r to per~it icsu"r,cc:.
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<br />1\ pertil issued 51,;;11 be cO:lsl.rued to be a license to proceed I/ith th!! Hc,rl: "nil n[,t ilS alllli[,ril)' t[, \'ie,];l", cancel alter, or
<br />set aside any pr[,visie,r,s of ihe technical cc.des, nor shall issu~nce (,f a pl!rmit prcvent the l1uilding tJ;-f;.::i:.1 irc.~ thereafter
<br />requiring a cHrecti[,n [,f errors i11 plans; cc,nstruction, [of '1i[,lati[,ns of JII/' c[,de. [very pc'r;,; t looll,'j 01,;;11 beC[.t[. invalid
<br />unless the H[,rk Gulk,rl~ed by such pernit is C('/Il!\enced H!thin six months [,f isslI,lnCE', cor if lIe,iI. 2ldl,e" J;cj C)' t~,e ru!il is
<br />susp~nded or abande,nd fc,j" a peri[>!l c,f six ~onths after the tbe the \1urt: is U'Menced. D,-,e ~(; day [.~l::r,oi[q, of ti,e, ~ay be
<br />all[,wed f[.r the perr.it llith fee charge of $15.00. The extensi[,n ~hall be re~\Ie5teil in I,ri\in~ Ie, the 2'.Iildin~ Official. lin
<br />appro'led insf,ecti[.n rJust be 1['9geJ durin9 each six month period, [.r the pre.it'cI \1ill lii' c[,nsidcrc-a eba\,d(,,-,cd,
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM~IENCEMENT MA't
<br />RESULT IN 'tOUR pnYING TWICE FOR IMPROVEMENTS TO YOUR PROPER'I'V. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT \...JITH 'tOUR LENDER on (')N ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO Rl::corw AN POST A "NOT I CE OF cm1r1l~f\ICEI'1n!T".
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<br />
<br />:' SIGNATUnE P - ___n
<br />ENT k~;~-;;;~;/I,JaJjJ - ---CONTii~;:..y KiUlUAJ
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<br />DATE_________~jJ_~/-18-----~-~-----.------- DATE_______~Jl~-j1jC------------------
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<br />NOTARY AS TO ,/ ,'~ /1 ) ./2..
<br />OWNER OR ~GENT__~~~~~-
<br />KATT-ILCC^, if ...J3RiJ f/r.)AJ
<br />MY COMMISSION EXrInES___________________~_~
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<br />"t.v.~ PUs(
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<br />" 0' ,,,,0" .
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<br />KATHLEEN J BROWN.
<br />My Commission.0C449029
<br />EJlplr.. Apr. 02, 1lMl9
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<br />NOTARY AS TO ~',~-/ /J~ '~
<br />CONTRACTOR ~~. R:r.-d>--
<br />----xAmiiiEiJ-:: ~ 'CCJZ<..JJJ
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<br />MY COMMISSION EXPIRES__________________
<br />"t.II' PU8
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<br />"'", ~
<br />.,~ ~
<br />i OF ,\.04'
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<br />KATHLEEN J BROWN
<br />My Commission 00....9029
<br />Expires Apr. 02,1999
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