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<br />CONlll T T elNS OF r'FRI'll T m=~ I f.\IYJ 1 T :\,
<br />A. t:lilIJ,J;LJJE_Jtf.E:!,)"Bf:6.l rq !=TJQ!.'}.p.
<br />'hp undetsl,",d undtr,tlnd. thlt thl~ mrr.l\ "Y b~ ,Ub}pct to .deed re~trl[tlDn\' _hl~h ..y bl 'Or. 'f,lric\ive thin City
<br />t.qul.ttons. The undtr.tgn.d ."u..- '. ';'y for ro.pll.nr! ~It~ ~~r "rrlltablp deed restrlt\lon..
<br />
<br />B. UN!"J...cE~_CONTRAC I.., '. .b.. i.):~)), ,CONTJlO~TQB..,Rf;JW,hH'-LS. LB.,L1J..! lJig
<br />If thl owner hi' hlrld a conttlttor or C?lltr.ctor, to und.rtake work. they lay be r~qulrpd to be tlr'"',d In .crorda~~' _\th
<br />slate and IDClt T'Vut.tlcns. (f the tOntrArt~r is not licenspd as rfquirpd by law, both thl owner Ind contractor .ay bp.
<br />cited for. Illdlllanor violation under stat~ law. Jf the ownpr or intpndpd cor-tractor Irl un,ertaln I~ to what licen~ln9
<br />rrquire.ents IIY apply for thl Inttnded WOf~, they Ir! advispd to cont~ct th! City cf 2'phyrhill~ ~ulldl~~ D~part.e"t, (913)
<br />788-661 I.
<br />
<br />Further.ore, if thr own'T has hIred a contrattDr or t~ntrlttor" he is advised to have thp rnntr~\t~r(~) ~lgn portl~ns of tilt
<br />.Contractor Section,. of this '9plitstion for Mhlch they viII b~ rrsponsible, If you, II tllr ~vn,r liQft a~ the tontractor,
<br />you It, lftdlelUnq thlt you, nthef thaI! the tont'ilctl)r, UI! Inpor1'sibl! for the lIorkl If Ill! (f)nhedor whhn YDU tll ~Iqn
<br />is contractor that lay b! an lndleltion that hp is n~t rropefl~ licen,ed and is ~ot ~ntitl,d l~ p!r.lttlnq rrivilege5 in the
<br />(ltf of l.phyrhill',
<br />
<br />r. _ IB.ANSPORTAT ION I MeAC.L.F'I;e:S__Bl'jJ?_YII.I".JI.Y ,r:QNNE.CIJ o N__FI;f.S
<br />
<br />D. ~ONST.RUJ;.TU1N,.J",JEN,.kA\.t (CHAPTER 713, FLORIDA STATUTES. AS AMENDED)
<br />I crrtify that I, the .pplltlnt, have blln prnvidpd with a copy of 'Florida', [~nltruetion lip" l.w . ~~,'oMn'rl, Protprtlon
<br />Gu\de' preparfd by th! florida Departlentfof Agrlculturp. and Con'u.~r Affairs. If the applicant II 'G.t~n' othtr than thp.
<br />'Dwner", I tlrtlfy that I hay. obtained I tOpy of thr abDY! described dDtu..nl end prOllle In goed filth to dilly" I' t~ th'
<br />'0-011' prior to to'IP~(e.pnt.
<br />
<br />E . CONTRACTILFl:.SLQH~~":;L.eEC1-':leY_U-
<br />I tfrtify th.t IJI thl lnfoflallen tn this ,ppllc.tIGn Is atcurate and that III w~,k will b~ don~ In ro.pliancl .ith all
<br />.pplltlblr 1.wl rl9ulatin9 construction, zoning, and land d~vllop.pnt.
