|
<br />Jan-26-01 OB:43A Ausley Harvell Grou
<br />JI-iN-c::::J-c~J1 H:J:.jtlH r-~_Jr'l:rll-f::lIt:L.W.l~Lt~'=' tll.j ~ cl:::ll::l"l
<br />
<br />t u: l~l!Cbl..:Sbll
<br />
<br />P.02
<br />r':c/c
<br />
<br />~,n"T1lrT,..,..rra
<br />
<br />~-==. 8l~"7B
<br />
<br />~
<br />
<br />(XlNJll'U<lNS or PEJlMI1' Il.1"I!":J:tlVXT
<br />A. 1IO'1"1CS or DBBD R&81'1UC'lIONS
<br />'lhe W1dll.Ul!11led _er81::aDd.11 ~t:: ~. ~J::IIl1~ _1' Re .w:.,ecl: ~o "'deed re..t:d.et:ion.,," which
<br />-7 he .on ~tcicti_ I:baa CJ.ty re.JU1ati~. TIle undlll1'1I1gl1<<! allSUlIWlS resporuilu.li.ty fo~
<br />~C. Wi \:b _y IIppUcQle deed. re.-t.d.ct.1.OIl8.
<br />!l. VHLlCD'SIID 00JlTRACS'OAS AND CO~R RIlSPOIUI.IBI"t.zrxM
<br />If the owner h.. ""eel . ~.~tCl'~ gJl; g_~~~.aI to undertake WOlL'It, ebe)'''Y be required
<br />to be llcllU~ 1Jl aeconlaD_ tIlt.h ata1:e aud ~oc:al ~latlO1U1. :If the eantl;acto~ 1. nQt
<br />U-.ed. ... ~.quircd by 1.&w. both the ........c aoc2 coat:raetor IIliIY be cltec2 roc II au..--....er
<br />violation ......se., --t8 l"w. If 'the .......c cu: ~Il~_cload contJ:actoc are tUu:..ne1.n ... to what
<br />11c_ing ~ta _)' ~11 tor tJle 1ntCJdlld work. they II" IIctwiaed to CQIIt.ct. the
<br />City or '.ph~zhL1l. .~ Deparcmea~, '13-7'.-1~11.
<br />J'w:thezmore, if tlle 0Ma.~ .... !l1.ced a GOAtl:&otor or contrac1:ora. tLe .18 .avloed co have t:he
<br />aGller:aetor (.) 8:I.9D PORi..... oL the "Coatractoz" Sections. o~ tJU. appU_~!_ !'or 1IIU.cJt they
<br />Ir1.ll be ~e.poD.Dl.. I~ JOlIi, "II the enm.x aJ.gaa i18 the coo.tract;ot', you are indicatinlr the.t
<br />you, rather thair. ~e coDtraetor, are ~""bdibl. for the won. It: ~ coneraeeor a"be.
<br />y.>>11 to IIlga. .... ......t:r.ct:_ tIla~ _1' be .... .1.ncU.cat:1.oa thae b. 1. Dot p..,.... "~1' llc...sed aDd 1.
<br />/lot 1IDt:.i.t:1.1ICl till peaaLtt1.J:lg ~.1v.l.l.,.. ill the City of .ephYJ'~U..
<br />c. TJWIISIi'ORrAr:IOII DIl'AC!' nz.s AMD trnLU'Y CONIIIl:C!l'XOIII PIES
<br />. D. OON8'l'NlCTVIOK %.nof ltNI1 (CIDU"I'aR 113, FLOlU'DIl STATO-rBS. AS MllNDBD)
<br />I certify chat" X, th. applle&D1:. uve be_ PI:QV1~ with a ~ of "r~oz:.i.da". ColUltr\Ult1on
<br />l!..D ~N - H__..e" B Prouct1on GW..... prepared by t.he ~. Dep~~e or: AllJr1.<:u.1t.u.
