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<br />f'IHR-0J-'95 FRJ 14:4,J JD:
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<br />TEL HI]:
<br />
<br />1:12'35 P02
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<br />CONDITIONS OP PBRHIT APFIDAVIT
<br />A. NOTICE OP DBBD RB8~RICTIOH8 ,
<br />!be _enl,*, UDGIntal tbIt dal. pettit .., be lubJect to 'd88d ruttlctlOl1l- .blellla, be IOtt r"t.rtctbe tIIII1 Cltl
<br />regu1IUCIII. '" audenlplCl ..11I8I r8apouJbUit, for COIpUUCI ,1tJt any applicable dHCl netrlcUCIII.
<br />
<br />B. UHL 1 CBNSBD CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile .. '* Mud I OdDtrector or contractor. to undertW IOrt, they II, be r8CJUlred to be UceulClla acc:ordIDce .itll
<br />atlte aud local ngu),UOQI. If dae contractor .. not lieuleel II r8CJUind bJ 1.., both the CIlIDIt ID4 ClIltnctor ., be
<br />cited for · .t__.t dolatlon WIder .tate law. If the 0WDIt Or inttDde4 c:ontractor are UICIttIIa . to *t 1IC1D11119
<br />rlQUlr_u III Ippl, tor uae iat_ad ltOrt, thIy are ad'i88d to ClODuct UI City of 1,,11110 JulldJav IlQIrtIeIt, (IU)
<br />788.6611.
<br />
<br />Purt.llulott, If t.be 0ImIt II.. Idnc11 contractor or c:ootractorl, he 1. ad'iHd to II... till caotrlCtor(.) 81p porU.. of tile
<br />'Cootrlctor 1eGtJGu' of tJJi, 1pp11eaUOIt for ,bid! ~8J ,Ill be rt8pmaiblt. If fOU, u the 0III1f IJga u till _tractor,
<br />you Ifl 11l4lcat!Dg tbat JOU, ratllu tbao tile contrlctor, are r88poulbJe for tile IOrt. If tal CODtr.ctor wi... JGU to .lgn
<br />at coattlCtor tat u, III aa lDdJcatlon tbat lie Is not properly Ucenaed IDd 11 not eaUUId to PIrIIttiDg pr19U_ b tilt
<br />Cit, of 1epb,rr.1JJ..
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY COJOlBC'l'ION PRES
<br />
<br />D. CORST.UCTION LIEN LAW (CHAPTBR 713, FLORIDA STATU'1'BS, ASAHUDBD)
<br />I cutif, tbat I, U8 tppllCIDt, ltiYl _ ptodc18d ,ltJt a copy of -'lorlda'. CODItruetlOD 1.1. La. . ~If" Protectlou
<br />Guide' prtplted br tIat 'loridl DeptrtlfJJt of Agriculture and ConaUllf Iffafn. If the epplfwt 18 ..... ok tIIID the
<br />'_'r', I eertIf, talt 111I" obtalued I copy of the _8 dutrJbed l20cuIeDt and prr.l.e bgooG faUII to Gelber It to tbe
<br />'OIlIer' prior to ~llICII8Dt.
<br />
<br />E. CORTRAC'IOR' S/OWHBR 'S AFPIDAVIT
<br />I tertu, talt IU tJIe lafonattoa Iii' tliil tpplleaUon fl Iccurate IIl4 that IU IOrl .111 be 40ne b C:ClIIpllll1ct .ltll all
<br />aWllQbl, 1. npJ.Uag CGGItlUction, IODIIJ9, aacJ land 4"el~t.
<br />
<br />IppllcatlOll 1. lartbr .... to obtela a perlit to cJo IOrk aDd lDatalllUOIl II iIl41C1te4. I cutifr tbIt DO IOrl or
<br />iaaWI.U. ... ,....,s:ea prJor to lUuucl of a Plnit IIId tbat aU .rt ,ill be perfOllld to _t .tIDdada of all law.
<br />regulating CUlllUucUOO, Clt, c:oCIee, lOlling regulations, an4 1m! dmlopllDt regulltiODlln tile jutlIC11cU.. I 1180
<br />cettifl tJlet J II8l1mbad tlJat tile regulations ot other 90fttDIeJItll aglDCi18 II, apply to tbe JltIaW .l, ID4 tJJat It i.
<br />If rtI~l1lt, to I_tiff what ICtionS J at tate to be tn COIplianct. Sud! agenda Include bat are DOt U.UIG to:
<br />I DePUtllllt of IDYlroutptal I.l.tton - Cun.. 8erbeldl, Wet18Dd Ireu and laYirODMDuU, _iU" ...,
<br />Water/lfutnatll' freat.ut
<br />t Souu..t 'lor: ..ter :t Df.trIF~ - Vell., CfPftI' Bafbee4a, WeUiIId Ir." Ilteriag WltefCOUO.
