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* t iYV��VFMR�Gi►ilYti FiVit� tiii;t� .�r�n�� +r+�"�lltt�Uil��itjr�ls u•�Y t�iiiY�Mt� YB�Y f�iYiil/EYf1!
<br /> wlu�ir nary Ler rtrwa;as+tit iiva burr vLruru)rcyt,tauvua. rttn waat±r�tistnt diiirritib i ,ilrnalty% t —vg1tfat '.:i;ttS any
<br /> applicable darsdxntaatrfatlons.
<br /> UNua�Iil�i�ftD+cCI!ITrtActoR: n�la aattlT�ACT�aIt f4B8PCtfdifRhLl'Rt�: It thr oValar he fftt:oonifaomr or
<br /> oontnwatore to uhderbke wrotk,ttt�ay may bs requtr�to be nosraead in saaordatuts whh#taut and Batt ntptdtdorm If the
<br /> cantrwtator to not nanad a requited by iaw,bath the ourrrer and aortffat far tray ba atiod br a mkdlfntaW*loftftft
<br /> under hate law. I#the owner or In tded tan aalar an►unaetbwtn ash►whit ttia>mtetrlp requtttittwdt ntsy app for ftiMertdtd wont,they are tad ad fa aarttsat the Patao Coufi3yy 1?cdidfing inaptattart more I.tt�nt4 8eatton at Vw-
<br /> 8thf�: Furtheirtftare, if thta oytitrer Ices httiad a eontrattor or oonifaatam,h! le advised fa have flta tonkt*Ke)Qrt
<br /> pOmartf of the`tottdaotar ptaatt'_orfltis ppolloatton for which they VA be fesponelbw t!you,as ttte owner stgn as die
<br /> iRtttraOtOt,titht: y de"tan tAdiC3ti tt t;tts is need i= lrnD!?y t€9art i kttt&t is seDt.11st tad to pennaft- w t a lti pow
<br /> County.
<br /> TR1tl SPORTAlrICU lAWACtOJIfUlibb INWACl ANU trt:SUUM*'tftLii?JYiki rittM Inn it1104INQfi aRag=f*
<br /> that Transport4on impact hot and Reoauass Rewary fees rtsay tyto I"aonstnaatlen of flew bum ahenge of
<br /> ttrA In exitftng lwuitdi s,ar aXpeniton of axGtdttg building!,as ipttdttrd yt Aattoo Cflttrity t3fdtrntttcs trufn�r i�and
<br /> ! owl as ametmd. r;v ned also totasrswull,that shah taw,amay to wle be ttsentfigsti at the ern of
<br /> pennMft. itis War undtntn�fhat TtanepiorWan impact Fans and ffasot o Retwery hires MW tat peat pr&rr to
<br /> recththtg a'osdifle to of oaeups W at flnei pow rsissle. N the PM001 doss not lnvotve a Offillosto of oaaUPAMy or
<br /> carat pourer retaa w the fees numbs pald orlorr to serrnft t:wanca. Furtha mtars.it Pas®a Courts wtatera wer impact
<br /> fats are dug,tt*must ba prod wwrto Immbd to=nogr in aaeoft€saresml#t appBomb Pow County ordinamn.
<br /> OMTRUr"bf;List LAW ICMRtwlrT1ft.Florida Efatd o,asamendid;: fif vatrtssttson wot{cit;xt,tt;IG i or tram,I
<br /> atfon*UtCW pt pgrad i q the Ro tdsD of AgripY of ulitita and Corutnttsr�1n it Lion t s
<br /> amefs
<br /> other tt o ft lowtor",l agruty shot t have obtalm d a copy of tho*have d000dW document ant pramlla In goof faith bt
<br /> dotitrer a to die nowntr"prior to aommemment.
<br /> cONY ACTOt4'ft OWNIMIS AFFIDAVIT: i a"that ati the inhere In this 81110i101[un Is scounte and fttat at wak
<br /> va be dons to vampllttnce with art applIaitfab lgwg mgulaf6tg corWhlaflon,lonfng and land developwL AppDaflon le
<br /> hereby made to able%a permit to do work and tnstatatlon as tndtosted. 1044 dtat no work Oar lfurqdftft hat
<br /> aomwnasd pr e►to Iswanae of a permit and that all work will be pertDrtnsd to mnet StMdatde a at�.ta�w�ya�ra>�t,#h tno.
<br /> aonatit M11,Courtly grtso�.CV ,=tit .r�f�.tft rsW t�tWM alma land den "ment tw�to�tt livieWdarfr I IM
<br /> aatltly U`at l in t��r�aftd glut rt ntgttlgortt o other Berme mme agendas may apply w ft Ittendadwaft and#M a IS
<br /> my faapOnslbillty�idertttty vnhstaofions t rttust�t<r q��in artnt�ilQrtae.attatr manatee tnaittaa tFt��rant ttmlted ta<:
<br /> « garter:rat of Ettlrrrt+ntnrr+ +.a!t- l" !!'�,.y,r riLt t t�`XasyV%bftfd Avast and�nYtrOnmfl �latti�e
<br /> t atte�,tMxMt�tlltarMawatdr't'te>thnstit
<br /> �d t4riNsat flcridat t�U9teC Managettla�nt Dttrlat�lifiatfS. Cypma 80hasds, Wetland Ama%, Aft ft
<br /> 1l�tetcafirt�s. -
<br /> AaRhy Corptof Srtpin�tti�Eleawage,f2oaktt,iVaetgabfiaitlratrtttra�.
