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<br /> , ��Vi'YGGV��RiV�W�N� liR�{�YQ101�SiiPR����i��{Y f�Y��
<br /> f WhlC#1 m8y b�RW�F�t:�Y�f�I1�pltfllY fG�1�8f10t'IS. 7i18 tR1�'�f0d'�EI�1�IE�qF�(�f�1�1�
<br /> '� �@ deed feal(�.
<br /> ' Ul�LiCEtiSEQ CON7RAC�OR� AN� COHTRACTOR : it.ftie o�wner!rs Hred i�Or
<br /> I � contractas to tx�dertait�work,�Y maY be r�qtdrsd to be.dca��eed iti a�w!�splO Irr!t0�1'�o1M. M�e
<br /> �or is not tf�ns�ed as requi�ar!by lsw. bo4h the.o►�ani oor�t#ac nt�ll he ciled-tor a�vi�ln
<br /> �a,aer ardto taw. �t uve owr�er cu intende.��a�+e ur�dtain a3 b wti�c f�tinp�eequ�^efyfmb�reilyt�ppiy�tor;tlle
<br /> int�ded vw�k,tleeY are advised ro�tad the P�co C.q�u�tfrB�idin9l�iepea�on Dh�ip�fo��iitp S�on#TZI.$!7-
<br /> 8009. Furthennoro, ff the oumer has h�ed a c�trsdor or oariac�ors. he i� ed�d b�i�e ths eod[�iqr(�_riprl
<br /> p�tlorss af 1he'aonbac.tor BtocK of this applk�tion for whi�h they w!�be rot�oe�ie. �yai,.e3��;duner�ipr��t.fhD
<br /> c�orrtract�.tl�al may be�n lnd3c�tlon that he is r�t prope�ty licmrised and b nd erditled�D Panrti�hp p�l�Ieprt in�aioa .
<br /> �Y• �
<br /> TRAt�PQRTAT{ON IYP/lCTNTiLITlES IMPACT AA1D R�O!l�CE�.�: Tht tr�o�d tnder�:
<br /> i Shet Tt�ttadon{m�Ct�a snd R�c�Se R�s�eiy FeEs t�y tppty t0:t11e COt�udlG�t d naAr.Wi1!le1�s,-t6fleiepe cf -
<br /> �Fn e�g�ga,a�of�bc�,aa specil9ed k►Pa�eoo�Co�e�ly.Ekdit�n�aeber�_srd
<br /> j 9a07.as arncnded. The��lso�da.tlnt.sud�leea.is ciis�i be iwe:wi be idr�Yd at.fh��ii��
<br /> � �rt,q. ��ftxth�r unde�s�od.that g�+trr�aa Fees�e�d R�souo�.R�yr Ese�s ma�d.be.p�id prfoi•�o
<br /> reoeivtnp a"�oi ocas�mx�'or fir�at pa�er re�aae. If the Wojeat doea not�s arlf�Y d 000t�icX or
<br />' flnal Po+wer re�eaae.the fees rtx.�t be patd pr�t t�pe�rr�ti�oe: Ftri�more.it P"a�Co C.ouM�+V�I�ilrlmp�t3
<br /> teea sns di,e.tt�►i,wsc ba pa�a prior co permic Essuanoe m acco�a�w w�h+pplidiDk Par+�o c.o�s�y a+dine�o.s:
<br /> ; COGi87TtUCT10N UEN LLAW(Cl�r 713�FlorlAa S�tubi,ts�: �-tieltsflfOri Of wOfk ir32.Q00.G0 or mt�11s..1�-
<br /> i c�tify th�t I, the t�pL�artt, have be�.proM�d w�h a oopy of tl�e `Pbffdf.Conb1�lion lin s
<br /> PtC�dion Guide'Fnepated i'�+the Florfda Dr.pat4ne�of Apricul�r0 and C.Oi�t�/�falrs. tf th�apwli0�i�t it Roe!lsOnC -
<br /> ofher tl�the'awne�',�c�ati�►tl�at I h9a�ob�t9ad e Co�y Of�e 9F�ove dost�ed d0aanelR and P��+��i p0od h�h t�
<br /> de�u�r it ta the bw�prior to comsrranoerr�tst.
<br /> ER'S AFfaaAVer. �oe�ty thet�11 the�o�on h�a�ia appYc�on b�axal�ara�t at.waic
<br />, wtu de done tn can�noe w�l,ari�pt�cable I�s►eg�dai�g�:�ina and land de+�iopn�eK• App�On;r .
<br /> tieneby +t�sde ta obt�n a psrrr�i to da worlc er�d instaHaUon as �d. c cai�y tl+�ra aioefc a�I�tloii,h�s
<br /> cortrr�enoad pcior to Isauanoa of a permit aed that�!wak wi�bn pedonc�ed.b med.ibr�dards.af;r diMs t�0!�D
<br /> oo�fnx�la�,Co�r arx9 Ctty codFs.mr�r�9�. and lend d�nelopmerd te�uie�lona:ie�tt�s jt�on. l airJ
<br /> c�yr�t unde�anc�ti�st tbe�eg�da�s d o�er.go�enert a�erwi4s may ap�pty!o ffi�irdenaed�or1c.�nd!!�t k N
<br /> m!►�t0 tder�ti[y wttat at3iorte 1�st t�ce tc be in coli�pii�. St�3s eQOriCies itldtdo-b!#aRb i1041Fl�Iiied U�_. �
<br /> - t3epaAo�rst of Er�v�rar�mtal Pro�n-Cypress Bephancls,W�land Aneat 8erc1 Es�virorwele�fy:�S1NiYs
<br /> La�ds.lNaberMlrsste+eraE�+'Treatres�t. � , -
<br /> - Sot�ftta++�st Ftortde WEtter Man�Rt DfBhk�VUelks, CYP�'� � � '�; !�!0-
<br /> 1Matercotraes. . �
<br /> - �nrgr Co+RR af Er�gtrr�-Seawat�+�Dodss,�s�f�ble N�ee�ys. ,
<br /> - �parbnerrt a#�tsatth 8� R��e FiwMt� iJa�tt-Yl�ab:iA�Newal�r T�iriet�,
<br /> Se�ic Tenk�. -- , �
<br /> - US Emdrnnmeni2f Protedion Agerw�Asbestos a�Eemerd. � ,
<br /> Fed�r'8f Avi�At�rfty-Runways. • .
