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<br />I\. tJO'l'ICE: i)F DEED RE:STRICTIO!JS
<br />rhe unde1signed understands that t.his penrdt. may be subject to "deed restcicl_i<lIls" i'lhic:ll
<br />lIIay be IlIOle restricl-iv8 than CitV regulations, 'I'he undeisiqlled aSSllllles Lbt:;ponsihi LiLy hi!
<br />comrJ iance \,lItll any appLicalJle deed restrictions,
<br />B. mu,] CF~llSED r:UIl'!'Rl\CTOH3 AIIIJ COI1TRJ\C'l'OR RESPOI1SIBJ LIT IE,S
<br />I f the 01"oe1 lias hired a contractor ur contractors to undertake \lork, they Inay he requj red
<br />ru he licensed in accordance I-Jith sl:at_e and loca] regulations, Jf the cOll1ractol .1.:'i !lul-
<br />J i cellsed as requ ired b'z' lal-I, buth the O\-lller and contractor may be ci Led for a III i sdelfleallOr
<br />viulatLcJIl Illlder sLate lenl, If U1E:: Ollller ur intended contractor are unce!.Lall1 as lu \'Ihat
<br />licensing requirelllents Inay 3pply for the intended \"Or);, tlley are advised to cuntacl 1111:::
<br />r j Ly of Zepliyrhl lIt:; Bld lding Uepartlllent, 813-78CJ-0020.
<br />F'u1-thenni)J8, if the U\'liler has hired a contrar;t:or or cUlltractors, he is advised to Ila\le the
<br />"ont raC[_01 (s) si 911 por-ti UIIS 0 f the "Contractor Sei':;U ons" or Uds appl lea t:inil for villi cll 1:1Jey
<br />\1111 ])e respollsjbJe. If you, as the Ovlner si'Jns as I:he contractor, you ale ilHlJcaLJllfj Illal:
<br />you, rather' than the contractor, ale responsibJe for the I-Iork. 1 f Ule cOlllrnclUl l-dslJet:;
<br />'1'011 to sie,Jll as contractor that llIay be all indication tl,at: he is not: propelly licellsed and is
<br />110l:_ 811lilled Ie) penllil'ting pri\lile~les in the City of Ze[Jhyrhills.
<br />C. TR!\IlSPORT1\T rUN H'JPl\C'l' fEES hllD LJ'j'[ LI'I'Y ('UiltlEl.',!,] Oil fEES
<br />rl, C01JS'J'RIIC'I'U]UIJ LJEJI LA~'J (CHAPTER 713, FLORIDA S'I'I\'1'lJ'['ES, AS I\JvlEtJ[)F~U)
<br />I certify Ulat I, Lhe appLicant, haVE:: been prOVIded \-lith a cupV of "florida's ('l)llsl:luc;!jon
<br />1 Lell LaVl HUl1leollI1er's Protection (~uide" ],.Jrepared by thEi Florida fJepElrtll\enl of l\g1 i cUIll.lle
<br />alid C'onslifner !HtaJrs, If tIle applicant is someone other that the "ovlller", I cellfy LIla\. 1
<br />have olJtained a copy of the above described document-_ and promise in 'J()ocl fallh 1:0 deliver
<br />.i L to 1118 "I-'v,mer." prior to commencement..
<br />E. CUIITRN~'j'UR' S/(MIJEF' S AFF'IDA\!]'l'
<br />I cer.l_ify Ihal all. I_he Jnfc'llliation in t.his app.1ic:alion is aCCllrate and thal all Iwrk \1[11
<br />he c!olle in compliance \-lil_1! al.1 ap[JlicabLe 1alys regulat.ing construct]()!l, 20njl19, alld land
<br />developmelil .
<br />hr,plicarioll Is helehy made to obtain a pellnit to do 1'lOrk and installation as JI\dlcat-ed.
<br />'~erLIf\, that no \'lor); or illstallatic)JJ has cOlllmenced prior to issuance of a pennit alH] Ihat
<br />all Hor); l'IlIL be perfonned to llleet standards of alllal-Js regulating constI\wlicJn, C'ity
<br />codes, 2,1lldllq reqllJations, and land de'lelopment regulations ill the jUIlsc{jcl:iul1. J aJsr)
<br />cer.rLty I:hal. J understand thac Llle regulal:ions of other governll\ent.al agen,_~ie8 1I1ay apply to
<br />ille tlltended I./orl'" and lltat iL is my re.sponsibilil~y to identify l'lhat actions I IIIUSt: take Lo
<br />be ill (;oiTIplLallce, SIJCI! aqencies inc.lude but are !lot limited to: *I)epartmenl. of
<br />~~Jlv.ir<)IJlIlel\l:al Re',Julati()!l-C}/press Bayheac:ls, V~etland Areas and E:nvirollll1ent-aLly SensJtive
<br />Lands, \~al:er/\'Jasl:el-Iater Treatment
<br />*SOlll:hIH::SI: f'Jocida \'\]ater l"]dnagemenl: D.istrict-VJells, c}'press Bayheads, vJelland 1\18a8,
<br />l\ll:eriJIY vJal_erclJur ses
<br />* Army Cor ps of E;nyIlleer s--8eal'la1 1 s, Docks, I'Javigab Ie vJa ten-lays
<br />"LJepartnlcHlt. of Health f, Hel1abilitaUve Services, Environmental Health !J11LI VJells,
<br />\'la s t: ella I e r 'J' 1-ea tlilenl, Sep t i cl'a nl: s
<br />A IJ, oS, F~I1\) i J onll\enta 1 Protection l\gency-Asbes tos abatement
<br />1 also e;ertLfy tllat, if ftlllllaterial is to be used.in E'lc)[)c1 Zone "1\" ell "I\,el-': it is
<br />understood Lhat a dr.a.ina']e plan addressing a "compensating \!()llllile" 1,1i Ll l)e slJhlldl_ted HhicIJ
<br />is prepared hy a professional engineer registered ill the ,')tate of f1oJ1da prl,)!. to pe1'llli I
<br />issuance.