<br />aJtd COJl8u.er M'falrs. :If t)a., appli.CUlt 111 .-..... other ~t: U.e -_.:c"'. t .,.Jti~y t~t 1
<br />bavoe obtained II copy 01" Q4l Dove ~<:rUled Clo~t i1nc1 prom.lIC 1A 900d faith to dflUver
<br />it: to the "'oWDerr pElor tel ~_t.
<br />1!: . OOIl'fJlAClOa. s/OllllD'. ~1Jll\VJ:'r
<br />z ~r'tl.ry that: all. the lIILoJ:m&tioll in tb.is appllca1:1on ~8 accvrate aDd 'thae all wort will
<br />be do:ae III C'<IIlIpUanc:a 14"- all appllc;U.la la.. re9Ulat.1Ag OODllts:uct101l. r:on111'1. and l"ntt
<br />dewoe.lOpcllent:.
<br />lIIpplJ.cat:ioa 1. harel>y IIOHIe to obt;&i,a .. paC1ll1t to cia MOrk lIIId. lnllt:allatJ.on a.. ;Uld1~aLIMI. I
<br />cen1.Ly l:ue bo work or i....tall..Ua bu -=-ewd prior ~o U.l&a1lCll of II p.1:III1.1: and "hat.
<br />&1.1 work rill be pe:fo.r:m.a ~o meet lI~J:da o~ all 1__ r.lJQl.atUlJ COIUItl'llctlop, City
<br />aoocie., loa104I ~et1o_, &Del 1-= deYe.1.CI~Dt re<JU1at.101U1 .in the joa.rLlldlct.t.on. r el.o
<br />QU1:ify that 1: ....dlu:.tmId ~t ta. ~atll1D. of othaz: 1IO~t..al eaene1e. _Y .1IPl.y to
<br />~ 1nl:eNtecl work, aDd t:ha~ :U: ia ay reapoJUJib1J.j,1:y to lc1eut.1fy whilt: actiofUI 1: IIIWIt tate to
<br />be 111 c=9ll&nce. a~ ageIlc:1.. lIIclllde but u:e not. lJ..lalted tol .Depir1:aell.t o~
<br />IlDvil:o_n~al ~atJ.OD-Cypr911 llayb.lICi8, ".UlUlld ~II &lid EaViro!llllllllll1:&lly 3el):lI.l.t:.lve
<br />Wade. Wat.arlWut._atalt 'l'reaUleat.
<br />*a~..t ~lo~da W.t.r ~oa9eaaDt D1.1:~lct-~1., cypreea Bayhe~, Wetland Area.,
<br />Al~r1DlJ WatercCllU::",
<br />-AaBy Corp. o~ ltbpa~SeiI~l.8. Dockll, ll'av:l.9abl. W.cexwaY8
<br />-DepartJlleJ:lt: o~ Health I RBabU1bt..ive .!Iervi.ces, I!lDII'1.__tal KeaJ.tb un.1t-"8ll..,
<br />1I&st:_t,.., 'r~..=-nt. s.ptJ.c ~.Ilka
<br />.U,15. BztV1~_t:u Protection Agency-JUlb..eoe u.t_t
<br />I eJ.50 cert:1.fy that.. if t.Ll.1. _t.nal La t.o M a.eed J.I\ Flood Zona "'II!' 0., "A..at:e. ", I.t .1.
<br />underst.ood I:lIat e cb:e:l.lUlp plan addrlessug <II -CCIIIIJMft..t~ vol_'" riLl. to. .~tt:ed eJ.ch
<br />ill prepaftld by ~ prnfe..1onll .bQ:lJaeer relJ~.tered .18 rite State o~ Florlda pr1.tu: 1:0 ~.zmit
<br />1..u.fte~.
