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<br />CONDITIONS OF PSRMIT,AFFIDAVIT
<br />A. 1l0000ICE OF DEED RESTRICTIONS ,: ,.. ,
<br />!be uD~~aigDe4 UDderataDda tUt ~ '~t 1iI,))e-8IIbject to IW reatricUcma' 'web lif be lOle reatricti:ve th;aA City
<br />regulat:iODll. fte UDdenipe<< ~ ~eapol'libi Ut, for COIpliaDce 1I1tb aDI appUcable deed reatrictiGD8" " , '
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<br />B. ". UNLICENSED' CON'l'RAcToRS' AND CONTRAC'l'OR RESPONSIBILITIES '. ,,;,~:,,>,'i .' '
<br />If tba -0ldIU baI biredi'CX)IltrllCtor'OrCOlltractOlltolUldertiU 1IOtk,tbef'IiJ be required tollel1ceued1A~ .ith
<br />atate i111d localnguliU..;,U tbeCQlltr~ ia DOt liceDlie4aa r~e4 bl ~, botJI tba'~,.uCQll~tof,tjr ,I)e
<br />cited fllt a .ildaeallOr viiJlaUOIl UDCler itate lall.. If the ower or lDteDdecl c:ontractor are':~,ai to ~t'Uc_iQg .
<br />lequ!rElllenU iiI app1r for tile inteDded WIk, ther are advised to c:ontact. tile Cit! of lephf~la BllildiDg ~~f,(813)
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<br />188-66ll. ' ,'" ,'....,.,... " ",.i.';.'),.., . >, ..' ' ", ,,' ,.....,,~\...,", : "
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<br />FultherllOle, 'if tile 0l8ler IIaa hired i'eootractor or c:ontractora, be i8 a4vised to bave the contIactor(I)SipPoiuoo8' of the.
<br />ICon,tractor SectioDal oft.bil app1i~tioQ. fQt 1Ib1eb'ther Idll be reapolU5ible. If fOIl, as the ~ aigu aa .t:hlt. C9l11;fie~,
<br />you an iDdicatiDg tbat, IQU, fa_, thaD tIw cootrllCtor, are reapoaaible fOl tbe 110ft. If the CODtractor .iabea YOll to lip
<br />as cootractOl' that ~l: be.~, iDdica~OIl tbat. be ia DOt propedr liceD8ed and 11" DOt entiUed to PeWttiDgPJ:i,i~eg,~,~.~ ,.
<br />Cl"tv of 9"pbJrbll.la .' ..,.'~'"~I ", . ",,', ' ... " .. " , '.,' " " " , .' ,;.. " ':."",~,!,".""'., ,
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<br />C. 1"RANSPORTATION IMPACT FEES AND UTILI'l'Y' CONNECTION FEES
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<br />D . ~ONSTRUC'l'ION LIEN LAW . (CHAPTER 713, FLORIDA STATUTES, AS 'AMEHl)~) . ,
<br />I certify that l~tbeappliCillt, JlavebeeG proviclec1litb a copy of 'Florida'l CODatrucUOIl LIeD Law - ~er,,':'ro~t1QQ
<br />Guide' prepared bytbaFJorida ~t oflgricu1ture aod CODalllU Affaira. Iftba appUcant is ...otber tbiQ'the
<br />'ower', 1 certify that l,Jlave.:obtiiDecl,.cop.y of tile above deacr1becl docUlellt andpIOlia, in goodfaitb to deliver'j.t to tbe
<br />IOlllne11l prior to c:GIIiIDCelMlnt. .' .. , ' '.', .,' " .., . .
<br />. . "" . .,' ...._ .,... '.,.. r .., ,
<br />;. :.' .;"': ,- .:.~, i ~ - #, " "
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<br />E. f:ON'l'RAC'l'OR'S/OWNER'SAFFIDAVIT., . .' '..'
<br />I certify that all tba ,:wOl'IiltiOli iA\:bi.applicaUOIl ia accurate aDd that allllOfk will be done 'ill' COIpliance .lth' all
<br />applic~ble 1_ regulating COQi~tioo, ..lQDiDg" aod land developleDt. " . , .', " ,.
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<br />. ..' 'i : :_" .1.4:'~' \,1 . :"'. ''''/f _jl. l,"( ,t _ . I" ..",,' .". -::' _,' _. ,t, ;" i. .
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<br />Applic~tiOll ia Ilerebr'" to' ob~i~tto,do~rt iIIld.1Ilata1laUOIl lI'indicated. 1 certify that 110 110ft or," . '
<br />inataJ.1~tiOll baa ~Dced,. pti,of W~w~of,a~~t iIDd ~t itllllOl't .iU~ ~onedto I!'t a~ of ~.' .
<br />legu!iltlng ~truct.iOll;' CIty ~,: ~ :r;~tlcma, 'ap4 ,l~ devel~~t.,r:ep1.tioQlr ~the luriadict101l~' I'llao -..1" ,
<br />certiJ, that l1111darttaDiJ tbat tIIO,i~UOoI'of ,other goVlIJIIeDtalageDdu iii, apply to 'tile lDteDded_k, .11I4 that it ia'
<br />Ir lu;ponaibiUtr to idenUfy atacUOaa I.-at take to be 'ill COIPlialice.. Such ageaclea iDc1ude but are DOt lilited to:
<br />t DepiI,rtlent of InvilOIIII8Rtal Regulatioo - eypreaa kybeada,'W,tllll4 Areas 11I4 iIl,irODleDta11ySeuiUve LaDda,
<br />, , . ,....'.' .. *ter/W~Wlater lreatleAt ' . '. " .