<br /> I understBRd thot tho tO�avwtrag�.aDPiy to�e t�Of AY: � . .
<br /> - t3se��11.is nat atio�uaod�6toad Zone V ur�s8 6o�fy►p�miqed• � • ,
<br /> - ff�e fllt rr�ate�,€a.yl E,a�tas,-b�ey Muae�d.yin�.µFl��,�yd Z{.�one A:it !s.u�.i.ey��.yoLd !�t a dn�pqe.pMn s�IdEas�Ci�`a; -
<br /> �r,��.� y.,.,■�N{.t�S/4r. YfUi 49 34YI/K�W�'WIR��1�II�M,�i-���8!��� "
<br /> �iiX�.AW!�U�G�OW��- '
<br /> - If ine f�male�iat is co.be uaed�n Flood zone A in con�ecdon,�,e..o«trYbed b�np.u�l�3 slw+;w�li.
<br /> �U�a�.1 ce�if�►tf�at BN wdf be.u�d«+h►to t��e anea rM�in a�e�n w�ar. :
<br /> - 1f su ma�rial � to ae used !n any area. I oertiy ahat use or such M w4 nuc s�enMhr a�ee!=.+�l��
<br /> ' pr�pertles. ff u�af fitl�s iound to�taetY�lF2t!ad�0ent prroP�.�G awlieri'.npy.be�1�d�dr�tlO�Fp
<br /> 1#se��f the bui�r�g permit issaied trtdcr tf70 ett�ted pOneit.�ipdon.�r Icli IMQ ll�n�aae_{l�:.
<br /> aae wl�h are eteva�d by�1,en d�{ne�.Dlart 1s te�fed. -
<br /> ' If 10tn the A�lrT FOR TltE�O�R,l pr�rri�e!n good tsi��ho��orm the oweiEr of'1C pEnt�eotl�lOr�t_1Qt i01li�tq: -
<br />' tt�allldav�pior b�conrnar�ng�. t t�+derstend ttnt a iepslraea p�ti�lt rnyr tio eequirotl,�l"�-w0ek
<br /> pkttnbing. si�s,welis� Poots,air oandit�eErg,9as.a�othot t�fs�ora�not tpe�y incMid�d fi,�#ppiafidel.,_A�
<br /> perr�t�rad ah�ll6e c�to bo a f��{�ooead wilh.ihe.vi�and��_�ffqtfty 5o:.vloi��l�=�Ne�r::+or
<br /> aet�stde scry Pto�lados�s of the t�i co�#cs.rror�t iaat�ot a.�ex�sfit p�e�rit th�l�tJpd�O1McM�m�er .
<br /> mqt�a�on ct ert+ors e�►pta�ss,�ex�on a v�tlons d ar�t catlos. Ev,�t De�nit���a it�ild�
<br /> ia�leas ihe vu�ork�ed by such D���v�lll�in sEi montl�s:d perntr:�oe.ar i4_S�odc:�IQ b�! .
<br /> the pam�ia suspend�d�abarxfor�i�a pe�iod of sbi.(8)mon�tis ar"�pr�-tltne�e wotk ls comee�nq�d:�,/�ef�tidii�ien. ,
<br /> m8y 11C.IEQt7�,M writili9.fiOt►11f1B Btl�I�118 O�fOf!p0ltod(1ot t0 a1o0�Od f�11i�1.��R���4�.
<br /> ju�l�hle csuse far tt�e�rtslon. If w�c�for N�Y(803�ea�e daya.tb jbd�caqi4eAd_abe�idonid- . ' _
<br /> WARl�Htt'a TO�t!!ER YOtlR FAILlJRE TO RERARD A t/Dti7CE OF YAY 1!�lI.TM.YO,W! ,
<br /> PA1�llO ZWiCE F�R�iPl'd�VEMEN'�9 70 Y{3i3R PROPt�iY. IF�9t3:MD'�lE�3 7�0-EfR�r 'AMI.��tli:1' - - �
<br /> __t�d��IyN�t��t RtR AN A11X3�,Y RE�FQR�EtEC���1���.��1Ci�lt'�..
<br /> €t3R[aT►au�T�. .�n.a3► , _ �. - . . -
<br /> ��,�� ���a.-fr�C� �.1�q Q.YlYlbl� � -
<br /> S�ad�nd awom m(��tm�bslue rm this S�crbed sd swm�b(ora�6s}oa _
<br /> wbo I�ae prsam� wr Imown ta,rw or nealhare vr«Juo�d vlAio B/re p�taoAi�y Miew+lo m�a eM�Mw pivama . .
<br /> as iQ�n. ae 6dne�on. " _ .
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<br /> pi�ryp�C � OF!YR�C .
<br /> Cornrdssfwl No. � - �
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<br /> titame oi t�fetey typea.p�n�d or stampad Neme a t�k�rY i .- a'.
<br /> =� ;� � MY��MMiSSION#.FF�aaa��
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<br /> �"''�o��n;op�' �XPI��S July 24. 201$" ,
<br /> q (ao7)398�Otfi� FIa�IdaNataryServlce,coin '
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