<br />A p.~l: i.sved .ball M COA,t/Necs to })e .. 1.1.__" to ~eocl _i.t:b the ....rk aad AOt. _
<br />~r:J.ty to V1ol.ate. C:.llC:e~, .J.lter, or set aside any pz~.ioru= o-r the t~ oocIea,
<br />noX' shall i..lI_c. of . ]lemi,t preYebt the Building ~1c1.a.l trolll ~.n.rlt.:r requ1a:ll'g ..
<br />correl:t:1on o~ errors J..a plans. con~ct1Q1'l, o~ ~ol.tlO1l. or LllY code. I:WJ:Y pend.it
<br />.1..ued ',..11 bec:c.. u...l.l.cl ~1iJ. ~he ~rk eut:Aodzed 0)' 8UC'h peDllLl: .1. clIaIl1eAC:ecl ~l:lQ.a
<br />1I111 .otttlul ot i.suance. or i.f vorl'. authorized by the peDll1t l' .u.pade4 or abezldoned tor a
<br />periocl of .ilK JIIO~ths after ~ t:u. tlle _~lt 1. ...._~. One'O clay .~1on of ~
<br />-r b. all.o-.l (or u. peau.t ws.e:z. %:e. char" or tlS.00. The ~_ion .bUl tie nquened
<br />.1.D ~~ltl.11 to the aw.lcl1Ja9 0:ff:l.d..a.1.. 1\n approved !AlIIpec:Uon -.t be lofted.. dur1D<I .ach au
<br />lIIClnltn palnocs.. or the pro'ec:e W1l1. ~ <:()h4id*J:ed ~.
<br />lfJUaI'X.IfG TO <MJfD: ~ PA.ILURIt ~ R&COIU) A II<l'l!XCII or CClI8CIDI'~ HlU' RUUIoT :Dr Y'CUR
<br />'AYDIG 'IWl:C8 !Vll De~n TO ~ pl'lQrllR1'Y. Jr YOV IJItMP TO 08'l'AIIf I'DINICIlfC, CCIII$ULT
<br />W1rasA: =~ OR. . AM AftOlllfBY llBi'OU. JU:CORI)DfG YOUR BorICK or CXltINIIIICIDGDft'. JOBS OIfDlIR
<br />
<br />"'~e:z::POOT~~~
<br />
<br />Sl:CNlU'URIl. CIIWER OIl AGI)tT s:rCllft2VllZ. ~rcR
<br />
<br />:U~ o~.. ~~ ;;;r.z:A ---4 =1' o~!, nolU:llA 1+ ,I L(j hoah
<br />
<br />Tbe rore9o.1llg J.lUlt~t: __ acIr:DoNl.dg"ad 'lb. tOJl'tN]oJ.D.g ~~Dt: _II LlIClged.
<br />Before ~ thi.. -L day of r-r-~- . 16 ~j a..fC'lt'e ,,;11\.1.... ~y of" r-c..1n , vr ~l)/) I
<br />~ ~ -~~~~
<br />~~- or pac_a acknowledged) /' I~ ot per.OI1 aclD1owleclg.d)
<br />..- waco .I.. "erlloDally Jtnown t:o _, <:Ir ~ 1" per8_lly kno_ eo a., or
<br />
<br />0"'0 bAs pr04ucecl 0 tlIlo hall produced
<br />Cqpe UOAl ~1t1'])e ~
<br />.net lWt not
<br />
<br />=*; MY COMMISSION 1/ CC 733623
<br />~\ ..:..~" 1ft .!;.lWIRES: April 13. 2002.
<br />~~p""':';'i!:-" Bonded Thru Notary Public Underwriters
<br />f, Un'''-
<br />
<br />
<br />Q
<br />
<br />~~
<br />
<br />
<br />t~. ...~ ,..>e.Oll UJa.ng .e_l.~ftt
<br />
<br />5CLS4.V\ p. W ,lh~
<br />
<br />.... Ityp.d, p~ed or ""-"Pl:d.
<br />
<br />If
<br />
<br />"""'I,h'lll""t 11\ ,.."
<br />
<br />"\J~'... '110'" ......'oIlCl/t
<br />
|