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<br />CONDIT~OHS OF PE,RHIT" AFFID~VIT
<br />A. llOTICE OF DEED RESTRICTIONS" ' ,
<br />!be umd;~raigned Wlderatallda Uat tbia.~tIilJ be subject to 'deed reatrictiQll8"'wch Iilr be lOte restrictive tbaG.City
<br />regul~ tiona. . Ibe~8i_ __fel~ibnitr for &:aIPli.. litla aDI, appUcable deed reatrictiona.,'
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<br />B. UNLICENSED 'CONTRACTORS AND, CONTRACTOR RESPONSIBILI.'l'IES '" "
<br />If the -0IiJIU baa 1Ute4 i c:oatrlCtoror cmtrJCwa to WIdertiU .ork, ther IilYN required to l>>e 11ceqe4 la__.1ith
<br />atate alld local regulati~,~,., If tbe CQPtrlCtor 18 DOt liClDied ill required by .w, botla ~.,~ aD4 .COAtIict&)r .,be
<br />cited fllt i aiacle_llOr .,iolitiOl(UD4eJ' atate .1a.. If the OWQU, or intended *uactor are'ucerWll is to .t'li,c8D8iAg
<br />requilElllenta Iill apply to!; the 'inteDded work, they are advised to cont.ict the CitJ of Zepllyrhil1s Building De~~f (813.)
<br />188-6Hl. . ",..' . ',' '. " ',,:,""'" ' ' "
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<br />, ,
<br />FurthErJlOre, if the 0I!Il8l' baa lUted a cmtractor or contractors, he is advised to bave the contractor(a) liga' portiaoa of the '
<br />'CODb actor SectioDa' of ,WI appl1CitiOll for wch',.tbeJ .ill be reapgoaible. If JOU, ill the ower aip ita Uie ~tfac~"
<br />yOll are iDdicatiDg tIlit 'fOU, ratber tbaD tile COIltractor, are reapoaaible for the IIOrk. If the COIltractor .iabea 1QIl'. to ,lgll,
<br />as COl:tcactor that Jilf ,be aD WicatiOll that be is DOt properly liClDiedand 18 DOt entiUed to peraittiDg pd,il~.. .iJl~
<br />. f pll billa".' ' ,'" \ ' ,"','. .. ,.'.' ',.'
<br />CIty f., 9^ yr, ... """,', ," "," .." .....'.'.,',....
<br />. ,i,..... . ._. . . ',' -; .:,'. '-'. "" . .. , '. ',-.' ",'-" ..',...;. " ,
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<br />C. ~rRANSPOR'l'A'l'ION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />... . ,",
<br />
<br />D .~::ONSTRUC'l'ION LIEN LAW (CHAPTER 713, FLORJ:DA S'l'A'l'U'l'ES, AS .AHEN.P~1. . '
<br />I certify tbat 1, tbe.ipplicant, be.. beeIl provided .itha COPI of.F1ori~.sCOaatrw:tiOll Lien Law - B~er"'P~U~
<br />Guidel" :prepared by tile' Floddi DepiRleat of Agriculture aD4 COaaLIIU Affairl. If the applicant is aeona other tbiltbe "
<br />1OWD8J', 1 cartifr~tl,laav.':gl)w.u.d . copy of the above de&cribe4 doc\IIIeDt aDd picaiae ill good faitla to deliver it to the
<br />'ovael' prior to ~'JCtIePt." "':.' ~ " , ," ' . " , .,.'
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<br />. '. ;..: l'- ~. I . .
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<br />E. r:ON'l'RACTOR"S/OWNER'S'AFFIDAVIT "
<br />I certify tbat ~1 ,tlllf Wor~UOll.~tIijI'appli"tiOIl' ~ accurite iIId tbatallW!t.k .iUbe4Olle 'in' eo.pliance with \~11
<br />applkable 1_ reguliltiDg COII8~f 'lOIliDgiaDd 1aD4 d!!,eloplleJlt. ' .' '
<br />
<br />~ . . :..-:<.<:t;/~~,',': ,', ". <'~<':.:-.<,";1:'1-.,1, .-:?::, . " I:. . . "'-',
<br />
<br />Applh:atiOD 18 ,hereby" to ob~ ~ peran to do.oJ;k aDd. iDatallatiOll aa iD4i"te4. I certify that QO 110ft or'
<br />iD8talbtiOll baa ~"cedpiipt,~:r~~: Qfl:P,eiaitiDlltbat~l_k "UI 'he'ped~tol88t stiDlJinW Qf all ,~~
<br />reguldtinq CODItructiOlli City.;'~~'~~a~iOl1li, aDd UDdde.eloplleJltr.etIl1ationa ill the iur~ctiOll. I Wo I,. ".' .
