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<br />~.,' -~,_....... OCT-13-' 94 THU 10: 12 ID:
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<br />TEL tiO:
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<br />1:f31B P02
<br />
<br />CONDITIONS OF PBRHIT AFFIDAVIT
<br />A. alCB 0. DBED RBSTRIC1'IOJ.fJ
<br />11II .... ..... ~t W. Plnit .., bi .ubJICt to .. l'IItrJcU." IbJdlllf " .. rtltr!ct1" tIIIII eltr
<br />r~.u... fttlllOln1pad .....l'tIpCIIIlhiUtr for CCIIpUace .j~ III, appll_1'.... rII~. .
<br />JJ. UJfLIClN8BD COHTBAC'J'ORS AND COHTRAC~ RB8~H81BILITIU '
<br />If U. -- ... llrlll I -tractor or CGIltractor. to UDfettdi IOrl, tJIeJ III be nQUfnrl to . U.... .. ....... IdtA
<br />.tate .. .ltcI1 nguJ.tJCIIII. If ~ coatrlCtor Ja IIOt UC8GlIll u ntWld br 18, IIoUl t:Jae ~ ... aatnctar ., tit
<br />cited for. .1ll.IIEr ,JoIIUoa under .tate J.. It tItt 011III' or IDteade4 atreetor an IICIrtIJa u to *t 11......"
<br />ngut~tI.., .,,1, for tJae latuded IIOrt, tiler ue acl,jlld to CGaUct tile CU, of IIpbfrW1t ...w., DIperta.t, ('U)
<br />'88.6611 .
<br />
<br />rurtllulDn, if. Met'" J.lred . COIltractor or contractor., be illddted to 11m tM -trIctor(.) .. port!-. of *
<br />'c.trlCtor 1IIct,,,~ of WI IppUeaUCII for Irhidl ~ 1111 be rtIfCIIIItble. If JOU, . tile .. 1111 u tilt .,..,
<br />fClU an WlcaUag tlat roo, nUlr tJIaa t.b8 c:ontrlCtor, "' rupoulble for tJae IOd. If tile -tnctor ...... JOI to UII
<br />II ClIItrlCtar tMt III lie II illdJcaUOIl tbit lie it DOt properl, UCIUtd d 1I11Dt ..UUIIl to JImltUlg JIitUIIJII Ja ..
<br />cltr of .....Ull1. ' I ~,
<br />C. 'l'RAN8PORTA'I'IOIf IMPACT FEES AND UTILITY COHNBCTION nBJ
<br />D. CON8'1'RpCTION LIEN LAW (CHAPTER 713, FLORIDA STATU'l'BS, AS AIIIIIDBD)
<br />1 etrUI, Qat I, u.. IpplllllDt, ..... beIa pmldtc1 ,UIII CC)pJ Df ',lorlda'. CGIIItrucu.. ... ,. . ~rl. ProtIeUol
<br />GuJc1t. P11PIltll br tM 'lor." DIpIrtllat of Agriculture aacl Coal-.&' Affair.. If till appUcut It .... ~ tMa tile
<br />...., I c:ut1fr tIIIt II11n obtIJaed . cap, of the IbofI ducllbed --.t lid prGllu iI ... fd~ to GIIber Jt to till
<br />'OIdIl" prior to (lG IIKWDt.
<br />
<br />B. ~'8/0W1fBR'8 AFFIDAVIT
<br />I CUUr, tIIIt iDfGrIiUCIl fa W. appllmttOll i. accur.te mJ tbat aUlOrt .ill ... ... II GOIflllDae .I~ 111
<br />Ippllc:Ul. 1_ npltUIIg CClDItrucUCID, "lag, ID4 land dltUO(lIIIlt.
