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<br />FROM:MILEAR
<br />
<br />FAX NO. :3525674454
<br />
<br />Oct. 29 2004 0?:5~A~ P1
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<br />'H ~<CO~Dl'l'lONS..Ol:' i:>>~HMl'J:AFI!'IDAVl'l'
<br />A,. N01'.ZCI!i OF DEED RESTRICTIONS ;':';:";,H:,i.",; ...' ',. . .,. '
<br />The unc;Jers1gned UhdeJ:Bt~nCl~.,~~at ~thb,;p".r;n4t >~,y ,bl!.,~"bject to "deed ~e8tdcti0118", which
<br />llUly be ~re res~~ictive:thiai1City ~egulat10n~. The undersigned a..umes responsibility for
<br />compliance with any applicable,. deed restrictions. .
<br />B. UNLICUSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I f the owner has hired a cQntractor' OJ:' contractors to undertake work, they may be. requir,~~:...
<br />to be licensed in accordancewltb state and local regulations.":' ,If.the contractor is not
<br />licensed as required by. law~~ both the owner and contractor may be cited for a Jl\isd",ano~, ,;
<br />violat:ionunder state law. ' "If the owner or intended contractor are uncertain as to wba:t
<br />licensing requiremellts lIlay apply, fo~the intended work, they are ad"ist!.ct to co~t~c~,~,*e.; i\', ,~!
<br />City of Zephyrhills BUilding Departblent, 813-780-6611.
<br />Furthermqre, if the owner has ~J':e~ a contractor or contractors,. 'he is advised to ,ha:ve,the/;~
<br />contractor (s) 'sign' p~J:'t1ons of. '~~e '''Contractor- Sections" of this application for which they
<br />will be responsible" If you, a~hthe ~ o~n,er. s1gn,s (as the' ~ontra9~~r,< YQU are, indicati..nq"-:hat;;"
<br />you, rather than the contractor,:. are responsible for the Work. If the contractor wishes '
<br />you to sign as contractor that ~y,l;Je..an indication, that be is not properly 'licensed and is
<br />not entitled to permitting pd"iieges':ln the ,City of Zephyrhills..
<br />c. TRANSPORTA,TION IMPACT FEES J\ND"UTILITY CON~EC;:TION FEES:,. , '..
<br />D. CONSTRUC'.llUIO~ LIEN LAW. (CHAPT~R '713, FLORIDAdSTATUTES, AS AMENDED)
<br />i certify that I, the appllb~nt~'~~ave been prov~dFd,with a copy of .~Florida's Construction
<br />lien Law - HOMeowner's Piotectio~ GuideN prepared by the Florida Department of AgricultUre
<br />and ConSUMer Affairs. If, th~: ~pp.ticant,1s .s~~o~,e,: :o~h,er ... ~at:the, "owner-, I cerify that I
<br />have Obtained a copy of the above(described document and'promise in'good faith to deliver
<br />it to the "owner" prior to':: coilllil.eneement. '.. ,L ',": :-;::' ""~:
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVIT.
<br />I certify that all the infonnat.{on in thi. applicatiqn is 'accurat.e and that all ,",ork 'will, "',;
<br />be done in Compliance withalt' ,appl1cablelaws regulating const'ruction~ zoning, and land '
<br />devel~p1nent. .. . ,..: . ',. ,... ......, .. .'" '; i.,:.' , , , ...;';' ':...:
<br />Application is hereby made '.':~.9.btain a pe.r:mJ.t to do wock, anc:i in..t~1Iat10n as 1nd1cated.';~I .'
<br />certify that no ~ork Or inst:.al~atio~.~as.commenced priorjto iS8U~C'l';of a permit and that
<br />al~ wock will be perfoJ:'Med to meet standards of all laws regulating construction, City
<br />codes, zoning regUlations, and la~d development regulations in the jurisdiction. I also
<br />certify that I understand that the ~eg~ations of.other.goveJ:'nmental agencies may apply to
<br />the intended work, and that it ~. Illy responsibility to identify what actions I !QUst take to
<br />be in compliance. Such agenci~". inclUde but are not limited to: *Departnlent of ,..
<br />Environhlental Regulation-Cypr88~~::B.yheads,. :Wetland'Areas and EnVironmentally Sensitiv8 ,;"
<br />Lands, Water/Wastewatex Treatmebt
<br />*Southwest Florida Water !Manag_nt Distcict-wells. 'Cypress Bayheads, Wetland Areas;" :;::;:;..
<br />AlteribgWatercourses
<br />*AtMy Corps of ~ngineers-Seawalls, Docks, Navigable Waterways.
<br />*DepartMent of Health & Rehabilitative SerVices, Environmental flrealth Uni~-W811s,
<br />Wa3tewater TreatJllent, Septic Tanks >~! . , ',I'
<br />.U.8. EnviJ:'orunental PJ:'otecticm,Agency-Asbestos' abate1llent " .. , :,j.." L
<br />I also certify that, if.,~pf'~t~'rial is to be used in Flood Zone '''ADar: "A, etc. ...., it i.s
<br />un4erstood that a drainage,P'!an'i~ddreS$1ng a"comp8nsati~g volumeH will bes~mit:t~c!.wh,i~.)~.'J .
