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<br />CONDITIONS or FERMIT AFfIDAVIT
<br />A. mllIC:\naOF DEED RBSTRIC'l"IONS
<br />fhI UDl1en1fDti ertt.D4e thirtiilp@r.It lar be lubject to 'det'd r!lIlricUons" which iii' be lOre f(!.trlc~'Y' tbu Clt,
<br />regaletIGB.. !he uaderllgned a.lu.,. reBponIlbllity for eOlpII~c~ wIth any appllelhle 4eea :c.t~let!ODI.
<br />
<br />B. UNLICBNS8D CONTRAC~ORS AND CONTRACTOR RESPONSIBILITIBS
<br />If tile oat.. hu hlrea->i-oontractor or coni:r~ctor. to Ul1dertake lIork,-Hi~y .i, be r"ulrec1 to be lICtlllecl IQ accoI4IIlce 11th
<br />.tate and local regulatiODl. If the contractor 1. not lic8n8ed 8A reQulre~ hy 181, botb tbe owner an4 CDfttrtator II, be
<br />cited for a 111d8lllnOr ,Iolatlon undor ,tate 18'. tf the owner or Intended contractor are uaeertalD aa to wblt llclIIlng
<br />fequlrlllftta IIJ Ippl, for lbft Inten~ea ~rk, they ere advleed to contact the tlty of 18pbJrbll11 Bulldfftl DepartleDt, (113)
<br />788-6611.
<br />
<br />rurlbe~r., If thl owner bel blrea 8 contr~clor or contractore, he 1ft 8dvlsed to have the contractor(l) lion portloaa of tbI
<br />'eODtr.clor lectloos' of tbll application for .bleb tlley 11111 be rI'IlI'OOIIibll!. If JOu, a. the OImH .190 .. till eonulctor,
<br />roa are IWlicetiug tb<<t you, tether than tbe contractor, are rl!BponRible for tile wor~. If the contractor ,il" fUll to IlfII
<br />u l"OftUector tbat II' be an lodlclIUon that be is not proppdy lIr.'nll~ an~ II not ,nUtled to penlttl"9 pdYIl.. il t.IM
<br />City of Jepbfrhlllt.
<br />
<br />c.
<br />
<br />TRANS~ORTATI0N IMPACT FEES AND UTILITY CONNBCTION FEES
<br />..-..........--., .. .......-...--...----...-........-..---..-.-..--...... -
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<br />D. ~QHB~RUCTION LI&N LAW (CI~PTER 113, FLOnIDA STATUTES, AS AMBNDBD)
<br />1 c~rtl , tbat i, t,be applicant, biiiibe\Ui pro'l~e~ .ltb a copy of .PJorlda1ft Construction Lien Law · ~It" Protection
<br />GulO.' preparea by th, florlda Depert_,nt of Agriculture an~ Con"u.~r Af.f~lr8. If the applicant 1. tOltOnI otblr ~ the
<br />'OIftlr', I eertif, tbat I ha'D obtllDed a copy or the abovt delcrlb~a dor.u~nt and prOlls! 1ft gooa filth to dlIl,er It to tbI
<br />'owner' prior to COIIeftCRRent.
<br />
<br />E. COIffJlA~TOlt'l!.lP~~~n I ~ l\FF1J)AVll~
<br />t tertif, tblt .ll~lnforlltion In tbiR applicatIon II accuratp. ~no that alt wort wIll be doni in cowpliaact .I~ .11
<br />eppUelble 1_ regulaUng construction, lonlng, Md land developlent.
