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<br />Bob Youmans
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<br />788-5262
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<br />07/09/1999 10:56:36 AM
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<br />P.2
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<br />eOtlDJ:1."lOUa or pr;Ill'I~.t JU'lrllJAV,l.T
<br />A. NO~lCE or DEtD R~TRIC~IONS
<br />Th@ und~c3iqft@d undecstand, tbat th~4 pecmit m4Y be subjoQt te "d$ed ~~str~ctionsH which
<br />lUy be ll1cac ce.st":.l.ctive thlln City ceQulllt.l.ons. 'l,'hl!! \lndersiqned /llll!umel'l t:.."pon:;ibility to"
<br />"''''I1'jo'J.J...,.,,,.. w,L t.h any apI>11 caOle deed tC.:iItLict.lOnll.
<br />B. UNLICtN5!D CONTRAcTORS AND CONT~OR RES~ONSIBILIT1~S
<br />If the own..t has hired a cont~aceor or contractors to underta~~ WQJ:k, they ~ay be r~quic&d
<br />~o be l.:l,.C!-enocd in llCleordilnce ws'eh :stat. and 1""..1 '''(lIl.l...tlon,,_ I~ to.... ....n"..,,,,,t..,, ..,. n..t
<br />licen&~Q as requi~cd by law, bo~h the owner and cOntr~ctor may b.. ~.l.t~d tor n M1sd..~~noc
<br />violation W>dcr stat.. lAW. If I;.h~ owner DC intendl!d contractOt ace uncert~d,n .:s to v1lat
<br />licen~in~ requir~~nt. may apply for the intended WOrk, they are d~V1$ed to co~~a~~ the
<br />Cll::,I Dr Z"l"hyt'l'\~ 11.. Bu.ile.!.l'tg Oepartm"l\l;., ~13-''7acl-G!lll.
<br />rurther~~c, if tbe Owner h~, hlrcd A CQutr4~~O~ or contr~ctQrs, h@ ia "dvi~Qd to hav~ the
<br />contaactol; (S) oian pOI:~iol\~ of the "Cont~actiJ.r Sections" of th.i-':O appJ.icatior, 10::: which they
<br />..ill be reopon5ib~e. If you, al;l th. Q\oJnor 61<;1"''' ali the c:onl;r~ctor, yO\! lore indicatll\g' that
<br />yo~, rD~her than til. ~onLLactgt, a.re re~~onsib4e :or the wock, It tbe centr~ctor wi~he8
<br />yo~ to $191'1 as contra~tor that mllY ~ an indic~tion that he i5 not p~Operly licenaeq and is
<br />not entitled to perm1tting p.r.:l,.vi1eges in the City of Zephyrhil13.
<br />C. TRANSPORTATION IKPACT FEE9 ANb UTILITY CONNECTION F~ES
<br />D. CONSTRUC'rUI0N LIEN LAlIr (CHAPTI!:R 713, FI,ORIM STATIJTES, AS AMENDED I
<br />I certify that I, the ~pplicDnt, have beon prov1d~d Kith a copy Of "~lorida'~ Constructlo~
<br />lien ~~w - Homeowner'~ p~gt.ctlon Gu1d~N pre~a~ed by the r4o~1da Dapar~ent of A9Cic~lture
<br />and COl\lIUJn"r Aff" I FA, I.t the .pp.l,.!....h~ 1.. ."'.aco..o OCh"r t;.hat: d... ........JOSL.., t ..~rJ,J;y that J:
<br />ha1te obtaineCl ~ =py at tbe abOVe de.scriheddoCUlllA!!lnt: and pZ:Oln16e in gQocl ,hl th to deliVer
<br />it to tbo "owner~ pelot to commen~~nt.
<br />E. COlolTAACTOR' S/O'tINI::R' S M'FIWWI'1'
<br />I ~crt.i~y t;.h~t .11 Lila ~1I'armation 1n ~~1a appliC~e1Qn 1~ /!lOCULate and th~t all work w1ll
<br />bc done in ~ompliance witn ~~l &~plica~ll!! 1$~6 regu~~tihg construction, 2001ng. and land
<br />d"voll;lpm.nt.
<br />Applicat!ot'l .ill' hereby "",,<;Ie tQ obtain.. pl!t.l:IQit: to do liod; ~nd 1h.stallatioll a~ ;nd..""r..,j, T
<br />cert1fy that ~Q ~~k or inlltallatlon hA3 cO~CeQ prior to issuance of a pe~M1t ~nd that
<br />all wor~ will b. pecfQ~~ to meet atandat~s of all law$ regulating ~~n$t~uctiQn, City
<br />codea, ~onin9 re~~lationa. .nd lahQ development regulation4 11'1 the jurisdi~~ion. I also
<br />cer~ifll' t:h..t f ',ncler..t:and that th. r.!illIl1..tiona of oth.l; 'ilov"J:nment"~ "o,/~ll..i",,, IlI"Y Clpp).y ~o
<br />the intend4;od 1010:;)(, and that it iM my responsibUity to identity whlllt ""tions I ml.!"~ t.;ake to
<br />be in compl1i'lnc@. Such 1'19ctncies itlcludc b~t ace rlol; J..I.m1ted to; . Departmont of
<br />gnvironment~l RC9ul~~ion-cypte..~ Bnyheads, W~tl.nd Aceas dnd gnvironrnentally Sensitive
<br />L"'~rwi:., W.ter/wQQr......,"'t....L Tl.~dLln~ul.
