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<br />'-'JO lJ J. J.'.. ~i.l~ t!',) ,~' ,':' ,'1,R~U '!,' l\F'I"~: DA v I';'
<br />
<br />A. lW'J'lCm OB' DHlHln Rma'l'RIC'l'IONB
<br />'j'be lindeJ.:sJYHIiU 11IlUeJ;atlillda that thilll p~HllIi~ ln~y 01= s\lliJeut. 1:0 "deed l:sSl:drJl:ioIlCl" \'Ildnh
<br />IiI~Y IJt:llllol:e J:Clliib:Jot:Jve than CJty regulations. 'lib., lllldlH<llyned aSSlIl\ltila n~spolls1.b:llJl:y for.
<br />cump1Janue Ilit.h any Iippl.icabJ e deed l:elfitrJ(JI~.iiJlla.
<br />B. IlHI,ll:tiINBIllU CON'j'HhlJ'l'ORS AND COlj'I'H}\C'j'OR RmSI?UN ST 131 LI'l'IHi8
<br />11; the ClImeu: hela hil:ed a uOllb;aotor or cOlltJ:CiiJt.OJ:s to \lllderta),e; I'/Dde, Lhey IlIay he l'lilCJlJjt:i1d
<br />i 1,0 be IJUtllHU1U ill illH:lOrclanoe "d.th atRte and IncR.!. J:egldntJolla. It l:he C1ont:rl*nt:Cl~ 1M Jlnt
<br />LI,L)ellaecl cHI reqlll Hid by law, both t:he Olme).: alld oDnLnHlt:o.r may be ntted for a mtadilHll1lliJWt
<br />\I.iolal:ion \IIH.i&L' al:al:e la\l. If the Olme,l; 0,1; .1.ntendtlct oonll:;toLol: are IlIIo@,rtidn IU to Hllal:
<br />l.tuellsJIIY reqlli.r.ellll:llll".s lIIay applyro,t the intended I/Od., they are advllHld to nCJlIl:ftlll.: the
<br />r~ll:y of 2,ephyddUIi aU,U,Ung Department, 013-'lflB"661l,
<br />li'IULhtil.:lI\cH:Ei, It the OHllliU; hita ld.red a oontraotor or oOlltraoto1'.'s, Ilia is ilQ,,1.Slici to have the
<br />C.WlItt'/!lCJto.\: (i) slgn port,1o\la of the "Contrcwtor SerJl:ions" of thla appljoit:ion fpl: Hhlell t:Iu.y
<br />11111 bf;' J"liIlaponaj ble. 1 l' YOII, as the OHner /lllgns alii the rJontraCltor, YOII are j,l\u:I oal:1ng l:hill I:
<br />YOIl, nitllfU: thall the COIlt:r:aotor, GIrt> t'esponaibl e for Lhe \lorl,. 1 f t.he oCHll:nHll:lll: Illlilhes
<br />\,1l11 to aj \111 as aOlltt'iWt:ol. I:hat llIay be au ind.l.oatiD11 l;hat lie :Is lInl: proper}.y ,U uellBl1lll illllt is
<br />\lot. entj tled Lo pe,t::lllit:l.tIlV p1'.'ivi],egea 11l the ellty of Z,ephYI:hll.la.
<br />r:. 'l'l1mlBllOH'l'A'l'lON 1 Ml>AC'j' FEIllS Al/ll U'j'ILI'l'Y CON)'EC'I'ION If'JllJjJS
<br />n, COlIB'l'RIIC'J'IIJON J,TIl1l1 lAW ICIIAI?'j'HlR '113, JrI.ORIfJA S'j'A'l'IJ'I'lilF.l, AS AMHlNDBID)
<br />I CHH I: j f. Y tha t: I, the appl.I, aant, ha IIEl been ip:o v ic\ed 1I11:.h I!l aOllY Cl f .. Jl'] p t':I,d/;l' a Uana l: t'lllJt:.1 ,?ll
<br />.l1\l1l lliill . lIolllecll'mer' Iii ~l:ot:liIction Gulde" prepared by tl1e E'lor.ida Department uf /\I.H:.1oull:II,1-'1i
<br />cllld COlll:llllller hffah:a. If the app.lJcant ia SOill~one ot:lle;' ~h~t the \\r)HlIel;", I q"'I~':1 f.y I.:hal: I
<br />have o)J\:iilJned a oopy ot tho ahoveI dCllilorJhed Homunent: and prolnlse in good :fflJth \:0 chaUvli.r.'
<br />J t. teJ thlil "uuner" lldot, to OOlllTnerlCJelllell t.
<br />Ii: , CON'I'H/\C'j'DW S/UWHIilH' B J\1i'1l'[)l/WI'l'
<br />I CJtHtJfy thaI: all tile infoJ:lllaUQI1 in \:hla application .II'! aOl111r.aLe and t:hal~ all Hod, IJj 1.1
<br />Ile clolle 1n UOlnpU,illwe uith all applicable laws 1'.'egl1latillg oonet1'.'Il(JLioll, zOlll,I19, lilld lalld
<br />development.