<br />
<br />Application 11 hereby Mdt! to obtain a ptlllt to do work ana lnehllllUOl1 liS Indicat!d. I cutlfr tMt no IOrl Ot
<br />Inttell.tloa bat CDIIID~ prior to Issuance of I per.it and that all IOrt will be perfotled to leet Itandar41 of all Jill
<br />regulating oon.truction, elt, cadll, loning regulatlont, and land dQveloplent regulatlonl ift tbe jarl14lellon. I alto
<br />certff, tht I "tllmd that the IlgulatioJUI of otber go,etnlellt81 agenele. II' apply to the lot'" war., ana tut It il
<br />If rupmelbilltr to IdenUfr wbat actions I lUst tsh to be in colplianr.e. Sucb agendu Incl. but UI DOt Illltll1 to:
<br />t DeNrtlent Of InvlrOftleJltal ReaulaUo!l - Cypre.1 Barlltadl, VeUsnd Areel and IndronlMullr lenllU" Laac18,
<br />r lI.ter/Wastewater 're8t~nt
<br />iOIldl Vatlr MIftI t Di!trlct - VelIe, Cypress Blybea~s, Wetland ArRae, Altering Vatercourlll
<br />I CO 0 tIrI - .811. II, , KaYlgable waterway a
<br />· . ltbabllltatl,. Ser,icIs, Ift,lronaental Heelth Unit - We118, Wastewater 'ttltlBnt, leptla lanlt
<br />· U8 Im'I~tI Protection Agtftc.1 - ~h"st"B INtuent --------- ,
<br />1 .110 -tUf tlJat;1f rib IIt'rilll hl to be u8011 in ,100d Zone -A. 01 "lI,etc.", It la u.ndentood thet II atllDegt ,1M
<br />addrllllft9 1 'CQIpID..tlag 701018' ,fl) be .ublltt,a wbleh is prepared by 8 professional envlneer reglltertd In the Itet. of
<br />Plod.. pdor to pertlt Illuance.
<br />
<br />A parllt 1..ul4 lball be construed to be a llcen!e to proceed Mlth the war' and not II lutborltr to ,loletl, CIdCIl Iltlr, or
<br />let ..lde enl prowllloal of the technical codes, nor shall 118uance of 8 ptrlit prevent thl Building Official frol tblrllfter
<br />IetJUlrlng I correction of error. in planl, COII8truCUon, or Ylolatlons of anJ ccMle. Iver, ptl1llt 1...14 .IU ..... ImU.
<br />ani e.. till .l lutJlorbt4 bl IlIth pel'lU lB C<*Ince4 within 'II IOnth, of leluance, or If IOrt latIIorlll4 br tIIia penlt I,
<br />IUlpent.. Dr abIn&loeG for I perl04 of elllantM Ifter the tile tIl. 1I0rk 18 c-.neec1. Ofte 90 aer tat..l. of till, ., III
<br />11Iowec1 for tH ~t with fie clIerge of tI5.00. !be utenl10n sball be r!qUelled In wdting to t.lllIuUI1Dl Offlelal. III
<br />IpptOYII4 lllPlctlan IUflt be lon-S during each aillOlU period, or tL. PIOJUCt will be COnllGereG 1IIIndontd.
<br />_IR to MIl; YOUR r IlICORD A mla 0' mIlUCBJIIM! MY RESUL' 11 YOUR PAII"S !Vlel Plll ~ 10 1M
<br />PIIOPUIf. I' 10U J 10 OIIAI" , CfIG, COI8U"Y lfltH YOUR LIIIDIR OR lJr JlnORm II I. tooIlOhCl Of
<br />CDIIIICIIIaI. f2,500 II VI DO lOt IBID ro RlCORD UD POBT A "HarIC!
<br />
<br />
<br />
<br />SliD or MIDA
<br />coom 0'
<br />The foregoiftg iD.t~ent was acknowledged
<br />before .. tbiB _. ___, 19_ by
<br />
<br />who II perlon.'lly Julowntci-ie"or-"liOhaB
<br />:~~::~lf1catiOnftilcIWbO didiaranor-
<br />take aq oalb.
<br />mgDit"uJ:~- ,--- ---------q.-
<br />(M... ijjpid;-priatecr or Si-upedj.-----
<br />ROTARY PU8L~C
<br />
<br />
<br />STAn OF noR.DII .0
<br />COUNTY OF l '7 g..d. 4-t.'2
<br />The foregoing instrument wal acknowledged
<br />before me thi8 _??t~Y..!.lit:I19 90 . by
<br />
<br />;;jjo4?~~~~~; _ ba,
<br />pr:-oduced __,_
<br />::k;d.nt~:ic.tl0D Bnd .~~...
<br />lsl9~~~~
<br />
<br />___.~ "3..;8; E c$. $ w~r^-/lJ.,J])
<br />(Name T p~d, P~intQd or St~8d)
<br />NOYt.1!.Y PU~,~j;
<br />
<br />~,\1,I'III'
<br />~'~'1l:' :Jt~ Bobble S, SWetland
<br />f~{ d MY COMMISSION' CC534927 EXPI?F'
<br />~>'" ';"~l February 22,2000
<br />'/.;P,'r:,r.,-c-" BONDED THRU TROY FAIN INSURANCE, INC
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