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<br />Ma~ 15 00 18:1~a
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<br />Clt~ of Zeph~r~iI15
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<br />1813J78t:;<J2S3
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<br />p.::!
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<br />C:Jl,rr;l'::IGNS OF P~R!GT A~'rlJAV1T
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<br />A, NOTIS3 GF ~EED ~ESTHICT!ONS
<br />-.::t~~ Li.ndf: .rf"_i;n~:-:i 1.....nderst.arlds th.a~ t_t.i.~ ?ermit .':ray be subj~c::: to "de~d .r@o~:.:::::_,-::tionsJ" which
<br />nlay ne ~f'_ct"e .1.~estrict:iv~ than Cit'l reg:'J.latiot!s. The undersigr.\ed aS5'Jn'tf..s .te.:!po,~~ioility for
<br />campL~anCJ~ \,~1 tJ.l any applicable dr~erj r'es ~L":Lctions.
<br />~, lrnL:CS~S~D CONT~~CTORS NiD CONTRACTOR RES?ONS:BILITI~5
<br />::f the C1,offilBr has hiLt'}d a ~;ontraGtt'JL' Jt" '.;ontractor.s to undertake wct-k. ~he~' !t.a.i be teCfl.:i~-=d
<br />tel :Ce Lic"'n~ec' i:~ ac.~or,hr,ce Hi tCl stace .",d lo.~al regulat1m:.s. I f the c:;nt~acto:: is :lOe
<br />:_ice.r:s~d as _~~f"~quiJ:ed by layJ, b-oi.:h "(".he owner and c:cc.traet.or rnay be cit~d for a ~ll:tsoe.mean{"'J:
<br />vi"laticl.'l unie:c sta':" ~;;,w, If th-e o,;r.e:c or intendeci ;:cntra.;tcr :H'e u~~ertain <:'.$ to what
<br />_,i(.:er...sin;f Leq..Jil.en~el.:.j",:,;! maj.' appl y ~:'~Jr the in~ended wock:, they a;:e adv.:..sed rc. :;Ofli:act the.
<br />8ity of' Z~pty.=hil...s lll...::'ldlng D<!partll\e:c.t, H3-7S6-S611.
<br />l:tu..:t~e.:mort::r i: the Ot'J"'LE::~ b.iS hired a ~~utra.,::tc.r cr ct,)tltracc<:'L":::, !--~t:: is Q.dvi~ed::;G have th~
<br />c()t'lt-.;ra.:-:'t;:.~th;) ~i~rn po.!",:jCf'_S o:f the '-'Cont.re:.ctor Sectio~~N of this appltcatior' feLt: ""h,icL they
<br />;.,~i",l 1)(-. l:'e~t)()nslbl€:. ,of y~u, as the owner signs alS th~? contractu.c, j/'vu .are in,dic;;tti:1,.; that
<br />yr;:':J.. J:a.ther: tn,a.n th.e c,lJr..tractQl-, tu:e re::spr,n.sible :tor tIle work.. If the Goi:'n!.:.ractor wi;f!hes
<br />'10;;' cc .Jiign as cont.;:a-ct.or tha.t m.!.Y ~}e ar.. lndication that he; is r..ot p~o"erly l..:..can.sed c.:ld is
<br />l1~t ent.itlt:d to,., peJ:1nit.~:.ng pri'/'ileges .:.n t;1:e City of Z ephy.ch ill" ,
<br />c, TRANSPORIATI~( IMPACT ~EES ~,j UTILI~Y ~ONN~CTION :EZS
<br />D. CONS~~;;Ul;TU!O!\ LIEl, LAW (CHAITER ~:3, n.ORIDA STATU'TES, AS i\MEN:::ED)
<br />.~ ce~1:i(~' t--:hat Ii' t.be applicant, have been prC"v.:...ded with ill copy ~f '~Flo,r'~da' So Const:rtJction
<br />lien L~w -~ Home.-oct.Jne::'.:I P.rotectiun Guide" prepared by t.:1.e Flcri.di!l ne?Clrtme......t 0: l-\gt:l.cult!..Jre
<br />and CcnSU.D1_er Affai.r-s. 'if thE: applicant is someone othel" that the "ownc)/' f' 1 ~e:n_fy t.hat 1.
