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<br />... .. CONJJJ'rlQNS Of' I'EJ1Ml'r AFf'!UAVI1'
<br />A. 1!U71f;J OF D8m JtKSTnIC'l'10.NS
<br />lite -.iiIiall1 iDa'l'lt'Gd,iiiribi.;;i'BIt liliii"iubJect to ~c1erd rulricUone" "hlcb ~r be IIOr. rfltrlc1h. tIIu Cit,
<br />reguJltioal. fbe UDdlllfgnld aIIO." re8ponsibllity for eOIpJI~dC' with en, Bppllc.bl. deed :ult~letJODI.
<br />
<br />B. UNL.lCB.tfSBD COIfTRAC',l'ORS MD CONTRACTOR nF.Sl'ONSI8ILl'1'lBS
<br />If tIIlon,.. .u ~hei'i.COiitiiclororcOiltritdoi8-t,o bll~..rtaltiwoi:I,-ii1~i, bl! r.oUIr!CI toiilIIe'"11lc1 illlccor4uc. 11th
<br />,tit. and local revuletioRl. If the eonlnclor I, not IJc811sed 18 r~IlJrf!1I "1 In, bolb thl owner anc1 COIltnctor ., be
<br />cited for I 111d"'IDor ,Iolltion undot ~taLe law. IC tbe OHner or Inten~f4 contractor er, unoerlall I' to wblt Ilcllllng
<br />retulreltftt. II' IPPll for lb~ Intended wor~, thr., are advls.d tu cuntact the City of lepbfr~J1II Bulldllg ~tleat, (.13)
<br />788-66U.
<br />
<br />rurlbe~r., it lbl owner he, blr~ 8 contrfclor or contractore, he 1ft 8dvlBed to ha,. the contractor(.) .IQD portiGal af tat
<br />'Cootr.ctor 'ectJgne' of this .pplicatlon ror .hjc~ tbey "111 bt r~~pon"lbl~. If JOu, al the OInBr .Iga .. the contractor,
<br />fOIl H' 1nc1letUng ~t fOu, nther tban tb. r.ontractor, art' t'1!8l'OnllJblt for the IIOd. If the contractor .I.~.. JOII to .Ign
<br />U l'Ofttrlctor that la' be an lodlclltlon UJaL be Ie nol propflrly JlunRp.d ~n~ .. not ,ntlUed to PHlltUn, 'rbU.... J. tilt
<br />City of Zepb,tblll..
<br />
<br />c.
<br />
<br />TRANsrOR1'A'l'IOH 1t~PAC'r FEES ANU UTILITY CONNBCTION FEES
<br />._-""--_._~- " ..... -.--.........---... -------. ..._--~-_._--,~-
<br />
<br />D. CON.u.rRU(;1tlON LIlLN I,AW (CIUW'1EIt '113, Fr,OUID1\ B1'1\'fUTE8, AS AMBlfDIfD)
<br />I certl" u.ari;Thi IPPllcatil-;-bne bA~n pro'I/1ol1 .Uh a copy of .Plorlda'" Coneuuctlon Lien Law . --er', Prot.ctlon
<br />Gul~e' prepared by the florlda o.pert",nt of ~9rlcuJturl! and ConnlJ"l:lr MhlrlJ. If the .ppJJclllt f, 'OIeOne otJter Un Ute
<br />lOIftlrl, I eartier that I ~'8 obtllned I copy or th! ahov, dlBcrlb,a dor.~'~"t and prOlil! fo good flith to dtll'll It to tbt
<br />lowner' prior to COIIenCARent.
<br />
<br />E. COJqRAC'rQ!t,~~.lP~"~n I ~l'FF..lJLAVl~:
<br />· certjrr tDafilll~ InfOflltfon In tblR applicatIon 11 IccuratP. an~ that all worl will be don. in COIplfaace .I~ III
<br />epplJeabl. Jill reguJltlng construction, loni"9, pnd la~d developlBnt.
<br />
<br />Appllc.t1oo 11 ber.br ~d9 t.o obtAin a ptr,it to do work and InetBlletlon as ind'clt!d. I certlf, tbat no IOrl Ot
<br />In.tell,tlon ... CDIIenced prior to 188unnce of a per.Jt Ind that all .ork will be perfotltd to !eet .tanO.r4a of .11 111I
<br />regulating con.tructJon, eltr code., loning regulation., and laod dQvel~p'!nt regalatlon. In the Jurl.atctloa, I alto
<br />certlf, that I undtl.tand that the rlgulatJOftI of olblr gO"tnlentel agenct.. III .pply to th, lDtlDled lOr., an4 tbet it I.
