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<br />CONDITIONS OfPSRHIT,AFFIDAVIT
<br />A. !IO'l'ICE OF DEED RESTRICTIONS!: ::"
<br />!be uD~rJligDedUDl1erataDdatblttbJ.apenit~J.be'lIIbj~.to 'W reatdctiClll8".ucb lir be lOte reatrlctiyetbiACitJ
<br />reguliltuma. lbeUDderlipe<< "~le.iJlOll8ibiUtr for CGlpliaDce .1tb ~J applicable c1ee4 reatrictiQIIS': '" i ", '
<br />. '-. . '. ",-. ,""..' '.' .' ,."
<br />
<br />B.jJNLICENSED CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBILITIES.,'<:,:,~:<<.., '
<br />If the 1*D8r baa hired .' .tractOr' ~COIltnc~sto WIdertUe IfOtk, the,., be rlQUired to be UCIIIII4l1l ~,. ..itb
<br />a~te ~Jcll~ reguliti~~;;,'~f tb4t cmtriCtQr la,DOt liceDSedi8 r~e4l>>ru., llotb ~:~iIII4~~1;of,tilr.~.
<br />CIted b)l a IIll1e1eiDOt v101atlOll UDder statelD. If the 0IfD8t orinteoded COIltrac~ are"uncertain.as, to .t'1icOI!ilAg ,
<br />requireJIeDU IiJ applr for ~ inteaded ..k, theJare advised to COIltact, tbe CitJ of Zephrrbil1a BuildiDg De,~~;fi(t~I,3)
<br />
<br />188-661.1. . , ".. ','.,."'... . ';'" ..,.,,,,,.,..,,'Po'," , ..... '-", :' " ' ", .." .' ," .' , , ,
<br />
<br />
<br />FurtberlOre, 'if the 0IfQ8l' baa birecl' a Coatractor or contractors, be Is a4vised to. baye the contractor(s) ilgnpOruoae of ,the '
<br />'COD,tractor SectioDaI oftJais iPp1i~tioD for .ucb 'tbe,ltil1lle reapooeWe. If fOIl, as the mmer sign as ,~ ~tf~~,
<br />JOIl are iDdicatiag tllit. p, fa., thia U. COIlttactor, are respooail>>le for the IIOlk. If the COIlb;iCtor wiabea JOlfto\ aiga
<br />as cootractor that ., be'~ iDdicatioa that be is DOt properly licensed and is DOt eDtitledto pemittiDg privn~~',JD.~e
<br />C10tv of 9Anhvrbil.18 . :'.' ' ',.l';;~"'" ',,' .' ;,..' .. "......" ; ,c. ,...;u,;;.;.",..,:,....',',i.,",;:',
<br />.. 1ICr-. ."'. .' -,,,,. .' -'. " . '" ~. .' . .' '.',. '.",'. "."""'>>.':.-".,' ,..
<br />
<br />c. ,tRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. ~ONSTRUCTION LIEN LAW . (CHAPTER 713 ,FLORIDA" STATUTES,. AS '~EP1'. .
<br />I certify that l,tbeiPplicaDt, Jaave been provided ilitb i coPJ ofl'lorida'l CoDItrucUOD Liea'" - ~er''')IO~t101l
<br />Guide' preparecll>>y tbe'loridi~t of AgricultuIe awl CODaUlU Affairl. l( the iPplicaDt is QeODeothet tbaA'~
<br />'OWBl', 1 certify tllitl,bivulbtiiaedic:op.y of tbe above describecl docuIeat awlproIiae in good faith to deliv8l"itto tN '
<br />'owne.t' prior to ~celMtllt. ,...... ' ," '... ., ,." :."
<br />. " . , . . ;': ';i: '_;- ',: .' ,'-:,_. ;: ~'\' ., ~ , ' " . . ..
<br />
<br />E. ~ON'l'RAC'l'OR I S/OWNERI SAFFIDAVIT " . , .' .. .. '
<br />I certify that ill tbe 'woraatloD j,a, W. iPPlicatiOll ia accunte iIII4 tllit illl10rt will be doDe 'in: Coipliance with' all ., ;
<br />applicable lawaregulitiDg COIlitrue~f;ICIIiDg~,and,~and l1eleloJElt. , ,:,. , ," .
