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<br />JUL-30-2001 09:38A FROM:HALLMARK CONSTRUCTIO 5615868746
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<br />TO: 14076716450
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<br />P:4/6
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<br />2:.3St:td
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<br />~"""'1\U1D "'. n.......... .._.._..
<br />
<br />NOI.l~ ~:OI WjSS:ll I'D4 lBB2-91-TlI'
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<br />camruOll.5 01' PIRMI'!' A!'FI1lAVIT
<br />A. B~ICB or Dun RBS'l'RIC'lZOIIB
<br />The uadel:81lJ11.ed UDder:.t:a~ tJul~ ~hJ.II ptaDIIi.t _1' D. aubject: to "deed r..tr1.ctioa." wbich
<br />lIIIty be IIOre ~t;J:1ct:lw thaD City ngula1:.1ona. 'lhe undersigned ...IDIaS :'::.SPQ~;i.b1l1t:y &1:
<br />0CIIIpl1.1UlC8 V2.t:I) "'1' QlUJ,c:aDl.e d8ad ~~ot;1OJ18.
<br />a. VllLJ:CBHSIID QWt~ AIfD ~ "RB8l'ONUBILJ:UEB
<br />If the O1C1\er ba. biretl & ClODtl:actor or CIOII~r.ftora to UJIClerttlke work, tbey _y _ requlxed
<br />to be ll~'" Ul accordlmca w1tb .tau ...t loaal xegulat:.\.cms. If t:'he c:ontraol:or ia not
<br />l.1C1!11lsed a. requJ.zecI by :Law, both ~ _81: aDd contractol: _y be cJ,t:N ror a nd.a"-IIDor
<br />vioht:J.on WIde!; atate J.a.. U the _er or int:eDded contractor ,,~ llDc:ertaJ.1l .. to what:
<br />l1cmu,ing raqu;1~1::1t _y lIppJ.y fOl: the int.nded work, they are ~aed to CIOIItact the
<br />Cit:y of llepb,VJ:'Jl1ll.. BuU.d:lng Dlllp.~t:, 113-711-601.
<br />IUrtheJ:DlOre. it the Ollll.r baa h.1recl .. 0QU.1a:,ac:tor or ClQUau:t.c1ea. M 1.& Kvi.~.~ tQ ha'ft. tM
<br />contractorlal siGn pORlolW ot the "Contractor Seat:J.Oh,,- of tb1. awlicaUol1 for whJ.ch they
<br />will ~ r..ponaibJ.e. tf yo~. .. the omt8r algna all the _tractor, yo~ are indi.aatJ,119 that:
<br />J-. nn:heZ' tlMlJ the caal:RQtozo, .are nspo....1ble ro!: tlIe 1IIOlI:l. rt: the CIOZ\t;ra':~ol:; ".1.11_
<br />you Co sign all GDDtalC::t~ Chat _y be lUl :LradJ.aation tlult he .1a Dot p~rly U.ceoeed and ill
<br />Dot eDUtled to pebdtt:1Dq privJ.leg'e1l in the cny of &epbyrbill..
<br />C. TJWfSrORl'M'IOII DlPAC'l' ra:s AND U'l'ILZTY COJflgC'J'IOII nes
<br />,D. CORM'JIUC'fUIOB LID ~ (QU\ll'rBR 713, ftaORl])" 8'fA'1'US'1S, AS AHmIDBD)
<br />:t certJ.fy that I. the IIppl1c:mat, hive IHMm providad w.1tb a oopy or "Plor.j.da'. Ccmat~gtiOfl
<br />lien Law - ~cnmer'. 1'I:otect10Q Guj,de'" pc.pu.cl by the nodda ne.p.naent or Agrlcultw:e
<br />aII4 Conllll>>r Affa:L.t'8. If tIw QI-pl.1cant i8 IOlleOBe ot:her that the "'*Dez:-, I oe.r1fy that I
<br />h--. llbt.u:aN . copy of 'tbe abGve ctea:cr1l>ed ot-t and proal.. in good faU:h to deUwr
<br />it to the "0NQar" prio): to ~~t.
<br />z. aJliTRACTOIl' StamlER'S .AJ'ftDAVX'f
<br />1 cartif)' ~t aU. the ~ODlll't:ian in thill applicat.1on 11 aCcurate and that: all work will
<br />be done in CCIIIIpl1anc. Vieb all ..pplicele 1._ ~lat1!l9 con.tr\lCllt:l.Oh, zOrU.ng, and llmld
<br />devalG'pment.
<br />Aa;iIpl1cat1.0I1 is ber.my ... to obtaiD . penllt: to do v&rlt aIJd ~t..u..Uon aa ~d1_t:ed. I
<br />cert.t.fy that DO work or 1nat4lJ.aUoll h.. _oed prior to J..."uce of a peJ:lll1t and that
<br />/ill flOCk will b. l1.cro~ to _ai: sbuldarda of alL .lau ~.tillog _.tEUOtiOll, City
<br />~. zoning revu1atiolUl, aDd land dsvel~t ~1.t;10_ .:1.0 the jur1..ct1~ion. J: ..lao
<br />certify that'[ UDderata.lld ~bat the J:e9\UAUou of otbe.: 9cnN~t..l a,.nci.. may anll' '1:0
<br />t:be UltlUldad _rk, and tbat it i. my ZlUpO~1bU1ty to id.llttfy what aotioft. I Blst take to
<br />b. in CCDlplluc:l!l. S\lOb. agencies inel,. but .~ not limitelS '1:0: "J)epart:lllent of
<br />BnV1~tal lleg\IJ.atlon-c,ypreu 1l.ayJaN.u, 1Jet:.1.-gd Are.. and JrnyJZE:mllrent'<tlly Selrdl:i_
<br />LilDdB, Wat.ulVaatewatar 'f~talllDt
<br />.South_at n.~ Water ~t P1.tr.lc*-Wel18, c~. Bayh_da, Wetllmd ~..a,
<br />Mt..UDg 'W..UXCUIU...
