|
<br />n. ~~IlIJg~~:.Jl[-D!:En HESH11 [;T J ON~
<br />\ . ,
<br />i
<br />Ihf Und~nI9n'd ufldHlhndl lhil lhll PHllt uy h III~Jltt 10 'dud '''''leUor...' li:hh.uy h 11Ift nihitlive H.." Cily
<br />regulillOhS. I'~ bndfrslgned illules responslblllly for t~.pll.ntt wllh .n1 'pplle~~le ~~rd 'tl',icli~nl.
<br />
<br />IJ. UtlLJCENSEO CONTRACTORS AND CONTR"CTOR REfjEf.lilli.l~lklll~
<br />
<br />I' the ~wnfr h.s hirrd · c~ntr.ctDr or t.ntra~ll'l t. un~lrt... N.r.~ 'hi' I'Y b~ rijquli~d t~ b. 11,.nled In I(t~rd'nct Mlth
<br />il.l~ .~d '0[.1 "9ul.'lons. Ir 'he ,on".,l., I, no' lle.nlld .1 'e.ull~. .r I;~. bcl~ \h. owne, In' tDn'r'['~r ..y b,
<br />(Ile~ fa. I IIId'le.n~r vlol.'lon unde, .l.t. I.w. If 'h. ~.ner'~r In,.nded toti,.clD' .r. unct,t.ln .1 I. _Lil Iltthllllg
<br />requHrunls uy ilPpl1 hr thr Inlended MDr~1 thry art advllrd tfl unhtt P. t~ty ., i'phyrhUh .ulldln9 Jepllfhef.t IBIlI
<br />7811-6611. . .
<br />
<br />furlherlore. If the ONhfr ~., hlrrd . ,0nl'lclor 0' tont,.'l.rl. h, Is Idvlled 1~ ~&v. the tonl"tt.'~II Ilgn jmrllohl 01 Ihe
<br />'[onlr.(Ior St[Ilons' of Ihll .ppllc.llon f., Nh~e~ 'h., wtll be ,esponsl.I.. IgV.~. II 'h. o.ne, Ilgn .1 t~1 tOIl"'C~O',
<br />YCJu if' indlutlng th., VIIU. ,nlhe. H,.n thl Ull'ruh" ue ruponllbh r~r lhe flO/k. If th, untr'(hr IIhh"K Yllu 'D si911
<br />Ii nnlfil(llIr th.1 uy bI! .n Indiullon 'hil hi II no' prr.perlr lIurlud "Id is rHit '"nlUted '0 plui""19 p.hih9U il. li,t;
<br />Cily "f lep~yr~l~h.
<br />
<br />c. TRANSfloRTATION IMPACT' FEES ANO lJTILITV CflflfN.(~r;.J.JON FEES
<br />
<br />D. CONSTRUCT ION L tEN LAW C CHAP!ER 713, FLOR I t'A STATUTES, AS AMENDED)
<br />
<br />I certify th., I. II,e ,ppllunt. hive hln proyUe4 .Uh,_ ton of 'FlnU.', tl~II..!rJ~\,..fl U,n Lall - "uer.llnl'i'~ I',,,hdi,,,,
<br />Guld,' p"p.r,d by 'h. FI.rl'. Dtp"",~t of A,rlcu"ur. an' t.nIUI.r Aff.I'.. If i'. .pp'Ita,,' II .....~. ~'lu' '~'n I~I
<br />'lIwne,., I u,IIfy ".,t , hive ..bltlnrd I upy of 'hi above '..crlbt' ...tuttnt ."ell,..lu In 100' hlth " ~'dv" il I.. 1I,~
<br />'"wnt'. prl6. 10 (Ollen(elen'.
<br />
<br />E. GDNTRACTOR'S/O~NEA'8 AFFJOAVJT,
<br />
<br />I [erllfy 'h. I III Ih, lnfr.ruthn In this ;ppllutlr.n II utun" Ind lh.t III ItHk will be dor.r In (l>Ipll.I,':1 IIllh ill
<br />'ppli[.bl, I.ws r'guI.tln9 clInstruct\c.n, .c.nlng, an~ t,nd dtvelDplent.
<br />
<br />.." J
<br />Appllullon " hu,br ud, to obhl" . p,ull h do work Ind InlhlhUon u InalnlU. I urtift II.., 1'10'11"":: "1
<br />in5hlhtllln h4' couen[ed pr.lor to luuanu .f . ptrill .nd 'h,t tlll ,,~,k .ltl t'l pnf6f1t"1I OU"lil.dill' .., .11 lill5
<br />fl!9uhlin9 constru,lIon, City u~u, nnln9 n,,,hUonl, .n4 hnd dnehp...., "ld.U.n.. In ",,"jurlsdldl~~', I ilsCJ
<br />[ull'V \t..t:1 un'e,,"nd Ih.t ,t.t re9ula"~nl Dr .'htr tovernnnhl '91fIll" u: I~ply ,~ Ih.ln'lUtdid 1I~.k, ,an' H..l It is
<br />.y responl'blll'y to Id,n'Hr wh., nlhns I .11" tale to be In nlplhnt.. SIl[!, f'tfo(~U 1r,(lud. ~1I1 .11 lI~l li,ihd Ill'
<br />. .
