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�9�`�������t������'�G�'64���: '�����d�e�#�e��d t�r�d�r������:t4��q tt�i�:�e���:e���t.b�.�ea@����t$c�°d��dp p�st�ictlor�s" <br /> which rra�y be�more•r.�stP6ct6v�-th�n C�aanly�igu��tC��is: �'t'0��und�rsigr��� ����arva�� P���t�n�ibiiity#ar�ornplianae i�ith�ri� <br /> �p�a4dc�b1�dra�d ees�rlc�E�n�. • <br /> ¢��9�9�t����E� ��1�°��"���� G��i� t�Cc��'���'���G�3��1��}����BE���k��: 1� th� �tt�a�€� h��°hlce� � c�r�#eacfo� �r <br /> �antrac4a�rs @� und��tal���oP�, th�y r�r�y b�;P�quired,;.�o be�,ilce�t��d ln �cccotdawc�.�uikh �4�ff��.a�d:loc�l r�gula@torrs. 9�Q�� <br /> ����r����c t� ��t 11c�a�s�d a� r���l�d:�y t�r, b��ta �h� u��r ��a�-�antrac�or srt�y�be-cle�c��fop a-ml�dessre�n�e�iol��ir,n <br /> a�a�d�r ���4� law. 0�'4h� v�a�r�r�r Int��d�d=�antra�Ctaar �P��tanc��f�ln �s 40�9��t Qi�ra�6�a�.r�quDrements ma� �PPty:�r-th� <br /> #r�t�ndec4 rr�o�t, 4F�ey�re�dvl���ts�c���ac@�h�P�s�s�Cat�r�ty��a@Idi�g in�p��41br� ��dt�lo¢�-�4:9c�nsing��c�i�n��7'Z7-��7- <br /> �tD09. �aarth�rm�r�, 6g th� ��m�e� �ia�� hi�d � �o�e�c#ar �r es�nQr�c�tar�. h� [� �dettse� �� �a�rs �P�� e�e��racfa��} slgn <br /> p�or�i�n� o�th� °conkr�c�or �loc�C" o����� �ppll��tlo�o�or r�rhich 9h�b will. b�.e�spon�lB�l�. B�yo�a, as.the ow�n�r�sign��s 4ti� <br /> co����aB�a�, �81f iTt�y' 6� ��Y 1�9d'EC�Q1��Q$1�E F1� �� �i�$-�3����PI��I�t�fii�0i� �6�� �� �io$�P4@��$&S$ �� ��PBT9��161� �fEtl1l��l8� �Ct P�S� <br /> Coun�y. <br /> �'���#�E�f�`�����R9 D����4t�11'81���P4��`9�f���'�-�6��-����M��L������I�f��`��l��: T�h�und�rslgned und�r�t�nd� <br /> th��'Fr�n�por4atior� ienp�ct�����nd.���ur���2eca�v�ey.F�t��m�y�:�tppi����B���¢��Qra���i�t�as�n�e�u bt�iiding�,°ch�rag�o� <br /> ca�� ira �xi�tfe�g bull�l�gs, c�r �xpa�n�ior�:�o���iil�#i�i,g`-6uildings, �� �p�c6fl�d.in P�scr� Countiy Oa'dinanc� nurrtb�r �9•O7 and <br /> 90-��. �� �r��a�ded. The�ea���6g��� �4s��ar�d�r�f�nd�; ����:s���e��,����-may:��•du+�a:�11i 6� Ede►nti��d a��h��i��o� <br /> � permittis�g. I� Is �u�@�er und�rst�o� @h��T���por��tfon Im��cg ���s �nd ���our�� Re�od�ry ��es mus$be paid pc6or�m <br /> r���i�i���°��E�ca�e�g acca�pa���'�s�drtal power-r�l����. :��B�a���oJ�c���� tt�Q ln��atv�-�:��etif[cate �ff occupancy ar <br /> �nai ��v�r��P�i��ffi�, 4he fe�s �eau���� paid pri��fia� p�rmiQ iss�aanc�o �t�t�h��ano�;i�P�s�r�Coueaty 1NaQ�r/��w�� Ire�pac� <br /> g������dt�e,Qh�y.mus�b�p�ld.prloe t�p�eenit�issu�nea=ln accor�anc�wlth�pPlic�bl�P��co�o�unty�rtlinaroces. • <br /> I ��6��T�t���'9�R��.