<br />}\pplloaLJolI la herehy m~de to obt:aJII a pe1:mJ.t to do H01:I, anct J.lIsl:aUat:LcHI IU1 incUoattld. 1
<br />canUf.y thaI: 110 Llorl, or il1atallfttioll has oommenae<i pr.1.pr to !S!illaIlCJII uf II IllHln,U: alld I:llelt:
<br />all \-Iol.k 11:1.11 he pel:fnrmeu tu IIIIilSt stlulnards of all laws teguIaLinu UClIlIilLl:UCltJon, UJI:y
<br />clOde., ~oIlJ1\Y 1:IiIYlllti\:.1.ona, and laud developlllent l:III\;11l1CitJona .1.n l:he jlU:'.I.scHa\:ion. '[ a1tH)
<br />U~H 1:.1 f.y Ula I.: 'T IlIlllersl:and that the :t:eglllat:Jolul of other govilrlUl\enl;al ftUllll1cd.tlS 1lI1l\! apply 1:0
<br />Ilia 1n\:l:)wled "IOC)[, and that: it: ~a my 1itiiPPlla.thi14,ty to Jdent:.I.fy ",hat:' a(JtJonlil I II\IUII: I',al>. 1:0
<br />be 1n CJDIUpltftllOl:L Slwh agenuies ,t.1\CJlllde bllt are lint limited tOI ll))epart:1I\8nl: De
<br />E:lI v j l:lJllIlllilll t: a J Hegll.!" tilJlI'-C;~prli'HI BFlyheadlll, We tland1\:reaf$ ftlld En v1 ronlilell t',a 11 ,V ~end I: 1 ve
<br />l'Cllldfl, WA\:eL'IWaat:al~i1l:ar 'l'reallllent
<br />A allll Lhl1elll I: lJ' I () I: .1.I-Ja Wa ter l'1CllligeUllilll \: lU lil t d at -Willl iii, Cyp...ea fj Bayheacta, ~~e Liane! }H:ea iii,
<br />A) li:ldllY Wal:eruollraba
<br />AIH:lIl\' l~llql/'I uf tilng,inller.a-SeaI14ills, flrlCl!(lil, Navigable Waten,aya
<br />A/J~pal:llllt:lIlL qf /leal th Ii RehllbU.il:atJve Sel;viuea, Envll:ollmiillt~l lIealt:h 1'lIlt-Wella/
<br />Waj;j I: e~/fI ter '1' l:el'i tmilnl: 1 Blilflt.! l.l 'l'/!ml~a
<br />~IJ. S. lIillvJr.ClllloeUltal P1:oteatlol\ Agency-Asbestos abatllllllllll1t:'
<br />'I nlalJ mu;l:JfV I:hat., if flJlllliltarJa.l 1a to he I~aad In Il'lood ZOlle "A" or \\1\,el.o.", JI.:.is
<br />lIne!ill:Il\:ood that a draJlulge plall add.L'f.Iss1ng it "compensating VQlllllle" w1.11 be l:'llllllnlt:t.elll Hld.oh
<br />Ja pl:elli:\t'erl hy it lltofeaaional eng.\.nej;u: l'eg.1.stered in t.he State of ti'lor.j,da pt:JOt' 1:0 {l1:11:III1,[:
<br />i6lilllillUtI.
<br />1\ [HHlllit laS\led shall be Clonatrued to be a liolSllse 1:0 prooeed Hith the worJ, lmd not: iUi
<br />alll:llUrJI:y to vJolaLe, OiilllUel, alter, or set llalde any prov:J.s:l.olllil of I:he tecJllldnal aochul,
<br />nor lihall llH:lllanae of I1l plil1:11111: prevent the B\lJldJng Off.l.olal from LheUHlft:~r !:aqUif;i,llij iii
<br />uoneul:.l CllI of enora ill plaua, OOllliJl;1;UQtlon, or Vt.u~,~tionl 'If Any CJg~ll, llh/.':Y pal:Ulj,u
<br />hHH1ClU .hall beoom_ invAlid unl.1I the WQI;~ a"~tu)d&.d hy suoh perRlH: .is nOIlUllliHwed uUh! II
<br />ain 1Iluut.:ha of i..llIlIlO., or tf. Hurk ftllthodzed hy the permJt: is SlIilpslldecl Ol: ahallc!rlU8d for ii
<br />ped,od oJ: Sbl mOIll:hs atl:eu: the time the l'lark ia (JOllulIenoed. One 90 c:hll' e~'tfjlllBiCJII of 1':1.11I&
<br />llIaV b. allo\'lBd tor thCt l).~mi.t \'l1th fee ohar~e of ~15.fJO. 'J'he e~[t:enaion shall IHI UHJUllIiltliHI
<br />JII HJ;itinu to the BUilding ott:l..uil*l. An apptCllled iuspiwl:ion 1I\ust tal Joygild du1::lng ClilC.1/1 I;Ijl(
<br />mouth pel..-ind, 01.' the projl!lot \'IiLl be l1ollaidlitl"fHI abandoned.