<br />
<br />, ~~llil!l'nL!! Envlronaut!1 ReQuh"M - Cypnn "yhuds, M,lland Artu and linlh"nunh1l1 SU51lift IUdl,
<br />Va'er/Va,llva't" lr,.'.,n'
<br />I ~~!!1h~!LfJHH' Vahr "u'Quen\ Dh'rltl - Velh, Cypress hVt.ud., ",'hr,d Meu,;A1h.irI9U.lercflufu.
<br />· 8~!Y...!!U!...!UnQI"ttr' - 6ullalll, Dodl, MIVI,aU, Uih,uYI "
<br />I ~~I!!!.'mll IIf Ilullh , Rfhibl\ \lilli' Stryh... fnvI,.nunhlJ!!!1lh Un" - v,r", Vuhwahr "uleenl.. Sl;~! ,e hllks
<br />· ~~nli[!ll!!nl!1-l1!1!!1i~tnl1 - Asb'It.I '~tllll'n' .
<br />
<br />'I .Iso ["IIfy 'hlI. If fill uh,lIl Is to b, IJld In Fr"od 2..", .A' If 'A.lle.', ,~ II undenhll' U", a .4, .In'9f phn
<br />iddre'iln9 , ~t".p.n,"In9 y~lu... 11111 ~. lubl"". whlth II pr'p.r.d ~r a ~'~'n"J~~~1 'h,lht" 'f~II'fi~~' In I~. 51.1. ,,'
<br />;' Florid. prlllr ,.. perall 'nuance. ,
<br />
<br />. .., I
<br />A perait luued shill be unitt".. ,. h . Uti"" ,. proU"""h 'hi IItt. an' ..t ..'iulh,'" t.".Uh\ UIIU' U'n, Ii
<br />set nlde .ny proYIsI""s 0' \t" hchnltal ud.., not ,hili "llIann of . peuH prevenl the lulldln9 U"lel~\ flu \I,trufh,.
<br />fl'quirln, . urrfdlon of eH"" In phns, nnlhut'hn, or yl~hllon' .f anr I'i'df. Enrv p,rail issul!~ ilJ~11 benae ill~ilid
<br />unten th' Nork .uthllrlu' by such p,nU h nounud IIlthln.1I ton'hs .f h:HJ'lf:t,or If WIlli aUIl'"ll1eft I)t .he terlil i~
<br />5u~pended or .t.udoned 'H . perl..d .f I" IDnlhs Ifh, lhe '''e'h. wDr. " l'''II~nud, oh' 9(1 d.t ~.t,;1l11 II 0' tilt, ..t Ll!
<br />.11"lled for III' pelll\ IIlth he [hug...' $15.00. lh. ..hn""n Iha" h "qul~ (!d IlIlulUng.to \t.1I eulldtllg offlclil. rtf.
<br />i~p'oYfd insp'ctlon IUlt bf log9rd durln9 IIch III '~nth ~fflod, o.r 'h. ,nlccl 1~1l h'tor"ider~d _b.lldo'I~~.
<br />
<br />
<br />
<br />FAILURE TO RECORD A NOTICE OF COM"lEI~t:E"JENT 11(W
<br />nESUL T 1 IMPROVEMENTS HI youn PROP-En IV, IF VlJlJ
<br />.. INTEND G. CON ULT Hint YOUR U';NDER on AN. A' TunNE v
<br />DEFORE riCE COMMENCEMENT . JOaSUNOER $8,500 IN VALlIE
<br />no NOT P T A "f.OTICE OF COll,MEf'\CEMENT".
<br />
<br />
<br />
<br />SIGNA T~n-._ ----iiiiNj=ii-iiii-i\GEiiT~i;;pc::,./~ I ~,~~E ~.~~-'"'-_ _ _ _ _..
<br />
<br />DATE_____g::.J_g_f::?_____~---------~----- DnTE_ S. :.Lf.:J:.2__________ "'_h___ ___
<br />p:;. ,. y fl (71VAitS. '~I! ..' ,'"'Jc~y II mOA (['5' '71"/,
<br />NOTARY AS TO /7/ ~ (/7 NOTARY A~ 10-h A/ "~ #
<br />miNER on AGENT __ -c.Jt_1:!::!_____.!~tZ_____ CONTRACT\ l(t,-:- __. ---"~r..:-:JrZ-_. ,'_ .. _~ _ _ _ _':'
<br />._! PUBLIC s~~- Of' FLORIDA "
<br />MY COMMISSION EXPIRES · CQIIISIQ EXP. JULY 14,1995 NY CONNlti~ WN EXPIRES aq~y .PUBLIc STArE CP FUlRIDA
<br />----~ _1.......111I). --~'UP".-JUtr 14.1995
<br />. CiBIIBIW. DfS. UNO.
<br />
<br />
|