����,��9�t������s��`i�� �I��Id����t����,��m��ad��l�: �fi�r�luatiot��f tnror�C 1��2�50E�.00�rr�rtar�, � <br /> �� c��i�r �0��� I, th� ��piica��Q,. had�-b��n pr�bided �vaith � copy of�t�re�FIorl�a-��onstruction� Lien .Law—�9orrreo�vn�r's <br /> F'r�t��Blo� C¢�1d�fl �}P���i�t� �}��F6Q IFIOE��a DB��P�fiY1��1��4?f P►QfP��l9I�lET� c��l� G4}EtStlSii9�P'A�Felt�. i�th� app9tc�¢�t Is s�r��oa�� <br /> o�h�r 9han Qh���wne�', I c�etify 4hat I�have..obtain����Py:o�..fh�ab���.����elb�d�bcu��nt�an�.p.r.omis�in.goad faith tm <br /> dsliv�r i�Qo 4h�-°�w�a�r�prioP to•coman��c�rn�int. � . � . <br /> ���`�i�1��'�i�'�l��ti1��2'�A�����a�4�: ! ce�i�y.#h�t�#I..�h�.lr►���t1�n I�e�hi���pt�a��1�e�i�accura4�and fhat�1��s� <br /> witl�be done ir� cornplianc� with all appl(ca�le laws reg�al�tQng �onstru�tion� �on3n� �nd:la�nd�d�d�loptment. App(i�atioe► is <br /> i�er�by ��c�� Ea t�bt�in .a-permit to do w�rlc and Install�ti�r� �� t�d{caf�c�.-� '! c�r�#�y 4R��t n+� vuork o� ins�afi�#Iora h�s <br /> comm�nc�d pr(oP �v Issuance af a permit �nd th�t.all �rork wilB b� perto�m�d�t� m��� ��and�rrds of all I�ws r�gul��ing- <br /> cons�ructivn, ��csnt�r �nd �ity cod�s, �onie�g regul�tEor�s, a¢�� l�nd c��u�ls�pm��at ceg4aMa41�n� tn the jueisd(otion. 1 a!'so <br /> ce�ify th�� t ut�der�Q�nd fihat fh� ��gula�tion� �f oth�t�g�d�rr�m��t4�g�atci�s �t�y���Piy�to�h�int�t�ded wAr�t, and fhat ig is <br /> my cespon�Cbllit�to Identffy�what.�c�ions i must t�k�4o b�,in:.e:��pllance: ��uch ag�ncl�g lnclud�but�re.na4 limit�d to: <br /> - �epar�msnf of Envlronmental P'�te�fiioei-Cypr���.����h��d�; �e�0�att� A���� �nd Environt�tee�Qatiy S��siftve <br /> �.�nd�,l�at�riUV�st�vv�t�r`Tr��Qrro�ea�t. - <br /> - Sou�h�r��t �larid� �f1/�teP El�anag��nsnt- �3is�r��Q-9�lf�lls� �y�p���."��y���d�, 4�fetl�a�d ���s, Al�erEn� <br /> Wat�r�eaurs�s. <br /> - c�rmy�earp�esf�ngin�ers-��awalis, Doc�s, N�vigabl��/�teew�y�. <br /> - �Depa�e���n� �fi_H��ifh-� R�f�abilit�t�t� ��rvlc��l��vi���tm�e���l �f��fif� �e����/�Il.s, 1�astew�Q�r �'rea�tm�nt, <br /> �ep41c"�'anks.. � _ <br /> - !J�Ee��ti�nrra�t��at Pra�ectla�Ag�ncy-Asbestos�bat�m�nt. <br /> � - F��d�P�I PaY18Q�A�1�6�1l4hOP��J-Runu�ys. <br /> I und�rst�nd ttiaQ fh��Ilo�rEng.r��t�ictla�ns apply to fhe use�f flll:� <br /> - �lae of fii{I is nc�g alE¢�r�r�d��t Flood��one"VR unlass axpressiy pePmif�ed. <br /> - Ig Qhe fill m����ial fs Qo b.e used_ In �Flood �one °A', it is understaod thafi a dr�inage pian addr8ssing a <br /> u�or�pe��atie���oiu�n�"�ttfl be strbmi#t�d at t�me �f�errn�#ing w�ich fs pr�pared by a pra,`�siona! englnear <br /> Uc�ns�d by th��t�9�qfi Fa�tlda: � <br /> - 9� fh� ��I ��fi�el�I is �� b� a���� In fR��d Zon� `A� i��conne�fion �rit.�-a ��r�n�ted �u�1dlr� usEr.g stem ural! <br /> � const�u�fior�, i certi�r�h�t�ill�vir�q:6.e t�sed only.to�I��t�a,�ea within�h�stem�ii. - <br /> - If fill on����lal Is ta b� u��d in any e�rea, i �certtfy t��at usa af s�.rc� � �3� rr6t ��ivetsety 2ffect adjac:�nt <br /> prop�r�3�s. i�'t�����fi3�� ��f�a��d.