|
<br />.. COHb.tTtOH8~O"'"~'.aH.t~.,\AVF.tDA VI T
<br />1\. NOricE Of' DSEU nKS*J'nlt1.tO.Ng.(f'l~l\~,~'NiI.~:'l~..~,.' ...,..
<br />'he bnllu.Jgntd _er.tend. tlllt till. "rl1t'''r.tlet.Jee~iltt~..t..trleUonl' IIhh:b .a, be lOre rl!strictive than Cily
<br />reguJ.llad'. tbt Uftdet.l....'.......,l~..lJll',tot;toIpll '.Ilk an, applJcable deed reBtrictionB.
<br />. ~ ''=:'''' ..~. -:. . -.' ..
<br />
<br />B.' UNLICENSEb.CONfRActOnBAND COH1MAtton hESPONSIBILITIES
<br />If lh. owner h.. hlttd . toftUldot' ut.~trldol1lo _tU'ltllOt"tM,.."IMl'tequlrtc1 to be IIcenBed In accordance rUb
<br />,htt 1m11<<M:Il tliittU.., If tht taltUlclor It not Uttftltd~.. t-.lttc1 by In, boUa the owner ,~d contractor la' be
<br />cltec1 tor I .1.-IInctt tlollHm un.ttr alll.'lite, U 'u...""bf'ldtWtl1."tonhador Ir. uncl!rbln~aB' lo1that tlcensing
<br />ll!qulteiOllU IIllppl, rot \lit lnl.... IMJ"', the, at. add_let ttmllcl th. Cllr of Zepb,rhillB Bullding Deparllent, (811)
<br />181-'611. ' . ,'. ..,. . ' ,
<br />
<br />, . ",' ,'.:'
<br />
<br />Furlhlrfor~t If the owner hal hired. contractor nr contractorl, h@ Is advlled lo bl" lhe contractor(s) 81gn portion. of the
<br />'conlt.ttor Betti.,' of .~J. ,ppUtllIm fot Ithlch the, 'till be tilpclllllble. If ,ou, aB the owner 11gn a8 the tonbaclor,
<br />you arC! Imtle'U~ that roo, ralher lha tM tunltatlot, n. '.tlhlt. rltt the worl. If the contraclot ,,18bp.0 ,OIlo 81gn
<br />81 tottlt.tlnr lhlll .., lie en lnc1IC:'UOIllbat .. 11 not prop.d,.lJCtJI.ec1 nt.not uUUed to perlllUng prhllegea In the
<br />CIl, ,,1 leph,tlllll..' ."
<br />
<br />i.
<br />c. TltAHSPURTA110H lHPAC.r FEES ANU Ut.1L1TY COHN6CTION' FEES
<br />
<br />v. coNSTRUCT10N LIEN ~AW ' (CHAPTER 113. VLORIDA.8TATUTES, AS AMENDED)
<br />I certl" that I, tbt .ppJJeant, ha,. been protJdec1 ,Ilh . tOPr uf 'tlorJ6.'. ConBtructlOh LIen Law - RoIeoIner'8'prOtection
<br />Culll," prl!parec1 b, the rlbtld,,,ttIMbof'Atrlttdtur. lftd",toIIIdItr Aff.lrl. If thl.ppUcant I. .oteone other tban the
<br />.ownl!r-, I cerll', that I .... obtained I topf ut'lht abote '.~t.btd dOtuIent and'prOlJ.~"Jn good faith to deliver it to thl!
<br />.owner' prior tI, toiIIHlnttMnt. ,I ij;; ....
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I cerlf" that .1) the jnior..tion tn t.JI .ppllcatlon i. .ecUr.l@ Ind lhat all vorl viii be done in co.pllance wlLh atl
<br />appHcabltl.... i@gIIJ.UII9 canelntU.,'lanlnt,1nI1 J.,....l.....t.
<br />"ppllc.tlon II lIe..lb, IIdd td'IfIlIl.. petln t..do IOr.'~'ill11t!U.UOll .,. Jncuc~ted. ,I ce[t~(, that no ,.or~ ,O[ ,
<br />InlhH.Uon hI' t_IIIC:tf\,d6r:~~~.t~'Plttlli.~~~.I~i..r..tdU bI,.,.r1o~J~\.....,t .t'-tell',o[ aJ1:1aw&
<br />tl!9lIlatlll9 l'OIIabueUon; tU, _,~'..":l..1.t1.i'WJ. ....l_(r"'..U.tliN..'\)dt..dlctlon~J~t.'a..ct')
<br />celli 11 llllt a unfItetM that' the' t'tgibUOi. '.,f .lltlelO1tfMlIti.f"....,: .,.."af'lo 'lh,'11ntetM1ec1worl, and that It i8
<br />., t'spoMllbllllr l~ .d..llt, ~t'ltt.lnlili...tt.tlle,to,~tl.~~lJ'nc.. Such ..encl.. Include but Ire,not 11.1ted to:
<br />. Dep.rt.t of Indr.-atal _laUoa -. t,.ro Iff...... RtlMt At@.. and InYlrOlilental1r SensUh. Landi,
<br />, ,.;,. '," I' "",. .,..: ...,.t...ttttttlllaent
<br />. Southwest Flodd. If.ltt (blUdct .i ".U.~"'t,;ttMIo.'''''''''.It1.nc1 Irll', Altering WatercourBes '
<br />: :p.rcur t : '. ~'... lutt;.~..Jl=^~=~tt=', lulth'ltall - ViII.. Waltewater lreallent, 'Septic Tanla
<br />. US InrJr.-.atll'"'ID ,~:'., ....tMent, ',',' I
<br />J aho nrt rt, Mler ,"Ii'(en" 'bIt4"I,,"I~'Idft"'A' nr 'A,ttc.', It Is under. toad thit'a'dralnltg8 plan
<br />addrelllng . 'I:tlIIptnlaUJt.toJ..~;.ttUt be .alleUttc1I...lda," prtpared h, I profesllonal engineer It!g18tered In the state of
<br />Florida prior to Jltl.U,lnUMtl. ""'". ,. " ~. ..,'.