<br />juve oota; ::>"'1 " "'DPY of the ...bove described docillll.mt and !?:comi se in good fal t'n t~ oel1ver
<br />j:: t:J t.hf~ \<'lr,u~,X"'J p.:. io:; to ,,;o~I.i.C'-enlEnt.
<br />f;. CON'l'J.lAG!.'OR' S!O>'lNER' S AfFIIJIWl T
<br />I ::ertJ.ty that"ll ~:h,- jrfortM.tcior In thl.5 appltcat:ion ',5 accurate and tha: al~ wor:< ....111
<br />1.06 do;:e in cr.}J[;pJ.i:iJ.lce w.~ ~h all applicabl~ laws re9ulatin~ c(Jnstru.~tion! z'oTu..ng', and land
<br />de".:e 1. (~1p!llen. t ..
<br />App.:i"ati")O i" r,ereby Dll1C:e tc obtain a penr.it to do ""ak and in"Callat1e,n "3 Lndicated I
<br />cert~fy th,~~ tJ;) ....oxk 0" 1n~tallation has commenced pr'ior to iss'U,,"nce of a p""ndt and ',:hat
<br />,':'1 ;,or~ "ill be perfoaned to me"t standards of all J...",. regulating ~on.'3trll.;t:J.Ol1, City
<br />\"';od~" r zon:tn~; r~;gL.la tL.>na ; and land de'"."elopment regulations in thl:: j t.;.ri~dict.i ~"n '. I i!.lso
<br />c;'"rtify tl'.al: 1 'mder.tar.d <::hat t~e r"gulations of' ocher goverm."!lta... "'\Jeneles =y apply to
<br />t"" ,ntend"ci "erk, ""d tnat it is my rellp<'nsibility to identify whac ..<':tic,..s I l"us:;;cake to
<br />h'! iT: c;crrll)lj,,\r;.ce. Such agencies ':":J.cl\:..de but are no;;' limited to: ....Depar.tment :..'If
<br />Fr.dr,::mmental Regl.lh,tiol1-CypIess eayheads, ~7etland Areas and EnvircHU'aI'!nta.'cly Sen~j.tlVE>
<br />-:':ands.,- Water.;'\'ids.t~~'A'utec 'freatment
<br />....s..::-:thwest Elori.dli Wt,T:ex' M:a:r;.age:r~~ll1:. Di.strict-Wel18r Cnre:.ss Bsybeads" Wetland ~.reas,
<br />l',ae r i"o Watn:Gourse~
<br />--i.Auft.': .:\Jrp~ (;.f E.rJ.9in,=eL.5-~eClwall;:,:, Llock;,,. N<<'ri'i:fahle Wa.te,t;W4:'~
<br />"Dep<crtment cf H..alth , R..habil"tacllrp' Servic<al, Envirenmental l-lealth Unit-\liells,
<br />Wustew~ter Tre~clnent, 3ept:ic TanK3
<br />"":J. S. El~v.i.xor:.:i.entaJ p z:ot:ection J;.gel'l.-:.'-y-AsbeE~os abaterr"ent
<br />I also oertif:,' 'chelt.. if fill mareI__i~i: i5 tc. be used iL Flood. Zone \\..~{f ~r '\A;etc.'l', it is
<br />.'>>cecstocd th:>t a dralt,ag" plan addre,,,..ing a "compen5atL19 '/01ume" will be sublldtted which
<br />is ",,'epH:"'''' b:,o a professional engineer I~9ist..r..d in L", State of Florid. pri.ox' to pertn.1.t
<br />i e~ua nc~ .