<br />Wl~nNl.1lG 'J'O OWU/iJRI YOUR Ii'AU1IlRIil '1'0 RECORD A NO'l'Icl!l Oil' COMt1H:NCH1HIEWl' Ml\Y flHlflllf/l'nl YUlJR
<br />P1\YHIG 'l'WICIt: H'OH H1PROVEMIilN'rB '1'0 YOUR J?ROPIDR'J''i. Iii' YOll IWI'Il:Jm '1'0 OIl'l'ATt' Il'JIlAINIW.1 nUll Sill/I'
<br />WITU ~DIIH l,llltllJliln OR AU A'l"I'ORNF.lY BIllD'QRfl'i RIllCORDlHG YOUR lW'l'ICm 011' COI1l4HIIWEI"1Ii1N'l', .flHla IJIWH,H
<br />~2, DUO IU VAJ,UE no 11O'j' NIlIHlIJ 'l'n RlilCDRl.l AND IWB'I' A "Ne)'I'Iem O/j' Cot,n4ll:JWUlMHiN'I"'.
<br />
<br />_<..w,__._'....', __....._~_.._ _H._ .,. ~'_....___.~._,..._.._~~.,__...
<br />
<br />fJ Hm1\'l'Unl!11 OWNmR' un lH.BlWL'
<br />
<br />f:I'I'/\.'I'1ll Oil' B'lllJRTlJ1\
<br />(JOII H'J' 'i D Ii' ._._'_.'..____ ._._.__.'__-.,.__________,___.._
<br />'J'/la forliilgoJllg JUliil:r\llllont: HitS aalmo\'l1edged
<br />B~fore lIIe 1:1118 _",__,_,_ 'lay of .,_,__,___._.__, l~_._,
<br />
<br />b V ~-. -_'__"_'.___',,___,___,,__ ._..____.__._.______.________,_______,.
<br />(name ot 1l8uo/l ilolmo\~ledg8c~)
<br />[llIho .t.a pa,nonallv known to IlIEl, or
<br />
<br />1.1 Viho halii P t'orlIlPect_____._.__,_._.,.:..._________....__,
<br />(type of idelltj,fJoatJon)
<br />awl ~lhoU dl.d [Jdl Ii lIoL t:ah an oath.
<br />
<br />. ..-~., __v ~.__.,,_. _._...... __.' ~'.____'_'___ _.~_.....__..........~,_....~.__..._,_..~.." ..,.~
<br />
<br />SJynal:lIl'a of paraoll tald.ng illClkllovlledyemenL
<br />
<br />ii a Il\~'--i~- y'i','~~i; "i; ~T~;.t:-;;~l-';;~~..;-t;~.I,~;~;j---.-.,----'
<br />
<br />~-~_.,. ---..--,-_.~....~.~ _._._--_........,_._--~._..
<br />
<br />,. _._..~..~--'.... ......~.. ......-...-..-..-..-.-... ,.. ""',,-- _..
<br />
<br />S I GINA'j'1I Rill I (XlN'l'R1\C'I'Cm
<br />
<br />R'I'A'j'HJ Dfj' FLORIDA
<br />
<br />COllN'I''! (JE' ______. ..._.___.......,__,_., ..._..._.____,_..__,_____....,.....
<br />
<br />'J'he foregoing 1n81:1'.'llln8/11.; Has illJlmo\'lladUill,1
<br />Batore me this _____fJI1lY of-.-.....,-....,._._.__I Hi _,.:....
<br />
<br />by __"'_n__ ..____._...__._.______..____.,..__..__"..... ._...__, ".."...._.__..
<br />
<br />(nallls of p..rson aoknQwl~dij.~1
<br />[Jlho .is plu:acwally Imc)Wll 1:0 11IM, Ul:
<br />
<br />[J ~ho has p rodlloecl_____,...,_~,.__,_,__._..___.__..,_.....
<br />(type of j d~llI;J.:fi.uiUnH)
<br />and "lllo [],Ud I.]Hd not: ta!'1il ell oatil
<br />
<br />_. .-... '., ._.~ ......- ---.-- ._'._.,~ -.--.....-..-.....--. _.'._.....__.....R.____... ._..."~ '_~_. ""__ ~.,. ~ .,,_.__ ..._.. ,,,_~_. _.__
<br />
<br />SJgllal:ure of pel.'SDI1 tal; lilY aoklloHI edgmen\: I
<br />
<br />.-lr~~I~~.-t~\~i;;CT;-'p~:T;lt.~.;i-~~-~'i ~';;,i';~~i-- ,..
<br />
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