<br />. "perin Issued .~.JI lit tUltilttil!c1.ttrllt" ~ .lteeiiie lo ptltCtt,....Uh the wort and nol a. authorlt, to 'folate, . cancel Ilter, or
<br />let Isld. III' protll'.,,,' tlIt~~~"IIOr.."'U;~, Intt of . per.1t prltent the 81IUding O(f~clll frOll titer.., (ter
<br />requiting . tott~U.. if 'ttOti"'. ;:p.....ttlHl~~~itt hilaUon. nf. Ih1toc1e. ,1'trr~IIfI1lIt' 1.1tIICI!.halhllecoll .lnv.Jld
<br />unles. tbe tforl IUU.r".dbt"'ijpt~~J~~~~l~....I~U~ of .I~'uanc., or. If IfOrllutllorJled by UII per.lt 18
<br />lIullpemtec1 or .....ec1 tor. period ori.li~_[fit~tl.flfe~Uiil-'U.. tIOfl~ .d' ec.tinttd. One 90 da, eltendon of UIe, la' be
<br />allotted felr tile .....U.dtll','.. ."tvt:.flo.ll..~,' "M.~!~,.,' 11 ~ requeatec1ld wrlUng to thelulJdlng Official. An
<br />IIrplo,ec1II1'J"!CtlOd IUlt" be __dtltl",: hWVI"-.lIIllIpe,.lht proJeclllHI be conl1derec1 abandoned. .
<br />."1"1-': to OIIII'! roUI '11_ ftJiIltdlDJAi.ltI~ . ,. . *' 118Uf.t I" YOUR PAYIIt' I1IICI FOR IMPROVIHIiITS TO YOUR
<br />PROPlm. It' .n....'IO, .,', ~t . 'WI, '. !m, '~'" ,., '. .' bioi, . 01 AI AnoIlflt 81F01tl RItORDIIIG YOUR IIOTlt;l,Or ,j.
<br />~. . .I0Ilndlllf)tlj.:,I.';:,~ '!".Io,..,~, h'",:~,:~ ,"'" . '1IOI1C1 ~ t:IIIIIdCIMIII~ ___
<br />
<br />
<br />SIC"" 8IG"" R: COIIrMCTOR
<br />. . l,. ~ , .
<br />
<br />
<br />, I :
<br />
<br />STAtI OF 'WRIDA ~_, . ~ ., :. MAf" U, MID. V ~
<br />count OF f /10 L--u cwm OF f.!L.s-
<br />The torl!yolnq In.\ituJl8nt....,.., ~~rOtde,dg.~:.;~''rhl foregoing instrt9Dent was ackno"ledg~~
<br />before Ide thin I / I C?:, ",:tg' .bY',. ," .'~ ',v,ltltor8 Ide this /t',/ r , 19 7"' f' by'
<br />{
<br />
<br />/J I,oE/2 r ...r>;' s ' ..... .. .' /J / .6.c,.e.:r ..f> ~4"
<br />who Is persona ly known . haR , who is personally know me 0
<br />produced '. rl""~'lJtoduced
<br />liS Id It 8n .. 0 ~/d d 'llt · d. '!"I ldet11:
<br />.' /.'. . '/ ~. '.' , I I '. 't4akfl
<br />tak II . ~ ' , 0.,.. . .
<br />
<br />, r ~ i ."
<br />
<br />TName
<br />NOTAR
<br />
<br />
<br />
<br />
<br />" .. , II ... ~. I
<br />
<br />RICHARD DA lEt
<br />Notary Public, State of Florida
<br />My Comm. Exp. Aug 31, 2002
<br />Comm" No. 771791
<br />
<br />tP&NI' j, ~~..."..
<br />
<br />Notary Public, State of FI~rida "
<br />My Comm. Exp. Aug 31. 20b~
<br />Comm. No. 771791
<br />
|