<br />1\ pennit .issued sllalJ be COlIS trued to be a Licelise l:e) proceed \'l.1tll tile I"orl; all<llloL dfJ
<br />aut h 0 r J t Y I: 0 '/ J 0 1 ate, can u e 1, a] t e r, 01: 5 eta sid e 0311 Y pro \J i s j OilS 0 f tile l~ e c h J i.I c a 1. I: 0 des,
<br />nor shall issuance of a permit prevent tile Building Official frolll tllereafter rerj1JlrincJ a
<br />correl..:tion of errors in plans, construction, or 11_101al:ion8 of allY code. F:very permit
<br />isslled shal I become illllalid unless the I-Iork authorized by S\lcll permit is coml\lellced 1/1l:hill
<br />8i;( 1I1onl:hs of [ssuallce, or if \"ork authorized by the permit is sllspended or ahawloned for a
<br />peLlot! of six llIonths after the time the \-/ork is commenced, Cine 90 day ezlensioll of tillie
<br />may be aUO\-lecl for Llle pernlit \vit:h fee cl1arge of $15.00, The extension sllal L he re<ju8sted
<br />ill \lriLiJlg to tJle Buildinc! Official. An appro\ledillspecl:ion must 1'6 JOCJged dlUlllfj eacll 5i;;
<br />month per-jud, or Lhe projer;t l'lill be considered abandoned.
<br />~\JI\RIllII(j Tn OI^lllER: YUIJH FJULl1RE: '1'Cl RECORU A tlOT](~E: OF' ('(JI'lHEIK'EIIE1J'J' Hi\Y RE:SUI,'l' III YOfJR
<br />PI\nl\jl; '1'\'J1CE F'UR lIo1PRO\lEI'lE:llTS 'I'll ':{(Jf)R PROPERTY. LF 'fUU llI'l'Elm 'I'U OB'l'!\111 F'111l\IIl'lIl1" CCJIISUL'j'
<br />~J1TII \UiJR LEIIUER OR All I\TTORIJE'{ BEF'ORE REC'ORflIl'IG YOUR 11U'rIr:F, OF (:()r'l~JE:IICF:I]F.:tlT. ,I(lSS 1111/)8[(
<br />$:2,500 ] 11 Vi\l,lJE: DO IIO'!' llEElJ TCJ PECOHD AllD POST A "JlOTICE: i.If 1-'UllI1EllC:E:I'lt~II'I'".
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<br />--" _.._.._._-~.._~._._-_..._----~-_._-_.._..-
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<br />SII;tlATlJHF::. i)WllE.R OR 1\C:;~~llT
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<br />----~- --- '-"---'--~--__'_'__4.____'_,_____,_,
<br />
<br />S 1 Gl JA'l'fJP E:: C:Otl'I'kA(:'I'iJP
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<br />S'l'l\TE ill:' FLORIDA
<br />COIJl'J'l'Y UF' ______________________
<br />The torefjolng instrument vias acknO\lledged
<br />Before !lie Uds _____ __ day of __________, 21'L__,
<br />
<br />J ) y -- ______ ____ ____ ,__ _____ _ __, ___ _ _u _ ________ ,__ _ _________________
<br />(nallle of pelson ar:knO\'iledged)
<br />Lj \lho is personaiJy kllOlln ro IIle, or
<br />
<br />STI\TE: OF F],IJRIfJ!\
<br />COUll']'Y ()F _______________..._..___ ______________________
<br />'!'he for eg01ng j llS tUHllellL 1'la8 a (; I;nol,1I edged
<br />Be f 0 1'e me L h L s ____...rIa y of ,_____u__ _______ , ,? I)
<br />
<br />by --- - -- -------- -____ __, _,__ ___________ ___.._______ _ ____ ",___ n__,
<br />(lIallle 0 f person acknovl J edged)
<br />[Jiho .i s personally kllovl!l 1-0 me, Ol:
<br />
<br />[J \1110 lias pr oduced___________________________,__
<br />(type of icJellti f.i cation)
<br />ijJJd \'/llo[]rl.id []c1iclnoL t_ab" an oath,
<br />
<br />[J vlho has prod\Jned.___ __..______,_____________
<br />(LYfJ8 uf Jdenlifi';ation)
<br />alld \'Iho []djd LJ,lid IIO( lal:e all oath
<br />
<br />----..-.---.-,.-..---- ._-.__.._,--~..__._._--_. <----- ~-_._-
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<br />8il,Jllatlu e (j r persull takInCj acl:nuldedqement
<br />
<br />S i ',IlIa t: ure of pe r .'3 on La k L lJ(J a c klJOvil edCjll\ell t
<br />
<br />llallle L ypecl, pr i_llted or stamped
<br />
<br />tlame I_yped, pl i ntecl OJ' s L aJ"ped
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