<br />.southwf:::It Florida Plater H/JInagement Pillltr.:l,.c;t-\f",lls, Cypress Bll.yheada. lIletlilMi A.r:eils,
<br />Alt~tin~ Wate.r:~oUl~e~
<br />"Army Co:;pa of Enq~n~r4-Saawal15, Docks, Nav1~Abl. Waterway~
<br />LDepattllll!Jlt of Hs.lth & Rehal:>i11tative S..~vicf:a, &nvicDnmel'lh.l Health \JnH-l1el1s,
<br />~B6teKate:; 1reatment, septic Tal'l~#
<br />.ij.S. Envi~onmental ~rotactlon AgenC:Y-A4bcst.03 abate~nt
<br />T "1..,, "..rl:.I.:ty l:h..l:, .it t111 1l111tarial. i.. to bc ";>cd in r'looc\ $...,,~ .'A" UL "A,,,L,,.-, .l.t is
<br />unde~otood tha~ ~ d.r:alha9o plan ad~~a&.I.n~ 111 "compe~atinq vol~e" wi~l he SUbm~C~ed wbich
<br />.1.3 prepared by CI pl'of."sional @ng;l.ncc.r; J;l!Illister@e! in tile ~jtllte of Ylo..:id" }'~iln to perulit
<br />J.ljBUAn~e.
<br />1\ permit .i"ClI.IC';! o;1....J..I. 1.1.. U"u..t"u~d Co be a 1.1cense e<> proceed w~tl\ tllc work snd not 'UI
<br />1II1.1t.hox1ty to viol,ate, eane"J.. alter, or set Clslde any prQv;'lI.1o"~ of the techn1c:a.l. codes,
<br />nor shall i~~Y.nc6 of a permit ~=ovont the eui4d1ng Otficial from tho~..ftor requi:in9 1II
<br />correction ot c~rots in p~an~, c<>n:struction, o~ violations ot any code. ~V~ry peDmit
<br />i.ssu@d an~ll ~ceomc invalid uale,s tho Wotk aQtho~i~od by such perDUt i~ cQmrnenccd within
<br />six Mentha of issuance, OJ; .if woxk Authorized by the p~rnl1t is Ilul!ip@nde.;l or aballdoned tor a
<br />period of ~ix months after the time the work il;l ~Q~enc:ed. One 90 day exte'le1on of time
<br />......y ~. ...l.lo"'ed fo" "he p",,,mie; ....J.o,... ;!c~ "herg'" Qt ;1~. 00. '1.11" "A~'l'n..j,on "hllll be: :::cquculted
<br />in writing to the Build1nq Off.1cial. Ah 4~p.roved inepeet10n must be logyeu du~it'lg eaeh ~ix
<br />montn period, or the project will be eon~idered abandoned.
<br />WARNING TO OWNER: YOUR FAILUkE TO Il.tCORtI A. NOTICE OIi' CQMMENCI!:11ji;;NT MY RESUl.T IN YOUk
<br />1'A.Y.l.j'j~ l'Wl!;):; l"OR IMPROVEI1!:NTS TO YOUR PROl'EJl.rr. U' YOU INTEND 'ra Ol'lT....IN FIN1\NC~NG. CONSULT
<br />W1TK YOUR L:ENDER OR AN A'l'TORN&Y B~f'ORt R8CORDING: YOUR NOTICE Of CO/olMDlCBMEMT. JO&S lJND$R
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<br />z:; ~:Z='" ON. 0Q3T A ....m ~4J:.~A1:1
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<br />SIGNArURE: OWNER oR AGENT Ud: coNTF\I\CTOH ~
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<br />STAT!. Ol!' FI.O/l.IDA::'h ~u.,.. STATli: OF FLO~o.... ~ '/r-'7./.JtL!'
<br />C:OUN7Y OF' ~~"'~ coUNt'( OF ---L::!/L11/"'~
<br />The fOI;~901nq 1nst.l:WAlInt "'as ac~nowledg$d The fO.l;e\lo;l,nq i.n.!ltlul~E:nt was Ack'}()w18~/
<br />:~tl..e~~~dY;!~1~.~~ ~;tor. me this ~.!I'J (Jf.7'~- ,~
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<br />~lname ~f per$l;lO ~cknowledgedl (name of pec.!lon a~knuwled;ed)
<br />~ho is Pf!'rsonally .knewn t.o maf'" ~,. ~ is pe.E's;ona1.1~{ know.." te tl!L'IIIl, 6.l."
<br />
<br />Owho
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<br />~d.tntif.icat101l)
<br />an oOleo.
<br />
<br />CJ Hhe hu
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<br />of J.Q"r1~j.f;i.<=a~J.ul\)
<br />t;i1kl!! an oath
<br />
<br />G0/G0 39\Jd
<br />
<br />1fJ Devon Duran
<br />. . MyCommi$SiOnDD181888
<br />~ "'~." ExI*M FebnlaIy 02. 2Of17
<br />dnS MOGNIM
<br />
<br />~ typ6cl, p~ihted 0::: 3tCln~ed
<br />
<br />~~ =~D01818l18
<br />,~,) ExpIres Februery 02. 2007
<br />G018P59G~E ~E:80 900G/PG/10
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