<br />t Soul~weat Plorida Mater llanacie.ent, Diltrlct ,;. W,1l8,. Cypriaa BaJbea4a,' W.Uaad Areas, Altering "atercoUIiU
<br />t lIII)~ Corps of Engineers - SeiIIa1la~ Docka, lavlgable Watenlays
<br />t DePCIIlllent of Health, lehabilitaU" Senicea,.lnviIODIIeDtal Health unit - "ella' MaateMat,erllut8ellt, SepUc la',
<br />. US IwvirODleDtal Protection Agency - Aabeatoa. abituent ." "
<br />I alan certify tbat,':UUUliteriil :Ia to be used ill IloocllOAe III or II, etc. I!, it 1& UDderatoocJ thatadra!Dage plaD
<br />addrelliiDg a ICQlpuaatiDg vo1.' ,ill be aublitted 1Ib1eb II prepared br a profeaaiODal engineer registered iD the State of
<br />Floridal prior to peg1t' iaaUiDC8.; :_..::" , .... " , . . ..", ' ....
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<br />1 ~lit isaued Ibill be COIIIU:ue4to ~ ilic:eD&8 to proceed ,1tll tile 110ft aDd DOt as iIltbority to vlol&te, caACel alter, or
<br />set al~ide aDr proviaicma of tbe tec:bD1cal codes, DOl' aha11 iaauaoce of a PlQit prevent the BuilcliDg Official flOI ~eafter
<br />lequi:C.ing i c:orrectioll: ~ errora la, pI_, CODatnct101l, or,io1a~cma ofaDr CQde. ..,1v1EJ pmit iaaued tball becClII ,invalid
<br />unle&I3" the IIOrk. autborho.ll:br auda. pan,it ia ~nted 1dtb1D IU 1ODt.ba of iaa\IaDCe,' or if"at autboriJed by the perait' is
<br />luspe;aC1ecl or aba_eel for i peri04' of ail atba after tbethe the tIOl't ia CQIIIIClIaKI. " <<me 90 'day eateaaiDll of tile, lir be
<br />allowed for tba peni~ litb feec:barg, of tI5.00. !be 81teDaioo aha11 be requeated in 1I1'itiDg to the Building Official. An
<br />appro~l:d iDapectioa IUIt beloggedtlUdDg _ ~,_tIl periotJ, 'ortba project Idll.be conaiclered abaPdoPeeI.
<br />WAJlJU;~(i TO 0lIUR: .,YOUR FAlLUU 10 .amo.llOTla OF CDIIDCIDCIIIIlAY USUL! 11 YOUR P1YDlG I1ua fOIl IHPWVEKmS 10 YOUR
<br />PROPiIl1T. 11'. YOU lIrUD!O OBIW'lUICUG, CouDLI,WI'IH YOWl LUDIIlOB 1II11lOlUlBY WORB IICOBDDlG youa MorIa 01 ',' ,
<br />COHHaI~(:IlHQt...:~OM,,-.WDII'.2,500 11 VAWlIlO lor M~ IOIICORD lHD POSt I 'Karla OF WOIiNCBHm'.
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<br />SiGillVll:~:':' . ...... Sl~~
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<br />:'~yO~/~A-~C oJ' "'~,~~'...' ". : "::rO~pFLOlUDl P!1sC' ()
<br />The i'oregoing ..i~.s,~,~~~ ,w,as aCl,U1owledged . The foregoing i.D&trument was acknowledged
<br />be~Qlre,!~.,~,i,~.;k.os'ifi;:!!-t., ,19..Qk. by, ' ... before me this rEo. -::Y'ztt , 19 9t:: by
<br />.. /JLI3~/tr~''SIM.t1:S.'f'''' h;..., . ",: IIL13~i?T: . ~/ MivJ~
<br />who i.s personally AQWJl. to __ .ko, he. .ho is personally known tOile e. ..A ...8
<br />IWS&ailee4' 1>--'..2, nj;
<br />,a&ib"'ifieHiOlliu~cl ,1f~.,."lldi,4 ~t, as id8RtWi-""ti8ll and who dill/did not
<br />take' oil .""".." ~..." f,lq.' i ,; , . ' take an oith., A _.. ~} .12
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<br />(Signature)
<br />/{1}1fILL::.~ ~_ A~w,J
<br />(Name 'l'yped,Pr~ntedor Stamped)
<br />NOTARY PUBLIC '
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<br />~\l-1\" P~II
<br />,,<:> ~ (~ KATHLEEN J BROWlli
<br />* *; My Pojnmlnlon CC449029
<br />:i;)(p;r8s ~. 02. 1999
<br />~" ~.., Bonded by NFNU
<br />~ Of f~()~' &'lO-224-6368
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<br />~1>1'~,P/J4
<br />"ll fi(~
<br />,.-,,~.
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<br />'~;"J:>~'"
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<br />
<br />KATHLEEN J BROWN
<br />My CommInion 00449029
<br />Explretl Apr. 02.1999
<br />Bonded by NFNU
<br />F)(l-224-6368
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