<br />1pp1lcatJGa .. ..,.. to obtain. perllt to do IIOrk _ lnaWI.tlOll u IDcUcatlll. I cut1fr tMt 10 ..lor
<br />jDltl11aU. .. ,~~ II .. prior to llluence of I peoit lid tJlit 811_1 .w .be JIIl'fOtlllt to .. ...... of 1111_
<br />reguJltlDg ClOIItraetlGll, Cltr CDdu, lOlIing rI9UJIUOIl8, IDlI 111II1 du.~t rlgUJaU_ 1a tM 'arl.aeu.t. lllto
<br />certifr tMt I 1IIIdIDtIIkt tJIIt Ue regu1ltlaDt of otMr P_Ul 1ItDCl. III IJIPIJ to tile iatIIIII..a, .. *t It il
<br />If nQCIIIlblUq to i_tiff IIIIt leU. I at tile to ... ill _11... 8ud! aveacl.. 1ac1. llat III . IIllt14 to:
<br />t o.n..t of 1Ilri~1 ~11t1on - Cypr... Barbudl, IIItJlIIl Area IDlllariroaeatl11r .....U" ~,
<br />Mater"....ter tru_t
<br />· Iou_~ 'Iod" liter _t DI.trlct · lalli, CJpr.. ..,..., IftUaad 1rUI, I1tullg later..-
<br />· of . '-UI, DDcU, 1I'lgabll lltene"
<br />.. of , ItIaIbilltaU" lenl_ IDdr...tallelJtb lJILit . VeUI, "'.tIt '*'-t, 8IIIUt fIDb
<br />I DI ~ !iJ!fHCII .., - IIbeItGI .~t
<br />11110 certlfj tItIt, j II I _t.dal1, to be _ i. 'laod .. ..' or 'l,.te.', it il ~ talt . __ pl.
<br />~ · .....uag 101.' "111 he IUIII1ttel "lIicllll prepared b, . prof.-JlIII1 .... nglltaJ II UIIItItt of
<br />'lod,. prior to ptrIIt -IIUUCI.
<br />A pelI!t 11III4 11III1 ... ..trued to M . UC1D18 to proceed ,Ill tile IfOrt and lOt II IUtllDrU, to tiolete, CIIDII uter, or
<br />..t aide ., pcod.1ou of tile ttdlDtcal c:ade8, Dot ....11 ihuuc:e of . plrlit pthIDt tbllI1_ OfllOld ,. __ter
<br />rlflJd., I cornctIGII of error. III plllll, aatructian, or YloIIU... of anr COIle. IIIrJ fIIIIt .... IIIIlI .... UqJJt
<br />.11I tM ... IIIt110dHd bJ - petitt 11 ~ .llIaia III _* of 11l1U11DCt, or if _1 MIorbel ., till ,enit Ii
<br />...,..., or ....... for . perloll of Iii _tile after ~ UII tile 1IOl111....s. _ to .., .... If till, III III
<br />aU_ for * Jllflit 11t11 fM dIatge of '15.00. !be a_loa ..11 be I1QUIItI4 In wrJtlag to tIaIldWlg Oft1cll1, II
<br />appfOnl1 iII(JIcUOIMt be 10gp4 dllrlag Neb all alii period, or till projlCt .111 be tOIII.l4tnll ...,.,.
<br />_08 10"': ,. m_ 10 IICORD A IOrIeI or CCllllClllllIIIJ aauLr II YOUI .1111; ma ... DID-.n 10 111I
<br />PIIIm. JF'" JIIII) to .,11 FIIIICIIG, COI8UL' ifIll fOUR .... lit II &mIIIf .. .... ... DlCl or
<br />aIIIDCIIIII. .. fila 1l,1OO II vnUl DO lOr IUD to ... lID 1'081' I 'aIel or ~.
<br />
<br />n~~/fJ~ ~
<br />
<br />mu~
<br />exam or S (!..o
<br />,be forego 1Mtl'ulleDt .... acmowledged
<br />befon _ tilt. .I .3/_, 19~ by ,
<br />
<br />
<br />t{f~rr~k~
<br />~ 1 . DOtal to __ or who be.
<br />procluc:ed
<br />.. t_Ulic:aUaa IDCI wbo did/did Dot
<br />take oatil.
<br />
<br />SUTl or PLCIIDl f?...
<br />CClUIIf or rr It S (! 0
<br />Tbe foreo-oiog in8tru.Dt ... ec....ledpd
<br />before _ tbil t7~ ..3/ , II 9if bJ
<br />
<br />@~~ ~~.6.-'9R/Z('""'"
<br />"be) pAl" ,Iii mmm to .. or 11IIo Iiii
<br />produced -
<br />.. iclent1ftcation aacI wIIo DOt
<br />tue u th. t1.
<br />
<br />(8' ure) JAMESA.STONE
<br />(N_ Typed,' 'rlated ~(alt1 v( Florida
<br />JfOTARY 'UBI-Ie ~"coi~~s May 16,1995
<br />Gel 102/'4
<br />
<br />
<br />
<br />
<br />JAMES A. STONE
<br />( . fJped, Prill ):Jf lorida
<br />JI01'UI' I'UILIC My comm. expires May 16, 1995
<br />CC11O?'i'4
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