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<br />. COND.tTl0NS~O,."~P.IIH.t't.,,AFFlDA VIT
<br />}\. NOTicE Of' D~BtJ RBSTnIC1.tOtfg.!~ftl'~,~'f~I.~;'l~!~< i.....
<br />the under.Jped _er.tlnd. tfllttht. pldjt".r''''!_Jec.ifti~'r..tr1dJOn81 wbleb lar be lOre rt!strictiV!! than Cily
<br />reguJ_tlad', th. Uftder.l....'..IdIII~1bljltt,tot;taipll '.I~ ant applIcable deed restrictions.
<br />. ,i"''':,'n ., ~.,: - . -,: .. .
<br />
<br />D.' UNLICBNSEU.COMfRACTOnBAND CON1nltTon hESPONSIBILITIES
<br />J( thl mmer h.. hit.. I ttlftttldol' Ut,,_tt.dort to UIldttUll1llOtl, u..r .arbe'l1qUlrtc1 to bIIlcensec1In accordance wilh
<br />Itatt .m11CJtII ltgttllUdht, , If lht tGIlulelor I. not UttHtd;;1I tflQ1llttc1 bt 1.., bolb the owner ....4 contractor III' bl
<br />tltec1 tor. .I....t ,lollUm un.1tr Illt.'lItt, U lh....fttt.ldlMc1.a.tonhador are uncl!rtaln~ai to "batllctllllng
<br />requlre.inll lit appl, r~t \he lnltnaea IUtl, ther It' a4.1ttd'lG tbnllcl lbe tilt of Zepbrrbllll Building Deparllent, (81l)
<br />181-5611. ' , ", .,:. . ' "
<br />
<br />, . ,..1 ,'.;'
<br />
<br />Furtherfor~~ 11 the mmtt has hired I cnnlraclor or contract6r8, h@ 18 ad,tsed Lo ha,. lhe conlraclor(R) 11gn portions of the
<br />Iconh.dot 8C!tUOIIt' of .Utl' .pplluUm for Itblch lbetltlU be ttlpextllble. 11 you, ae the mmer 81gn a8 the cont.ractor,
<br />,ou 8r~ Id~lcltjn~ that fbi, 't_thlr lh.. lhe tanlr.clui, itl f.lfijftAlblt'fof'lhl VOtl. If tbe contractot Vllhp.B you.to 81gn
<br />as ronltactor thal .., be an In8le.tlDd tbat h. I' not ptoparl,'lJtented ana i.not entItled Lo per.llllng prl.llege. in the
<br />eny fJf leph,thUl',' '
<br />
<br />c. TItAHSPURTA'tlOH IMPAC.r FEES ANlJ UT.tLITt COHN6CTI0H' FEES
<br />
<br />v. COHSTRUCTI0N LIEN ~AW \ (CHnPTKR 113. FLORIDA.STATUTES, AS AMENDED)
<br />I certify that I, the applicant, .... been ptOfJata ,It. I eopr at 'tlorldat. Con8tractlon Lien La, - HoIeownert.'Protlction
<br />cuh1,," pt~lrec1 h, the 'lbtld.lJeplttMbof:Agrltultatl .....,QJaIdItr AUaln. If tIte.ppllcant 1. 10Ie0II8 other than the
<br />"otml!rl, I tl!rUI, that 1 .... obt.tled . tfJpt ur u. .botll "'ttlbtc1 dotuIent Ina prattai"Jn good faith to dell,er it to the
<br />"Olfflef' prior lit toIItnttllnt, ./ i ,:i .. t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certff, thAt .11 the Inforlltlon tn ~l. .pptlclllon .. .ecUrlle and lhat all warl viiI be done In cOIpllance wllh all
<br />appUtahl1 I.... U!91IJaUIIf .....lnc:UGi"...Jllft.nd1.'....I...t.
<br />
<br />-
<br />
<br />"I'plh:'Uon I. berelt, .. ld.llttll.. Plr.I'l.~dG IOr.l~,;jlll~JI.tJoa ~. Jncuc~tedo " 1 c~rt~fr that. DO worl,or ,
<br />Inlllall.Uon .1' t_....\'d6r:,J~ot~...ttll~~.1~i'PrtiU1 ~pUlodecl~l~ ...t .tInI1arc1a,Iof al1:1a..
<br />relJlllatlltg t'OII'bucUtJnj tUt ....t~~..{~I~t.~~~....i ....1,...~;. r.s;..Uc,aitlftl~)U~IIc11ctlOlt;A':j f1allCl\)
<br />rl!rllf1lhll t ,"r.t. ih_t'the llglltU06tQ&l ot"r.tiih_t'I"'_lH',,"'ppl,~'totlhi"lntenc1l!C1lO[l, and that It is
<br />If rellpoflllbllltr tt) 1c1.lIt, llhat'aCU-JiMtt,ble,\O ,~,I';._1J.nct. Buch "encllllncluc1e but are,not II.Ued to:
<br />. DePllrt.nt of Intlr.-ul ..1IU.. litiiih 'ftWt.t.; IItt.... At... ancIlndronlent.aUr Sensltlfl Lanc1.,
<br />, ':" , " , . !,;I~ . ' ' ":W.t.tr,,,.tllil.r'tlltJtnl
<br />. Soutlntlll Flodda Valet t' 1J1Ui1~~ <ii' ..U./t,;titlIo.,ldIact.,' Wetland Areal, Alterlng Walercourl8s
<br />. IIr Cor 0 ""tllad.abl. ,.tllt.
