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����ce�������t�� /1?��}DoWODO Co�P �.D�U1. �S � � <br /> � , , � _.�,.� <br /> �H.��:��.00�TE CON€��E�'�4.'P����RR�9[��ERo <br /> �I�&��S�E SKET��4 3E� '��1�5,AF�IEA, E!����E�°T��1,�1������ I�;� �EC�B�YI���� �'�'AC� `P�'�8��� <br /> �B�F��IIC�a'�B�A�. <br /> f - <br /> __..._�-�r�,i . <br /> J <br /> �,s/,a�,!�-...f L��, ) �l <br /> �J �7 ���� f4�� <br /> _ 1� �`f^ '.f <br /> j���r ���__�.�1 Y '�� � �d� / , �+�lQ�l1U� C�� �• <br /> } <br /> � ` . �a� �E du P2�Y�l� <br /> � . , -�� (�f�� <br /> wI � <br /> s ! � ! i� <br /> �Y1; S --s <br /> '}; `�_�-T , 5,,�i `. <br /> ! � c'�� ;�I f�-T "�' <br /> � � � � <br /> j + EXEST�riC7 <br /> f j ���•������;� <br /> � <br /> ,. , <br /> � <br /> ; �tIDT�= f���',t'`/� Ps�,.l3 <br /> ; <br /> � .��f GG t�� /h/f!///�lU(�'P D� <br /> :���. � ^_._�rt3�D ��Dyl ��icr',�'�' �F !�!�'�'� -�_---�'__��. —' <br /> �� �`��' � �Of�15 �_.� � �����, <br /> o � -�° � ! • j ��°-� �^ <br /> � - o <br /> i <br /> AFFIDAVIT: Application is hereby made to obtain a permit to do work and installatians as indicated. I certifjr that all foregoing <br /> information is ac�urate and that atl work witl comply with ail applicabte codes. I understand these codes shall take precedence over all <br /> approved construction documents,_and�ssuance of th(s permit is veriticatian that I wii!notify the properiy owner oP Flarida t3en l.aw <br /> req., F.S. �13. . <br /> `fhe issuance of#t�is permit does not ensure compliance with deed restrictions and I understand that additiana(deed <br /> restrictions may apply to this property. <br /> ���w��sh�88 ccs�p9y�wot�s�h���t�rrent Fl��ic���a�i�c�i��C�d�,���9ic W�r��e�����+I�e�aa�0�r�d FDt�'�'t����r� <br /> �rt��rd�(if��pli�bl��. (Public 1�larks Design Manuat online link:www,cl.zephyrh,��s.#�.usJpubtic works.asp) <br /> APP�IC�4TION IS VOID C�NLESS SIGNE�1NiTF4 PROPER IDE(VTIFICATION AND WITIVESSED BY A PERM9IY <br /> �"ECHNICiAa(�OR h1�DTARY PUBLIC. <br /> , <br /> �P�`�: 4he�ity of�ephyrhitl�is nat e�spora�Hbl�f�e�rroa�enb�n�wa;��e�r��ics a�f�r�v�w�y��. Drivewr�ys�i��16 w�at a����/ <br /> ee�t�r�v�6ti�eKi�en���eo�u�raC�r����nt a�na�J��we�vey�nceo <br /> PROPERTY 01�It�ERS: 8y signing this appiication: I certify that I have read and underst�nd the ov�rner/builder disclosure <br /> 5�atement. {please initial) <br /> Appficant Pr3nt Name Applicant Signature Aate <br /> Permit Technician Signature {or)�lotary Signature page <br /> Ap�licant is{ )personal(y known to me or produced as identiFication. <br /> (type of identifcation) <br /> ���� ���� <br />