<br /> • Cepartment of health tronmardal Health UntbWsiRr, waetowater'Tmatment,
<br /> 9s;ttlo Tanks.
<br /> « US;iiWmnmorrtai Protaotfon A9enoy-Asbetatcs abatement.
<br /> ftanit AvIatlen Autho*-Rurtu nM
<br /> I Understand thin do 11110WIn�t tilstt dons apply to the M of0.
<br /> Uair of flat Is not allowed In Ftoad Zone°w unless eyinaaty psnr d.
<br /> it ids fill matanaa is to Ira used In Flood Zane 1k.A to understood that a drainage plan addmofttg a
<br /> u000tnpatteoting vofiurne°v1tP.be al�rrrbtst3 st flr:+e?f p�wfrnttting teh�.lCh?s piopatr!u!lay a iarot�stlar!at!!!gitr!�!r'
<br /> tfoonzod by th0 ftft of Florida,
<br /> If tho fill matetdaf to to be used In Flood Zone•A"In aarmedort with t pomilded buttding using stern wren
<br /> acowuetfon,I celtifythat fill vAl bs used only to dU the veawthin fhe.stamwaii.
<br /> If 111 rrwt 11 is to be used In any am, i oerflly that ttst at arch-0 wfd r4t#Idvar'asly mat adi mint
<br /> tPhc �d4g,If of piadfwfdi fund to advsrtlrlr aftoot adjeo t omoo ttet;tttrwwr fitly bar dw br t�tatt
<br /> f partmid lleued Boor the A tltchad parfait oppll/tttom,for to leas than ant(11
<br /> a0a�t s+t#llatt elevated by flit,Itrt stngtitstt04 dralttst{E fttri is�tilrftl.
<br /> If I ant the AQVIT FOR THE Cytlfifll R,I prrondst fngood titSfft ter_irttotmfft3otilitter ofI topenrMg CorAftnesstffom In
<br /> two afftds t to ootmnettoirsg Ear on. f rmdanElnd a:alp r a permit t►�r be fuagttittd.fdr Nat tat arotir,
<br /> �rag,e + �posts,sir getetdit;onit or meter Ida' eiat itt the ao floaftcn. A
<br /> ... gat «ar...t+«i, a.sr r ««wF+HSfL ss iW .ia.da rwwawt•IFw►car
<br /> jt 14411 t"US4A COMO %Anwmq an+sy aht 8 u„a:r+ ti.arw..w mutt
<br /> flEtftlhd88ty1�19D1t�1ltlfNQtth@tfdtllfllt�iLCil80.fill!'lltllilllEllf#1lQdegtft_p�fll�;tflYlrlt�llCt C�II�'�bft�
<br /> MquifteCorlrratlanotwolkinpttna.rart;imtatlattorvta ttaatutyropols pre aft tladaMtaltbs�tn:Ia Id
<br /> unless rho o adtdhowd by such Parma is commenced WMIM dt M of, Nautfttar,or If srtorltatd#t fled by
<br /> the perm!!is nted ar absndortad for a peNod of sht t8}rrtonths afisrti»time#hs walk Ircamrrtsnwawd. An suternYon
<br /> fray be rat in%%ffnp,fr m the ffuitding D 141 W a perlod.flat to aaAnd riMW(SM day*and watt demanfrate
<br /> judflable caueb fsrthe o tgnalon. if wtork ceattos far ntttety Igf i}aonsocud ro dsye,fate;ab h aomtdsrtd afrsndsft+td.
<br /> WARNING TC�OWNKR: YOUR PPALUR13 TO NWORD A NOTICE OF CONMENC1ir1PiltAIT MAY RNJULT iN YDUft
<br /> PAYING T1NI I OR NMVEMINTS TO YOUR PROPERTY. tP YOU-INT MEtITO CIS'IfiAIN`FUMMIM C*f18 LT
<br /> MIN as Agow'"Mu
<br /> otiyamtaie , , aotttitAtno
<br /> `o
<br /> W/20 8utrtetlbtd o t ra rmeda ro tag to � � 8 rt snaf w ro ""prTi`�'� '
<br /> gte tarv,trar ftw#rs o r Or
<br /> -. _, �e+aantrraetttrr astaea�+' ¢ton.
<br /> F
<br /> PuEre
<br /> moon no.
<br /> 2�SP,PY pUp`V, AMANDA AC N alai , or
<br /> ,: MY coMMtsslor 2 4
<br /> �
<br /> EXPIRES:February 23, 02
<br /> Public Underwriters AMAND A ACKERSON
<br /> I '"p.FO•p40e`` Bonded Thru Notary ;=o. ;
<br /> *: *, MYCOMMISSiON#GG 925496
<br /> EXPIRES:February 23,2024
<br /> ," _Bonded Thru Notary Public Underwriters
<br />
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