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<br />OWNlm-mn I.DER ^FF I D^VIT <br /> <br />ST^'IT: OF F LOR I J)^ <br />r:nPNTY OF p^SCn <br /> <br />IH\HJRI: mr, <br /> <br />t h 0 1 I II,) " I~; i oR II" <I nil LiltH' i t Y , <br /> <br />p01sollill1y npprlllrd --1b.QY11q..5__kl'-tz~k.~" <br /> <br />who brillg by 1111' filst <IlIly SI,'O'"I1, 1111,)"1' onth, drpnsps nil,) S 1.11 I.,.'; <br /> <br />/10' [0 Iloh'O': <br /> <br />,) n I I rIP h y s I, P n I" / n [ f i I III : <br /> <br />Tllnt <br /> <br />010,711 <br /> <br />thr 1'T('1'01 ty ,)rs('] ihpd ns __!25__~J.L~;;2) -..0_' ~q_ -:.....rf2.C!f!.o...o.-O'l?Jo..._ _ <br />. L oJ t:F tjj u=- bO.jQ R :d'{)l: LV<< ~ t3~\ 1?14 -e ft If p" ..)C <br /> <br />lJisclosuI0 St.11."l1lrllt P Y j <br /> <br />:1Inl,' <br /> <br />1,1\0' <br /> <br />1"('(1\1 i r0r~ <br /> <br />COII~; I. 1"11<' t i Oil <br /> <br />!, " <br /> <br />1 <br />1)11 <br /> <br />dOllP <br /> <br />I,v <br /> <br />1 i C01''''',j (,0I1111>('1.01~;, <br /> <br />Y('l! <br /> <br />"fJ ',' (' npI' I i ".I <br /> <br />f"1 n J"'IT11il lll1d"l" nil 0XPflIptioll to thr l/1h', <br /> <br />Tltr PXPT11l"ioll nllov.'s YOll, ns Iltp O\,'IIPI "r <br /> <br />\,,1111 IlJ "J"') I\', to /lcl IlS YOUI' OWll COil! Ine!"1 (,V(~II f Ilouglr yo" do llot I1nv" /I I ;"PIIS,', YOll <br /> <br />rnll~:1. ,';)II"'I\:i;.r Ih" COIIsl,ruction yours"lf, <br /> <br />YOII mn\, hlliid 01 irnplovP n ()llr-fnl11ily or I'd'- <br /> <br />fnlllily r('sid(,llCP or n fnrm ollthllildi1lg, <br /> <br />You mllV n1so hlli1d or implovP fJ COll1mrlCiil1 <br /> <br />hllildill,g ,''111 cost of $7,),OOO,()() or lrss, <br /> <br />'I'h r h 11 i I dill oS mu s t h r f 0 ,.. yo 11 lor,' 11 lIS r ;] II d <br /> <br />o C (" lip illl ,~ Y , <br /> <br />1 t rnny 110! hn bu ilL for Sill r 01" I "'ilSr, <br /> <br />If YOll s('11 or I(,ils" n building YO!I <br /> <br />11I1'd' l)1)il1. y()uIsr]f ,dth!n 011(0 Y";lr nfl.pl' tllr ::onsLructio11 is comr1"t(', th(' lnh' h'i11 PIP- <br /> <br />':11111 P t h n t v 0 u h 11 i I fit" f () r S n I r 0 l' II' n S P, I,' h i chi S n v i () 1 n f: .i () 11 0 f f: his (' x P I1l I' t i 011 , <br /> <br />1'011 l1lil\" <br /> <br />lIot hi r" nil un 1 i r'f'ns pd pr rson ns YO'!: r:nn t.rne tor, <br /> <br />ltis your rpsponsihilitv h") milk(' Sllr'" <br /> <br />th;]!. flrOl'l(' PIll)'loy('d hy YOII hnv0 lic('lIs('s rp'llJin~d hy Slnlp Inw l111d by COUll!:V or mllnir:il'nl <br /> <br />1 i (~f\'IS; tl.P: ()r"cl i rlnllr.~""s. <br /> <br />,^,ny person working Oil yoU! 1111; 1d in1\ wllo is lIot <br /> <br />i C (' n S (' d I1lll S!. I"" I 1, <br /> <br />lInrl" I' YOII" sup" I-V i s ion Illld TnU:; t hr "l1Ip10y",) by you, ,,'h ir:h m('nns thill' you rnll~; 1 r!rrlll" t <br /> <br />F, I , f; , ^ <br /> <br />I1n r1 h' i tI d ! ()] r1 i it gin x n Il rI r r 0 v i d (' W ,H k r ,- s' C (' OJ I' r n c; n I: ion f 'H t h nip m p ] 0 v (' f', nIl n :' <br /> <br />1'1 r~;C)" i b"d I,\" I nh', <br /> <br />You r con sIr U (' I j 011 11111 SIC om I' I v II'i t h n J I n I' f' 1 i C n h I (' 1 ill,:;, 0 r d i IIl1n C "s , <br /> <br />1111 i lr! ;n!~ r"),If'~', nl1r1 :',r-:1il:); J'('1\:,1I.1t LU1;:" <br /> <br />Th[ll <br /> <br />}I[lvr 1"'ilrl th" fOl''''p',oill!;, [lllrl 0110 ;]h';11r of illY 1r:';I'''w;ihiJilins nnrl lin}'ili:]," <br /> <br />f (, 1 r 0 n ., I 1"1"" t i () II \0,7 () r k 0 1I !. h (' n h () \l (' - d " s r: r i h (' d I' r 0 J1 (' r t Y n 11 d rl 0 h (' r (' h Y ;] ,g I" (' (' t (, r ,1 ,: h 0 ( t h p <br />,1[n!('Silid SI il'1I1nl. iOIlS, <br /> <br />rURTllf::1\ MTIMH S^YETI! NOT, <br /> <br /> <br />.~() QO--nBd~~~V__"DL/t/C._... _ M <br />^r1dl[;'s <br />... ~Ih rd~~~JC-=~3Jf~ <br /> <br />~~,;(::Nt1~~: 11 ~]I~; c ~~q~~l~:~o_r('_.~~_ <br />1 'l_U. r <br /> <br />----W~~~~.b __ <br /> <br />Not:nry Pnblic.T <br />Stnt." of FloridlJ AI: Lnrg" <br /> <br />My Commission Expires: <br /> <br />---_._--~_._----~ '--~~ - -~_.__._---_._- <br /> <br />- -------_.~--~- <br /> <br />Print, Type, or Stnl1lp COl1lmis~,jonpd <br />Nnl1l(, of NO'LlJrY l'nbJir: <br /> <br />- <br /> <br />- <br /> <br />!'''lsonlJl 1...,. Known <br /> <br />or Producpd Identificllf:ion <br /> <br />-----., <br /> <br />C~T"':"': MONB4QI(EN <br />Notr-,' 'i "'!fc - Sta~c c' Flondo <br />My Co""'....,'--,,,., Expires Apr 23, 2001 <br />C('~-r,':'slon # CC640942 <br /> <br />Tvp!' of Ident i ficnliolJ <br /> <br />--------._--~-~-- <br /> <br />----_._---"----- <br /> <br />P CCJ305304 7 <br />