<br />WAaDy corp. of IlolJ.1D_r.-eawalll!l, IJoc:JrB. lI'arigab.1e w.teEWaya
<br />"Deparbaent of s..1tb " hbGll1tatJ..ve aa.a:v1ee., 1lov.1~tal lIea.lth Unlt--llella,
<br />lIaat_ter 'lxeaa.nt, Septic ~ItQU
<br />*0.5. 1Inv1J:o_taJ. proteat1on JWJency-AabIllBtoS aba't-..nt
<br />I alBo cartify that, it n.u. Meer.lal ia to M ua.d 10 I'1aoc:l aone "~... Ot "I\.,ete."'. it. 1.~
<br />UlldeJ:atood that. drat.nave ~lAJl ~.1~ a "QlID,pIlJl...ti.bg vol...,- w1J.l b. 8Qbm.tt.. 1Ib1ch
<br />ill prepared by a pro:fe.,81cmaJ. engineer nlJi..t~ed in the St.te of Flox-iela prtor to p_J::mit
<br />1e__clI.
<br />A peDl1t .1Bsued ahall ~. QCIIR.tI:UR to be . l1aenae to l>J:aceed w1tb the worlt IUld not: as
<br />autoho.rity to nol.t., _ciel, .Iter, or ..t ..ide el1Y provitl1.one of the teabR1cal ~,
<br />1lo0.t' alUlU i.suance of a peali.t p~t the BulldJ.Dg O.1'fio.1al from then.ne!: .requiring .
<br />corJ:Ol:tlcm of eJ:J:on in pliUlll, lxnultruction, ~ Y1al...t:i~s of aay cocle. BYe.J:y pam1t
<br />1..ued shall. beoaM lDve11d \1Dl... the work authcu:la.d by lIUch ~t tit CClIIIlIIelIoad If.i~
<br />.iz montJut o~ 1a_. or if IfDrlt lIuthorlaect by t:he peDlit 1. sw.p.aded or abandoned fa,; ..
<br />period of DU month. after tlI. tu. the IfDd: !.II ~aeed. ono 90 day eKtlllD8ion of 't~
<br />-., be a110w.4 toz t>> ~Ddt lf1th f_ ~..~ o~ $l.r..Ol>. 'rhe extclll10n llball be requested
<br />ia wutJ.lag w fte BuJ.l.d1n1I Officiu. JIll ..pp~ inspection aat. be logg~ dudng eaab alII
<br />month peJ::Lod6 o.r the projec:t: w.111. be C:OJ18ideJ:ed Ith.~.
<br />fiIARIIIRG TO ~s YOUJt PAIL1fRB ft) RIlCORD ... IiO'l'ICI 01'
<br />PAYDlGI ftICI: l'Oa DCnOII'DaIIftB 'fO YOUR PROl'D'J'Y. IF lCOQ
<br />WID YOUI\ LI1IDl5R 0& Mf AftORNBY 8BI'OlUII RICoRDDIG
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<br />CClUN'lf or
<br />nit foregoi.ng intt t _. ~edrJed
<br />Be{CIIre me th.h r J:1.ot . i.J.~O I
<br />by -r'//nm~~ <7. ~F;f
<br />I~ or peJ:llou aCllbloMled9'ed)
<br />Om.o .1a peraonally known to _, or
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<br />~.o baa pro4uced rL 7)KltJ/r /2~/-/(! .A//!?f'.<'-JY-
<br />~d. tYPt. of ldel1tifi.Clluonl... JtJ~-O
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<br />who dd~3MaJ'
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<br />.11..- tl'PBd. p~iotod or .~
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<br />.5'mr~ or nJ::>>UlJA
<br />CCJlIJft'Y OP
<br />'!'he fo~.1D9 1nat~t ~actg~ ___\
<br />DUL!-~II~~Of ~
<br />by hI2..\. lr-.P .f'
<br />A1 (wu. of penou IIckDowledgedl)
<br />/ DI VIlo 1. parsOJUIlly m- to _. or
<br />
<br />0.0 ball pzodDced
<br />(type of ldeaUficat10nl
<br />~1tho[]ct;ld Odid aot. ~ke an oath.
<br />
<br />\. N\A i~ ~4"'~U/)
<br />sL4natW;w .;~ per.on t:.~lJ .cknov.1~~
<br />(' ~M()()CI\ M;re.\~$
<br />I'fiHIa typed, printed or .r..p.d
<br />
<br />l'd lLlO'ON
<br />
<br />SlllHMAHd3Z ~O AIIJ
<br />
<br />1'f~1~:OIIOOl '91'rnr
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<br />~""m',~'_ Cimona 11:_ I
<br />~a1).l3Y Pll~ JlW'e es
<br />1.<::> ~'Commfssrl>n#CC983943
<br />i~ ii Expires Nov. 26,2004
<br />'.o~ ~ Bonded Thna
<br />.... ~Rf. ~ AiIIuIIo l30udina 00., IDe.
<br />
<br />/$.::jAffjt, Bobbie Swetland
<br />i~i."A'}:l MY COMMISSION # CC893160 EXPIRES
<br />'-J-'~~< February 22, 2004
<br />--"or. ,Ill'" BONDED THRU TROY FAIN INSURANCf" INC.
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