�o advers�iy:af�ec�a��er# �r��t?�..s, �s c���er ma}t be cited f�r.viol�tir�g <br /> �h� co�dition�.of flh� buiitling.permit i�sued undar t.�a �I��"ed p�rm�t a�p���, f�r lots tess ttian ohe (1) <br /> �cr�u�rl�ich���Iex�Q��1�b��1�,�rt�rtgltneer�d dralnag�ptan t�re�uired. <br /> !fi I am�h��G��9���8�'9'����7�1��, t�proonts� in gaod faift�to IrEfat�n the awner af#Ite�Serm�Eting c�rrdi�ons s�t farth�r� <br /> ;his affidavit'prlor 8e� commee�ein� eorustruetton. E unders#�nd that a-separate permfE may t�e re�uired for elec#r€ca1 �r��-'�c, - <br /> plumbing, signs, �vei�s, pv�ts;, �Ir e�etdit[€�r�ing..��s; or-at#�er. Instai�a�ons not s�ec`�ic�;� �:tc�ud�-in �e ap�p�i�ti�n. A <br /> permit issued sh��l be car�shued Qo b��a�lic�rns�Q��proceed wlth tt�e��raric and nat as su�fiy Eo.violate, car�c�i, a�tea, �� <br /> set�slde any��blsians oP t@������n#��#�d��;�nor�hall lssuanc�of a p�rmlt prevent#� �u�?d[rig Qfrfc��f from �Rre-aft�� <br /> r�quiring a ae�rrecti�n nf ervors in.plans; con�Qv�actian or.vlotaf}otts of any codes,- �vgry p��rniE Issued shali-become i�va�izi o <br /> uniess 4he woPkt�ea�horf��d by ��ch �ermik:�i�.c��rnenced�v�rlthln s�x rnonths of perrri��ssuance, or if r�ark authorized bu � <br /> fi�e perml�is suspertd�d�o�.abar�d���d far-�:p�riod��s�t�{�)-morsft�s aft�r fhe#Ir�e t�e��°��r[s cammence�. An ext�r�C�n <br /> rnay be Pequ�asted, In wrlting, fp�rn 4h���uilding,Clffielal f�r a perl� nat to �xc�d�r�e�y-(94) da}rs and will demonstrat� <br /> i��stifiabie c�us�f�r��h�ex��r��3o�: 6�a�ork���s��:for nln��{9t}}cons.e�ut�ve day-s,����b�s cans#de�d aba�darted. <br /> �A�P314�4� `�t'� �b'�flfA���: ���l�-����,.4A���T�,��CO.��A AII�'f3G� �� C'+Ot�Pe'IE[SI��I�AF3' �4Y-R��LJLT�k Y�U� <br /> ���91��`�9't���t�9��6��t��9��i(�t�'S������4�:�R��E�'�lt'. i�°7�1��tI�TE�it�?:TC}����AUd-F11'd����t#�;�UI�.SU?:�� <br /> °�"�I�H"�"��E��EFJ���.��/�R9���T��������iR�R�OR�Ii�G�Y'�C�F�=ld��+G�'�'�0�lf�1C�?�f�JVT. <br /> =�o��A.�u�a�€t�.s:�.��.as� - � . <br /> oaAt�aE��R�c���r �ot�vr��ro ...� <br /> 8ubsaibed and swam M(or a�irm�d)befor�m�this aub�cr�bed"and' m•o(or affitm�3�2fgrs me� �� . <br /> by .�y - - , <br /> Y,�ha Is/are personelly knowm t�a.m�or haslh�v�produced VNho islare personattyknown-to me cr Etastha�r�e��ac.� � <br /> as td�ng�t�Non. �fi e�.r�<__�� � , <br /> , i <br /> fidctary Pub2?a _ '�µ��: � <br /> ti.rv.'�`:.T�Js4:t�4'.?.� V.L-s'x'.."�`.,�Sn�t`,.,c'g�, <br /> i2._�..,A':?�C tt.'�r'"�t'?_"?�¢�'!'�a'�'e�t���=» �`��-'fb 1^4�:�4r'�.-��,^,t,_'�„w'""L��r�'�`��. <br /> ' '_ -- -- .___..____� <br />