<br />certHy tbat I WlllerataDlJ tbat tbf"xflgUlatiODl' ototbet go'811IIeJltal ageDCiea iiI apply to tbe illteDded ..t, aD4 that it ia
<br />IY r~jponaibillty toideDtifJtlb4t ~tiOna Il\1it ~ to be' ill COIpliance., Sucb ageAciea include but are DOt liJited to:
<br />* ~!lrblent of Envirouental R~ation - Cfpreaa IIIrbeada, WetlaDd Areas aD4 EnvuOOIIeAWly $eDaiUve Landa,
<br />': ' " , , " " ~terJMilltetlater Ireatlent .
<br />t Sou~~weat Florida ~ter llaDiQeE1t' District - Melli, Cfpre&l Barbei4a, MeUaDd Areas, Altering Matercouraea
<br />t Arl} COrpl of Hn9ineera .. S~la, Docks, 'av~gable Materwaya
<br />t ~:~!Uent of Health , RebabilitaU,e Senicaa,' Envirouental Health Unit - Melli, "aatewil~ lreatleDt, Septic ,- "
<br />t Y!..~~l'ironaental Protection Agency -Aabeatoa abat.uent " ' , I
<br />I all,,) certify tbat,U,tUlliltuWlato be uaed in FloodZOlle 'A' or 'l,ete.', it il UDderatood tbat a driiDaga plan
<br />addre.tlf.ing a 'COIpIUiItiDgvolue'.ill be lubllitted whieb 11 prepared by a profeaaiODal engineer regiltered in the State of
<br />Floridil prior to peq1t iaIuane!"," :,"'" . ' ,
<br />
<br />A ~~lt iaaued Iball be cooatnec1 tq be a lice0&8 to proceecl .itla the tlOrk iDclllOt as alltbority to ,iolate, caucel alter, or
<br />set ~liide any prodaiona of the tecbn1cal c:odea, DOt aball iaalliDCe of a per,it preVeAt the Building Official frOl U.eafter
<br />requiring i c:oaeeUgQ'.of '"Qt' iPpliDI, CQDOtructioA, orviolatiODl of aDI CQde.iveq perlit iaauedJbalI becaIa.invali4
<br />unleul tbe tlOrt alltborlied:by auch 'perait 18 ~nced tdtbia sUlODths of iaal.laD~, or if. WItt alltboriled by tbe perait'is
<br />sWlpt:lldec1 or .-ed for i perioc1of ail IODtba ifter~tiIe the.ork 11 ~~, '~ 90'dar exteD&iOll of tile, lar be
<br />all~led for ths peQit .itJa fee _ge of '15.00. !be exteD8IOll aballl>>e requested illlIitiDg to tbe Building Official. An
<br />appr(,voo iDapecUoD at be logged during eacb .u atll period, 'or' the project wI. be COIUlidered aballdoPed.
<br />WARKlKG '1'0 OMIIB:YOUI PAl_ '1'0 aacoao llOJIa 0' 'CQIIMIICIHU! XlY BKSULr IX VOUR PlYlJiG "'Ia FOR WiOVDD'tS '1'0 VQUi
<br />
<br />=~':u~,~~~p~t=:~~~I~~~~la~,.
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<br />
<br />Sii~~'1UBE: owua , . ," " SlGKlrllRB: COIIBACrOIl '
<br />
<br />i _ (' '..; ~
<br />
<br />S'Il'J'H OP PLOUDA . ,.' !o,." .
<br />COUXlrY OF PASt 0
<br />Tbe {'oreg,o,iD,9. iDa,,',' trwaeD, ,t, ""as a~oWl, edge,d
<br />befQI'e .~ :~i~,"'k~R~J.I)5;}9 " , by,.
<br />
<br />_~I-13d:7?r", $/~US"';:""
<br />who i,s perscmally pown to _ or wile has
<br />pred:u.eed ' .
<br />. u :i~8Il~ifi~_.and,,~~di4, ~ot
<br />takl~ an .oa :..""": JJ.< ,{' ,:i.) , , " ,
<br />. tX~~ '>, ' .-: .oU
<br />(Sil]I1lat e)
<br />
<br />. S'llrK OF FLOIUJ)A
<br />COlJlrlY OF P A Sc <. ~ .
<br />. Tbe foregoing iDatrument was acknowledged
<br />before me this JfIlRt:JI /3, 19 90 by
<br />
<br />/}LBc:J<.t" SII-1 M-S ,
<br />who is personally known to me 81' wbo' aas
<br />..predu.ced '
<br />jail illlNltifiQirtMa and who ~did Dot
<br />take aD Oqth.
<br />
<br />
<br />(Signature)
<br />
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<br />'M
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<br />i,;.!;l[ * Expir_Apr.02.1999
<br />".:~,,,/' ::~==NU
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<br />~..,,~ ~/J,-
<br />.t>b~~
<br />, * li:iJl/ *
<br />~~ $I~
<br />""# OF f\.O~
<br />
<br />KATHLEEN J BROWN
<br />,My CClRvnlesion CC44G029
<br />Expires Apr. 02.1999
<br />Bonded by NFNU
<br />800-224-6368
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