<br />
<br />AopllcltlDn I~ h!rpby lad@ to obtain a p~r.it to dD work and installation ~c indir~tp". I r.rtifv that "p .n.r~ ~r
<br />in!tall.tion hai co..ented prior to \9suanC! of a plrait and th.t all .or~ will br pprfnrlPd tn le,t sta^d.tds or ell I..~
<br />r,gulating consttuttl~n1 Clt, codes, tonlnq regulations, and land d~v~lopIPnt regulAtinns In th~ Jurl~dlcllon. I al~o
<br />(~rtify that I understand that the regulations of oth,r govern.pntal ag~ncie~ lay ~pply tD the intended "~rk, end that it IS
<br />'Y responsibility to ldtn\ify whit ac\ion5 t lust tlke to be in cOlpliant'. Such agencies Include but Ire not lilited lo:
<br />, ~ePlrt.~nt.~~,1[2~!t~1 ~'aul.tio~ - Cypress 9ayhe.ds, Uetland Arras and Environ.entally Sensitive lands,
<br />u~t~T,~,!tew8ter Treat~ent
<br />t ~!!~thll!~t JH.~ld_t.!lJt.tL"'!1Jl~"fllL~~~~~.ht - lIells, Cypress Bayhuds, lIettand Arl!~~t A1tulnq W.hfl:IIUr,u
<br />t ~!tJ~I~~ft~nt!ti - S"lIalls, n~cts, MavlQ,ble Naterw.YI
<br />. ~'P.!O.u~LDf "tilth L R,hlbtlU.tlY' ~!r.~-'!'.hJ~~.lIJ.I1!.tnllL.!!uJ1h..,ll!lH - We\ h, Wntl!lllhr Troatllnt. S.ptic hn~1
<br />. US~n~~r:.~!1!llil.LPn~!5.Uon A9'"~! - II,bl'itllS abattuot
<br />I .110 ctrtlfy that, If fill ,.t.rial II to b, ultd in Flood Zont 'At or ''',elc.', 1\ II underltood thet a dralnagl pl.n
<br />ad~re!sinq a 'cD.pens.ting volu.,' 1I111 b. slIb,itl,d IIhlch " pr,pAr,d by ft ~rofe!!ional Inglneer registered In th. 9tete of
<br />Fl~rid3 prior to plrait issuantl.
<br />
<br />A plt.it i~su,d shall bf tOnstfue~ to be a lic!nse \0 proceed Milh thE work ,nd n~t as authoritv to viol~\p, tlnt~1 alt,r, ~r
<br />~tt aside .~y proYilion. of thp tpchniraI rDd'l, nor thall jr of a per.it prevent t~e Bulldin9 Offlc\.l froe thlre.ft@f
<br />rrquiring I [orr.ctlon of Irrors tn plani, construction, Dr . ~n' of any cod., Every p.r.it i..ued ,hell bleo.e in~.lid
<br />unless th! JDr. aut~oril,d by .uc~ ~pr.it i~ (Dllencrd within", ftnnths of l;iUan~!, ~r If wort authorll!d by the perllt is
<br />susp~ndld or ebandoned for a period of sil lonth; after thp ,. I~~ _ork \~ rn.spnred. One 90 da, f~tenslon of tl.e, .ay bp
<br />allowed for the prr.lt Mllh fl. charQI of $I~,OO. The Ixtln~,' :,~Il be r~Quested in '"riting to the BuiJdinq Officiel. An
<br />approved In.p,etlon lust b. loggld during tlch al. .on\h Pllir.' Ihl project Mill be considered .blndoned.
<br />WARMING TO OWNERl YOUR F~llUAE to RfCORD ~ MG1ICE OF CO""[N[[ ~~y P.ESlllT 1M YOUR PAY1N6 TWICE fOR !MPRQVEftENTS 10 YOUR
<br />PROPERTY. IF YOU INTIfl!) TO ClNS, CONSUlT IIIl1I YOUR LLNrEll OR AN ATT RECORDING YOUR NOTICE OF
<br />CDMKENCEMEN1. R t2,500 1M A E DO HOT MEtD TO RECORD ^H~ POST A ICE ot COK C "EMTO,
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<br />, ~IC"ATtlqE!
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<br />SlAlf or FlO~Ir.A
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<br />~~U:T~:~~-;tr~~9nt -;';;--,;;Ckn~Tedged
<br />h_fr.r", mp t"le. _5.~. .__' t9,Q2 by
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<br />;~~y~ who-h..
<br />
<br />~Iroduc~d .____.~~...-- ____.. ' "... -~--
<br />~~ id@ntlfication ~nd wh~ d\d/d\d n~
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<br />'o~:JU ~'fiTTON
<br />
<br />Notary Public, State of florida
<br />My Camm. Exp. Sept. 28, 1998
<br />Comm. No. CC 409908
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<br />(Nl!lf!ll!' TYPf!d,
<br />~!t.}_IA.nv ,EP~lJ
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<br />
<br />SlAlf Dr FlORICA
<br />tOlJlilV OF _~
<br />The fon;gNi-~g 1n!;trume~ W~5 ~r:l:nowledgl!'d
<br />befcll""e mli'l t." i co ____~_____... 1 q _ '1-'1- by
<br />
<br />_....~-R.,-~--,...,. "
<br />
<br />who 1'3 per$t,nal1 Y ~:.Ilo\'m to me or who ha~
<br />
<br />r ,. r-chl"ll'rl - __ ,_~~___...__._..-. .-,..---
<br />~s ident\f\c~ticn and w~~ did/did n~t
<br />tOlkQ;en "'tho I? il
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<br />'St:'Blnp {!I:n~"
<br />, I!: A M, BRITTON
<br />N0tary r'u~I'c. State of Florida
<br />My Camm. Exp. Sept. 28. 1998
<br />f.omm, No. CC 409908
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