<br />. Depllr18t I) 'I lUl ,.;htt c.1ti~,"'1t.. ...llb' IInU - Velll, Vaslnatlr 'reallent, 'Septlc lanll
<br />. US ladr..t.t f'IO . ,.~:'. ' "t....~IIta~..t, ,;'" \ '
<br />J allo cert If, IIler.1 I. (o''''~'ld 'I~ ldft. 'A' or 'A,tle.l, It 1. underltood lhil'aJdral~gl plan
<br />addressIng I 'toIpinI8UJt.tOJ..~;.ttl1l .. .abIIIUec1, ~hl~\JI pr.partd br a profe88lonal .nginler nglltered 1n th!! State of
<br />florlela prior tet pet.n.lnuMtt; ',"" , " .' , .. . .'.'
<br />. "pl!r.1t Issued ehllll bf aNait~'lif..:.",litlriiltO ~ttM:t"'.Uh the tIOr. and nolas authority to'lollllt,'cancel alter, or
<br />Bet .alel. an, protlal...."l tlIt~tIdIt.~..,~IIO~ ...U:........:. of a petln prlfent. the Building Official CrOl tberea(tu
<br />requldng . tott~UOllb' "ttOtt"I. :pRMr...ttEl~~Jaft1itIIUont of' atlrtoc1l. ,1,.t1~lJfl1llt"lIl_;.hal1"" ,lMaJld
<br />unl!s' the ttotlIUUldd...bt......;:..~ltJ.~~~1t~.,.." ~~ of .1~'UIl1Ct, or. If worl lutllorlltd bJ the ptrlll 18
<br />lIullpl!ndt!C1 or lbinc1onec1fot...doc1 o,i...~..(M~tl.rl...UIA.u..lfOd't.'~M. OIIll90 ela, edenllon of tile, IIIr be
<br />II110000d rllr tilt PtttlttttU. 'II ...tgt:CJf~.IS..~.' "MtMt!L~11 \II reqae,lec1 III wrlUng to lbe BuUellng Official. An
<br />Bppro,ec1II1.peeUbd Mt'lJt t_dtttlng;ialfVl"."'I."F~f'lht project .111 be toft,lelend abamloned. .
<br />""RIIIM: to OlD.! nil 'AU.. to("'~AilOtltl. ,. ,IIAY Rlsur,t III YOUR PAYllI' "'ICI FOR IMPROVIMiItS fO YOUR
<br />PROPlm. ~r',,*'I~'IO~~tl... *". .'" .' &aMI OR ~ An..' JlFORI R~lIfG YOUR .orlc;B,OF ,~.
<br />tlllllDlllT. JoIII "'2t.:.tI;'~;,~'. ,....."f. h, ,,~P,'f. POSt A MICl OF tullllCIIII", .
<br />~ . . .~,.. diZ~ ~
<br />
<br />/>t, "', 't' BIG'Aflll!: c~~ '---
<br />1 . t .' ~.
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<br />
<br />I:
<br />
<br />S""I OF FLORIDA 0 .' ' ~ ., ',' MAtI U, FtOR1DA r:~
<br />COU",' OF t::fI.S { {'J . ". coom OF I /95 C C'
<br />Tb~ tort!golng in.t~t!.."~I.~tkno..l~.dg!~:, ~v'.rhl foregoing InstI'Ullent WlIS acknowledge,~
<br />before 11I8 thUi .5f.php'k .:?; ,!,1t~ ,hi,. ,,)tllure ate this S(Mph",,\jA.r~ 19 99 by
<br />ferfbP"y/(7 ,fA4~',.,/ _ /"S";V;f-'~ Af,~.,</;v " '.
<br />who Is persona11y, kriown to lie or WhD h~s t"T,~.tW 0 is pers ally known to me or who hlls
<br />proddced . ,~~~toduced : '---,
<br />as IdenHflcat:tun an ' t..... idenUflcation 8m] 'Hho /did not .
<br />take ~ ~ . .. H .: :.::t.ke , h.
<br />(signatur -~
<br />
<br />
<br />RICHARD DANIELS
<br />O,....'Q". ledlrdrb1iBf..... a
<br />fi. j~ My Comm. Exp.AAg;~l: 2 2 .
<br />,.......~~~ Coinm. No. ,771791, ' .
<br />0' f'"
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<br />
<br />'.0,' tN1lJI1! Typed,
<br />, ' '~'ROTARY. PUDL
<br />
<br />" .., ~ ... 1\. I
<br />
<br />~ar~~_cl Florida
<br />My Comm. Exp. Aug 31. 2002
<br />Comm. No. 771791
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