<br />
<br />" , .: 'I~:~'{'~";~'.~n"":,_..,,;,,,;>-,.,,,'~"'~"'~':"'-I.J~('~ .'" ',,-,.:.:,:. .'....'. "._.",,-~"<"-:" . "". .... : .
<br />
<br />Applic~tioa Qbere!lr"~' ob~iJ)e.tJlt to,iH!Ort aIt4 iutallatioo iII'iD4lCited. ,!&:ert1fy tllit DO lIOr~or ," ',' "
<br />installat101lIlaa.~p~ prio{~;*~;:oril~Peilit~ ~t ~llOltwlnbe~fOJlld to,...t stiDdarda .of~~ ,~a' . .
<br />r~G,ting COIlitIVCu.o.i'City '~::~.:r;~Uooa,'iP4 .liDd. de'el_t, Jl91Iliti04i' ~the jUl'ladictiOll~' l'alao .,..i" ,,'
<br />certd, that 11IIIdeQtaDd that tho regu1atiGDl:of ,other gGlerJlleDtalageac1uli' apply totbe iDteDde4wrk, iIII4 that itQ
<br />I'J refiponail>>ilitJ to identify wbatiCtiOaa Illllt tike to be 'iD COI(llialice. SIlcb agencies iDc1ude but are DOt liaited to:
<br />t Deputlent of BnvirOllll8lltal Regulation - ClPreaa' krlleada,'WetlaDd Areas iIII4 lIlyuOIIIeAtall'JSeDaiUye LaDds,
<br />, .'. ,-:" " . . ... .. Witer/llaataater lreableDt . . . ", "
<br />t Soul:!!lIIut 'loridi "ater Ilanagll8llt. District'. Wella, Cypniaa Baybeada, "eUaDCl Areas, Altering WiterCOIlt888
<br />a Inl'_ COllll of ln9ineerl . SeilliIl18; Docks, layj,9able "ateM,1 ' , " ,
<br />a De{lilIblent of Health' 'Iebabilitati,e Senicea, 'IIlvirlllleAtal Health Unit - Wells, Mastetli.ter Irlit8t, Septic I_
<br />a !!L!lJ1virODleDtal Protection AgencY . Aabeatoa UitlleAt. ..', , '. .
<br />I il1ac1 certify that,' if 'UUliteriilQ to beusecl ill 11004 IoDl -AI orll,ete.l, it 11 Wlderstood thati dralDage plaD.
<br />addr~l&ing 01 'COIP8DIJi~ voluel, will be aublitted .u~ is preparecll>>r i prof~io~aJ.. engineer registerecl in the' State of,
<br />Flondil pnor to pera1~ 'lI8UiDCI.\'_...;~,."...". ,,' . .
<br />
<br />A ~Iit iasuecl abill be coaatrue4 to " i liC8D&l to proceecl .1tb tbe IIOrt iDll DOt as authority to ,iolite, caDC8l ilter, or
<br />set al~ic1e illY provialO1U1 of the tecbD1ca1 c:oc1ea, DOl" shall isauauce of a peQit prevent the Building Offic1al frOl tbel;eafter
<br />requi;ring i. coaectiOQ fJf, mora ia; p1iDa, CGPItrucUOIl" or 'Yiolil~ of iIlJ cgde.. ,Ivery .peoit . iasued Pall beCOII ,invili4
<br />unle&l~ the workautboril..:l>>yallCbpenit 11 COMencecJ ltitbia IU IODtbs of Mince, gr if:.MQ(k authodled by the perait'ia '
<br />&ua~t1C1od or __eel for i perloclof ail at:b8 after the tile the IIOlk is COMeqcecJ. " Olw gOlla, llIteAaion of tile, IiY be
<br />allowle(1 for the peni~ ..itb feec:birge of tI5.00. !he IlteDaion shall be reqlll8ted in ..ritiDg to the BuildiDg Officiil. An
<br />appro~lld iaspection..t be loggecl'l1w1Dg eacb..,IQIltla. periocJ,or . tbe project ..ill.be COD8iderecl abiAdODed.