<br />A permit is~ued .s~1.al':" te con:!ltr:ued to be d 2-.ic.:eEse tc pL:oceed with the work a~"1u r.ot d:J
<br />a.~tho.r"i ty t,u v~:_c2.at~" canc6!:J., altel:, or set ,'iSlC~e any ~J.:o-visions of the technical code,s,
<br />nor ~h~.ll J.05~U;o."ce of a p",rIllit pre.vent the B\lilct.tng Offi ::~al frot" thex'eat':"" requlri.hg a
<br />VO.l;.'!;;w:c::-J.un ,-,:: c!.\':)':r;.-:,:;::,!; in p..j,.~nsr GOrl.3tr1.:M..::ticn, or vio':"aticna of any code. F.veL'L pE'=-L;w,t;
<br />is.ued . :cal: ""'''cOle invalid unle:>s the work al.lthoJ::iz:~d by such permit 18 coJ:DlIle!lIced wichin
<br />s':'x "l'.Jr.tl1S of l..ssuance, or if Hork authCrlu,d by the permit; ~s s.....spenu.c'\ O~ ab.:mdoned for a
<br />peri.od of ~~~ ;''1lont:hu afte-~ the ti-:n.e the wcrk is commen.:ed. ()n~ 90 day e::.ct@nsio!i. of tint.
<br />'IlilY be ..ll~.",..d. fer the r-elT..it with fee charge of $15,00. Th.. .,,,Um~icn shall be requested
<br />in W.ciL'LWJ to the Duildin';J Official. An approved. inspec::ion :nUSi; be lagged cur',fig ""ch 51x
<br />l'c,~p'tn pe!.i.Qrd.. c.!: th. pr~J.ct. w.ill. b<O!! c:or..sideroeod abandonf'od.
<br />WA;:;NING TI) OW':'l'<;R, YO'JR FAILURE TO RECORD A NO-rICE OF COMMEtICEMENT I1AY RE3CI.T IN YO:JR
<br />""YING ~lnCJ;: liC.'R r.r~PRO\!EM~N'l'S TO YOUR PROPEHTY, n' QU INT!;;ND INANCING, CON3ULT
<br />tiI'fH YIJIJP LENDER OR AN ....'!:!'OR'lEY 8El!'ORE RECOROr:iG Y P. C iT. "~)BS UNDER
<br />$2, !)GO IN '1ALUE ;)(1 '1<')'1' N3ED TO RECORD AND P~S": Ate F
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<br />SIGN.l!:l'iJR..:4: OWNER (IR AOEN'!
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<br />51
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<br />\r\
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<br />STATE OF FLORIDA
<br />COUt~11Y ~.\F__
<br />'rh~ fv.i:cg'Jl~q i:1Ett.'Wnent \"48 ackno~/ledg,'!!d
<br />Bef"Jce me ';h':l _ day ot___, 1'1._
<br />by
<br />(.,,,n.e of person '!cknowJ.e.dgedl
<br />C);.{.'lC i3 pe,;:,sona: ty "'H\.H'il"l to uae, or
<br />
<br />o wt.o has prod~'o"d
<br />~ type
<br />and wh:>O d1," Dd1d nct
<br />
<br />of ider:tif.::.cat.lo~......;
<br />take an oath.
<br />
<br />STAT~: OF FLORIDA
<br />COU1{TY OF
<br />'The_ fore{.ioing in;3.tLuni.~nt was acknowle~~~ _ _
<br />BeteL'., nl, thi." da] uf 'fl^c..Y' ,~
<br />by
<br />~ (name cf pe~~o. acknowledged)
<br />~.o i~ pereonally known to me. or
<br />
<br />o '","ho ~_as produ.-:ed(____...~-__;.. _____---:---;----:--
<br />l. tiP:::; ,)! J~deatlf1cat1.':m)
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<br />Signature ,-,i pe.r~cn takin'J Clckr..owleogement.
<br />
<br />~ ~\peu 1
<br />
<br />Name typed, print@
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<br />'''10 CAMILLE MARIE TANNER
<br />_ CC 810398
<br />'# ac~fc.'t'f~'Y 17, 2003
<br />0ll!J!y SeMee & 1londi"G Co,
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<br />N~ tYP@'d, printed C),C stamp"d
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