<br />is p.r:epared by a profess1:p'~~a~en,~;Lneer registered :1n the State of Florida prior to peaait
<br />issu.nce..,..':.".;::; , .. .'...~,..
<br />A permit issued'shall be ~~.s~i\i~~' to bea license to proceed with the' work and not)as-;) ,'."
<br />authority to viol'ate, cabc'~i, :'aiter, or set aside any provisions of the technical codes,
<br />nor shall issuance ofa peiQd~.).r~v~n~. t~e .15~~~~~g;p;qJ?i~.l ~J:~.Ift i tl1e.r~after req\li.r~~g'::.~iT :C::~~~(
<br />correction of er.t'or~ in plalls" ~~on,8.t~~t:lon,::pr'~'V:~.~lilt+cms:::~~ "~nY':co~e. . ~very pe~t :.; ~\.; ::::,;:
<br />issued shall beCOMe invalid,unles~ the'work authorizedbysuch~permit Is cOhmenced within
<br />six months of issuance, oC,!f ~~rk. authO.r1ze~by the penni~ Is suspended- 'or' ctbandonedfo~,l~~.!!:
<br />period of six IaOnths after .tl1e.:;UIIJ.~. th., , )fo.r::k :;is c011llaenced. One 90 .day extension of time -:---
<br />IllaY be allowed for the p-:rl1l.itwi~ll_f,ee'charg~'ot $15.00. The exteneionshall be r~quested.>,;
<br />in w~itin9' to the Building Official'. An approved"inspection"must-be109ged during each six
<br />1l\onth period, oc the project will, b,e consi.deredabandoned. , ' .\ ~ ~. .. "'.
<br />WARNING TO OWNER: YOUR FAILURE :,1'0 RECORD A NOTICE OF COMMENCEMENT MAY' JtESUL'1' IN YOUR
<br />PAYING TWICE FOR IMPROvr:HENTS' ~9 YOUR '~QPER~Y. IF YOU INTEND TO OBTAIN FIHAHCING';'i'lCONSU~II;~
<br />WITH YOUR LENDER OR AN ATTORNJ!:Y;),~EroR~' RESq~ING YOUR NOTICE 0 CEMENT. JOBS-UNDER..'....,
<br />$2,500 IN VAW OT ~~ED TO '~CO~ ~p ~O~T A "NOTI F CEMENT"'. :> '. '\,' ;'~
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<br />OWNER OR AG~T DAVID R. ,~\.....
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<br />,,~t.~~tl&~.~~.. .
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<br />~IGNATURE:
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<br />STATE OF, FLORIDA . PAS(X),<;:';\:~)!;\~~:,.;..>t. ':::"::)." "
<br />COUNTY OF . 'l: "... ,:
<br />The foregoing instrument ':was.~acJm'Qwledge~
<br />Before 1l\e th.1s_ day of' !' .".'. " 19...:....
<br />by MVID R. ART4 ..... ':';"'~,
<br />kif (name of petson acknci~ie~gedf' .' ":',',:, .
<br />JDI who is: 'personally known >to':Jil~;tOr
<br />
<br />".. :
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<br />o ,who has produced ". ;.
<br />. (type;of-iid.m~t:tic~.tion).. ,
<br />and Wh?jODd"d }!did not: >):a~~'~A't?~~h::,<:":'. '
<br />()/~ ..t. .
<br />. ~.. ",j' .:!.,.'.~::~ ~'::.. ....
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<br />Signature of person taking a~~~~l~~g~~nt
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<br />. ~'.. .,... - OLIVIA A LOVE ,'.:
<br />Nah\e~ pr e ",';:
<br />_I!!J:P" .-::..____,__.. . ",.1
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<br />. ~ I .
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<br />STATE O,F FLORIDA PASCD .r:'rl-;-j;~;;)! ~\ .
<br />COUNTY, OF
<br />"The,fq~egoinq .instZ:\UDent .was:ackno\o11edged >
<br />B~fore me this ~<<!ay of r,,,;~;~;,,,~:,,'~j;,\
<br />by DAVID R~ IUlL.t\ ...~,_..._~_ '_'
<br />(name of person aCknowledged): :".~. ',',ill :"';;:
<br />~ho is personally known' to Me, 'or' :
<br />
<br />o who ha~' produced
<br />, . I.type of;'idel\tificati~~h'(:
<br />and who D~di .,;'.-'Jltid\:Ilot . ta~e' an- oatli- .~... .
<br />, - i;:A/:;iIb~ .' ...,..fT.". ,.
<br />. ~~~\....,..,.:..i:.;'.:,..J.,.
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<br />,Sig..ature of ,pecsqn ,taking. acknowledgment:
<br />. ~L'~c;~~;-t:l~Vi~:us
<br />~*!-II.~mpPd .
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