<br />., ruponefhlUtr to Identif, "bat IcUon. I lUet tekl! to be in CO,pUlnr,e. Buell .gencJe.e Incluae but are DOt U.it. to:
<br />· ~rtlent of InvlrORlental Regulation - Cypr8s1 Ba,heldl, Wetland Are'l Ind In'l[onJP~taI11 8en.ltJ,. Laa48,
<br />" lI.ter/lfaetfnfater rreat.l!f!nt
<br />t ioridl Watlr M.OI II!Dt Di.t~!ct - kelle, Cyptesl B8rbeads, Wetland Ar881, Altering latercoureea
<br />I tin. eil'" 18, , ""'gable lahllflY,
<br />· . · leblblUtathe SerdclI, lnyjrOlllOntl1 Hedtb Unit - kelle, Wllte"atl( Ittltlent, 8tptia ,....
<br />· ~tI ,rvttctl!!!J.LeftCr - ~li9BtoB e".ip;;,jf--------.- ,
<br />lillOcertIlltlJat;-lniillllt,ifal hi to bl! 0110" in flood Ion!! 'A' or "ft,etc.., It It und.ntoocJ tIt,t II tka_ plan
<br />.ddreaelft9 I lCOIpIaI.tln, fOlule' will b9 ,ublltt,a whiCh II prep3rea br 8 professional engineet regJlt'lld In the 'tet. of
<br />'lorla. prior to pertlt 1..uftDce.
<br />
<br />A pItItt 1.laed lbaJI be cun8trutd to bo I Ilcen.! to proceed -llh the _ark and not a. .utborltf to ,Iot.tl, eIdOIl liter, or
<br />lit Illd, en, provllloal of the technical CodIB, nor Bhall I'RuGne! or 8 perllt prevent the lulldJng Orflcl.l frot tterllft.r
<br />rtqUlrlftg a correction of Irrorl in pl.na, construction, or vIolations of InJ code. .v.r, pttllt 1.,UId Ibell beooII 1.,.11.
<br />IIIIle.. tbt lOr. .ut.llorlltt1 b, 111m pe~lt i, co.ne" Ilthln III IOntbl of 1II8UMce, or If IOrl lattJorlleG ., tilt _It I.
<br />'UlpeDde4 Dr IbInc10ueG for I perlocJ of .1IlDnths .fttr the tlllt lbe lorl II ~enCflJ. Oa. 90 te, IIt.JelI of t..., .J lit
<br />I1Jowtd for tbI ~t lith fee charge of '15.00. 'he 'Iten.ion .baJI be r!que.lld In writing to tbI lullll.. Offle1ll. AD
<br />apprfytt lultCUCII allltbe logO.~ 'urlng eacb aillOlIU pedoc1, or lb. plOJgct "111 be con.II1BrI!t 1INmdon1d.
<br />_In to -Ill YOUlf' r LUII-IQJISCORD A IWl'lll 0' mamleBlll'" MAY RESULt 11 YOUR PAfllIQ !WIll ... IIIPIIOVIm'rIIO lOUR
<br />,lOPun. I' IOU J IV 01"111 n CrIfG, COIl80l.' WilY YOUR LIIIDIR OR All AnORIIJ II 110 tooIlOJJCI 0'
<br />CDIII~. '2,500 II VI DO 1I001fBID ro RECORD AIftJ posr A "flOfICK
<br />
<br />
<br />BI"I or FLORIDA
<br />coom or
<br />The forego!1I9 IilitrUie.nt wai8C1r.nowledged
<br />before .. thh ___~_~, 19_ by
<br />
<br />who .t. PiiriOii'ii'UY'kDOWilto-ilo'or'.;hOlias
<br />
<br />:~O::::1l1catioDftndWbOdldidjd DOr-
<br />take all oalb.
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<br />
<br />("ue Typea;-jiiliite,ror--SiBilpftd j' -----' "-
<br />ROTARY PUBLlC
<br />
<br />
<br />StAn OF PtORJDA <:-)
<br />CotlHfY or __ ( 7 ~''2
<br />The foregoing in8trument wal Icknowlldgld
<br />before me thla j?CY-~/9Y.ll)iY I9a by
<br />
<br />_...,.Q~.. '.
<br />who 1 fJ ~~~~I_~. l~own to __ Ot' who ..
<br />prOduced __'__, ~
<br />~=k~d.nl~:i1'~~eDd "~ dl. d 110 _ '
<br />T-I-_L~ ~
<br />8 g~.) -<:.U ' .
<br />t;8Jl.iL ex. -- w~ X-/l ~
<br />(Nami T p~d, Printod or St~~
<br />NO~l1Y PUI}.~j!;
<br />
<br />
<br />\U.I'~,.._
<br />.."iJIi' :~~ Bobble S, Swetland
<br />N :*1 MY COMMISSION' CC534927 EXPtPf'
<br />'~~'" . ~~"l FebruaJy 22, 2000
<br />?;iif.,r..~" BONDED THRU TRDY FAIN INSUIIANCE, INC.
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