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<br />CONDITION8 or 'BlUUT AFFIDAVIT
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<br />· perl t II' .ubJtct to 'dled rtltricUoft" ,bidl II, b, lOr, rutrlc;th. tbIn Clt1
<br />!III ....9114 .... fllfOQllbUlt, fOf CCIIPUIDCI vau ., ."UCltll. GI.. ,..trleU..
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<br />I. e RACTORS AND CONT CTOR SPONSIBILITIES
<br />If tilt .It 'Und I ODIltrac:tot or contraeton to IUldtrtUe .., tb,y ., required to lit 11** 10 'CClOfQIIC. with
<br />.titt IDd 1000I regulatJOIII. If tile coot:.etor 1. DOt Hewed .. revuirld br ., botJJ the _r ... CIlfttf.ctor IIJ b.
<br />cited for · 1114.11D1' ,iOletS. Udu .tate I,.. If the owner or lnteftdecJ conb'ector Itt UllCU'hln .. to ,aat UCtlllil\g
<br />r""ar_u ., IIltJr for tile lDtllldld tIOlt, tbe, ere .o'lI.a to coatAct tbt Cit, of leplIyr~l1. tuUding DlMrtlent, (813)
<br />'81-1611.
<br />
<br />"*-re, if u.. _r tau ah.. . guatrector or ~ontr'cton, bt it .4'le" to "'" U. oontrector(.l .ip portio", of the
<br />'CaotrICtor IIcU.' of t1111 ",UCltloD for wWelI tMr ,!II b. rupona1bl.. If pou, .. tII. IMler "'" u tilt oantractor,
<br />roo In iadJClUng tMt JOU, r,talr tbu UIe _tractor, UI rupontjbll for the.r.. If tilt COfttnc:tC)r wi.", you to 11gft
<br />U CGIltr.. tbet II, be II 1DdJetUoo tbat be ill10t Propul, UCtDl14 IIId J. DOt .Utled to ptrIjtUng ,tl'U".. 1ft tbt
<br />CU, of .....r.l11..
<br />
<br />C. IMI8PO~t.ATIOH IMPACT rBE8 AND UTILITY CONN.CTION..l!H
<br />
<br />1). C LAW (CKAPTIR 713, FLORIDA 8TATUTES, AS AMUDED)
<br />I cartJ r , cut,. prodded vlUl I copr of ',loridl', CDIl.tncUoa Lt. LlI . .....'. Prot,clion
<br />Glal,,' "..,eo br tAl ,Iod.. DIpIrtlut of 1tr1Cl1ltvr. 1M tonIUIIr Affelr.. If tbt ",Ucut II.... O. *" tb.
<br />'ower', I WUfl talt I MYI *,1..1d . cop, of ~ ... 4Nertw OocuIIeat IDd PfGIJ.. lD fOOd ItJtb to Whir it to tbl
<br />'OIl...' prior to ""WIII.llt.
<br />
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<br />J cer1l t 1 Iifonit on to ta . iPiIICifIiili' accurate'" tbat IUlIOd ,111 be don, 10 _UP" .I~ IU
<br />.ppU_ . JM APJttllt _UUCtioa, IClIllat, an4 111I4 ",.l.-t.
<br />IppUcIUoa I. Mr., .. to obtlle . penit to do IOrt Iftd 1nat.UeUon II in4iClte4. 1 eartH, Ult 110 work or
<br />IDllall.UCII .. ~.J.I_ ,dor to I..uene. elf I penH 104 that 111_. ,ill be pufOllld to ...t .tu4lr4e of aU 1I.e
<br />reguJltlDg -tnot.toa, Citr ..., IOIlII19 r.....UOlll, "'0 lIDO .."l....t ngul.Uoa 111. tM ,url"SctlOl. I alto
<br />cenl" tMt I "ultad ~t tbe tlfUl.tjOftf 01 .r to'6tAMDttJ _elN ., aWl, to tba lat... tIOtk, IIIC talt it .t
<br />If r"fOUAUn, to I_Ur, ..t action. IlUIt ute to be in COIPU... Suclllgtllcla IDC'. but It. not U.lted to:
<br />· DI.llltl8Dt O'lnJalMtll '-J.~ton . CDr... ....d., Vltlud Ir... end lA'lroftMatlllr ,.itJ" Lu4I,
<br />Vtt.r""tMter 'reetlut
<br />· loa, t DJatrl t · hU., Cypru. 'a,"IdI, hUe4 Ar..., altutag "ltW....