<br />· Al'If Cmt ollllll....n · 11, Daeka, .adgabla Vatln.,.
<br />I De""-t of IIdth . lablbUltau,. Senlcu, Ja,itoDIIDtII SMIth lJItit . 18111, Vat_ter rna_t, 8epUc !Ida
<br />· US 1Ilf1n..t.e1 ProtIct1.. IgIDCJ . bbeltOl lbetlllnt I
<br />I ,110 c:ertJ" tlJat, If fIll llterlal i. to be lII8d In Plood Ioae 'A- or -A,etc.', it 11 WlCllntGod tJlat . GtaiDIg. plu
<br />1ddrU8lng I .......Uag YOl.' .,Ul be subllttld "ltitb i. prepared bl a profll8101J1) IDginllf regJatered 1D tJIe Btate of
<br />Ploria prlor to JlIQ!t I...ce.
<br />
<br />I peflJt 1_ ....11 be CXlaItrued to be . 11._ to Proceed ,fth the IIOrt IRd DOt II luthodt, to ,tolate, CIIIC.'II lIter, or
<br />eet aid, q prOd,lOUI of tile tecbDlcal coclea, aor .blll i8lUIDCI of . penn prevent tbe BuU4lDg Offlclal frol tJaenafter
<br />reqa1r1og . correction of error. 11 plllLl, COUtructlOll, or ,Jolatlone of auf coele. BYerr ptIIJt luullS .11 __ b'llid
<br />unl... tM .~ eutlaorlltd by Buell pemJt 11 ~ced witllln .11 IODtU of IlllllDCe, or jf IOrt lutbod.1Cl br the pIQlt 1.
<br />.Qp1Pde4 or ....ea tor a period of III ICIIlthe .ftar the U. the wort i8 ~ced. 01. 90 .., at..!CID of tilt, .., be
<br />111_ fot tJte pait 1fltJI f. .It of .15.00. De uta'IOII lball lit requeated 18 vrlUIIf to tile BuiWag Offlcl.l. All
<br />IppI'OfIll ialpectlQII _t be logged during ucll.b 8th period, or the project ,Ill be ..ldmc1 ....,.
<br />_IIG 10 GIlD: 1QJI PAILUU to IICOJUJ I .orlCK OF COIIIDCIIIUr lilY Usur,f lit rooR PIIIIG "'lei FCIlIIPaIIIIItS to YOOI
<br />,ROPIm. IF IOU III'DD fO 11Im PI_lie, COI8ULr Iura tOOl LIIfID 01 AI IftOUD' BIPOIIIIICOIDlIO IOOIIOUCI 01
<br />aJIIDCDar. ... UIDII ,SOO If 'AWl DO IfOt IfIIIJ to.. AND POSf a "lOtI F CCIIIDCIIIft',
<br />
<br />81G1111111:
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<br />
<br />.Im
<br />
<br />nln or ~
<br />c:oum or AS:ctD
<br />The forego!Dg i'fl'UeIlt ... ~JmOVle4ged
<br />before - thi83 . TH , 19 r.s by
<br />(
<br />~iJ~
<br />wbo 18.roo- ., UlOID to .~ or .bg ba.
<br />produe
<br />.. ldutificaUIJII IIIld II/Jo+~--r
<br />_taq .. =.r....&' fl:
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<br />(81gutur. .
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<br />(N_.'l'Jped, 'rinted or Stupe4)
<br />HO'l'ARr PUBLIC
<br />
<br />Sflll 01 MI.
<br />coom or
<br />The foregoiog ineLt ... .~OWle4ged
<br />before m. tbi. ~ ' l' by
<br />.bDN k-<rrz-
<br />JIlll_ 1. DerlODIIII Uowa to _ or wbOliii
<br />producecl
<br />.. idoDUfi~"'" wbo dldldicl DOt
<br />ta~ 88 ~~- ~ ~d5
<br />(8 guatur~ IJ _ &---~ .
<br />- . ~A-t.D Frr1
<br />(.... TJped, Printed or 8t..,.d)
<br />lfOTARY PUBLIC
<br />
<br />",Uftf" DONAl
<br />I~\"""~'" D A. BOGNETTI
<br />i*:i :*i MY COMMISSION /I cc 223817
<br />~'. ,'"i EXP'-S' 0:.......-'-__ 20 ,.....
<br />"::f. ~~ "'" . wvtI_nwr 1 ~
<br />. P.f.,,~' IIondId ThIu Notary Pllbtic UncIeIwrItara
<br />
<br />
<br />"ft. .__~.
<br />~..~\*'vit:.. DONALD A. BOGNETTI '
<br />I': ~*i MY COMMISS/QN /I CC 223817
<br />. i EJaIIftES: September 20, 1896
<br />. IIandId Thni Nolary Public lhIerwrtters
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