<br />WKI~(i 10 <<*DR: YOUR'llLUIK IOUCOBD A 1Qf1Cl 0' COIHIICIHDI' MAY USULI II YOUI 'AYDlG "'ICI FOIlIHPBOVIICD'lS 10' YOUR
<br />PROPIll11. U YOlIWUU to OBtAllflUHClIIG, CoKsULI cWIIB YOWl LBIIDIROi 1II1noR111Y BBFOU UCOBDlJIG YOUR XOfIClOl ,
<br />(:()Hq~(:JlHBIiI..~.,~'.,Z,500 II:!~ ,DO ,101, JI~IOIIICORDIND POSI I IIOfICI or COIHKNcmm-.
<br />
<br />, H'~;j'A:i;:4~\:::""" ...'." ,<., .~42#t:F,J!" ,.
<br />
<br />~~:~~.".~.'''''.. . "". ..~~~~
<br />
<br />, .... .
<br />S'll!1 OF,LOaIDA ...,,- '...." ., ';r"~.1i li "., 0 , ... ,
<br />COUKU OF f'tkse~ . ...' '. . '
<br />The forego1Dg,i.D,~,~~:t.,.w.. acknowledged
<br />be~cre,!~ ^tb~~,<: jtp4S:.111 ~..'..>I~-2L by .
<br />
<br />A. d. . '.. ....'.,(",.....;1.....;,. ...l~..,: /.'.. .'...,......,
<br />_.a. i-r;[et!,r.r. , S I HU;,s.. ,'. ' .
<br />who is personally QOWJl to .e DI' whe has
<br />prQQ~e8~ '
<br />4Jl ; dlutifica+1nD ".iWd ).4q.~lcU,4 ~t
<br />ta~e.'. .oa.~' ..,'.....,',....:......,".:,; ....~.. . i.:;.'. . . ,
<br />,., I . ... '. '.., '2.' . -..4 ...., ,. '. . ".'. . ,. .
<br />_ ~., ...:~".. ...:....;.-',..... h.;.;hIV
<br />(Signature) '"... ,:
<br />~:/JI7-11 ,FE 1./ _T' J3f? 0 vv' A,/
<br />(HiUIIle~ Typed, Pt,"iIlted Or S~ed)
<br />~~'Y PUBLIC'.... ...,.:.. ,. ", "
<br />
<br />
<br />. '
<br />"SIl!1 OF FLORIDA " .0 As
<br />COUJI'fY OF . r, C--D
<br />o The foregoing instrument was acknowledged
<br />before me this &0 S-.D:' , 19 '16 by
<br />
<br />". . If iJ5ek'<r ~ I UN S;
<br />who is personally known to me er who hAD'
<br />. '~DHeed. '
<br />. ..' as id8Btificilti~ and who 4U/did Dot,
<br />
<br />::v:wei~t:;
<br />(Name Typed, Pr~ted ,or Stuped)
<br />HOTARY PUBLIC
<br />
<br />, . , . '. .~,.Vo'dl/ll.'" · 't(ATHLrtNJ BAOWfo\I .
<br />~\\~ Pu ..",.~ (~
<br />..",\~'4(~ .t<ATHU:t;:i",' ,...:L-'" MyComrnlMionCC449029
<br />*.-..... 'MYCon:'tT;:"".,* .ElCpiresApr.02.1999
<br />JI(' 'Exp/re8 Ap': \1"'" .~"" Bonded by NFNU
<br />~ ~~ Bondltd by NF'r-j{~ OF fl.'I;~ 800-224-8368
<br />1'# DF ,\.o'f> 800-224.ea88
<br />
<br />\,,111 Pile
<br />..'" ~ (~
<br />*"fiiiif*
<br />~~"",'t'
<br />~,., OF f\.O~
<br />
<br />'<A THLEEN J BROWN
<br />vly CommlStllon CC449OII9
<br />E>Cpires Apr, 02. 1999
<br />Bonded by NFNU
<br />800-224-6368
<br />
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