<br />I If , ",iVlbl. "atenl'"
<br />· 0 tUbU" II"Jea b1roD1l11tal Halltb lJaJt . lieU., '.terttlf rr.._t, "Je 'WI
<br />· D..I!!!!!Iiiiii ~ · "'toe iNt_t
<br />I 11Io lIIIIJJ, taII;~1 I. to bo 111I4 I. PlooI .... 'A' .t .... .le. '. It I. 1II.1oad tbot . dr.... ,1..
<br />IddrIll1Ilf I .......Uat t01.' .,Ul .. _ltted Iblcb 11 prepued by . protUllowugJlllr ngfltared in tbe But. of
<br />'IoriO. pelor t8 ptCIlt "'UlftCl.
<br />A penlt lIIUId ....UIle OOIIt:\IIG to " a u.. to ,.ted wUb tbe work end DOt .. IlIt110ritf to ,SOItte, cucel alter, or
<br />..t lIid. tn, ,roda!. of ~ tedUllC11 cod.., nor Pill illuance of << perlit pr.vent Ue Building orneill f~ tIluulttr
<br />r.hlnt I GDfUCU. of Ktor. Sa plau, CODItrucUan, or violltion. of ur COd.. IfItJ penlt l..ued -ben ~ innlid
<br />unl.. * IOrl author!"" br I\IdI P'&'Iit a, ~ced 'IttliD .lIlOlttb of luuance, or jf wor. lutllorbed by tile petlit 18
<br />,..-.. " ........ for a ped04 of .la ICIltbl aft.r tbI U. tbe wort 11 ~c'd. On. 90 de, utlll'lon of till, Ii' be
<br />.uona for &at ,..It tUb f.. cau,. of '15.00. rb. glu.ton .Alll b. feq*ted In 'dUng to tM IuUdln, Oftlcial. All
<br />.pproted ",UCII - be 1'" 4vl119 Neb .1. .,U1 pedod, or tJI, prOject "Ul .. con.t.... ......
<br />.IIG to"'l - QUOD 10 IICGID . IfOfICl 0' ~ JIIJ RIIIJLf I. YOUI 'AUJQ "'Ia POI IMPIIOVIMPf. fO YOUR
<br />PROPDn. JP YOU lma to OItAII '1IIbtIJG, COI811Lr IIln roo. LPDU OR 1I AmlDY IlPOlS ~lMG JOUI MleI OF
<br />CtIOIIItmar. J088 UIUII '2,5GO II VlLUI 00 lOt NUD to RmD lID POSt A 'IOftCl 0' t'QIaCRftI.
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<br />Stln 01 __
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<br />Tbe toriiOIDv 1A.trulaDt WII ~ctnowledV'd
<br />before .. tilt. t 19_ by
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<br />Wio 11 ,.....11' Uowa to lie Or who hu
<br />produced
<br />· 1d..t1f!~UOD (IDeS
<br />ID oath. /' 1/ '
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<br />NOTARY PUBLIC; STATE Of FLOitlOA Af L.
<br />MY COHlMISSION EXPIRES DECEMBeR 03, 199~_
<br />~"DID 'nlRU AGENT'S NOTAllY :;;RO~{E,:tA ,,,:
<br />
<br />NOTARY PUBLIC; STATE OF FLORIDA AT LARG.
<br />MY COMMISSION EXPIRES DECEMIE.03, 1994
<br />BONDED THRU AGENT'S NOTARY BROKERAGE
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