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<br />'-"'W~ ~'.l..~ij'jlj l.,lt!' J:'I.'JHNI'.V J\F'F.'J:.DAVl';'
<br />A, NUl'lCm OB' nmmn HHlS'I'RIC'I'IONS
<br />'L'ba lllldlH:sJytUild lllld(H:stlillda that thia pj:lrlllit lOay be .i;llIl/j'(:l,;';'., 1:0 "deed ri:lsl:riIJtj Dlla" 1'1111 uh
<br />IlIClY !)C: I!lOUt reliltl:JoUve than Cl.ty regulations. 'l'he ,'lldeL,~.I\Jned aBBlllllIiIS l'f~BP()lll:\li.ld].1I:V for.
<br />uOlllpllanuf: \lJth allY appJJcaol e deed teatrJot:iOIIB.
<br />B. IIHJ.W&INBIJjU COW1'H/-llJ'1'OHS AN/) COII'l'HAC'l'OR RlilSPO/ISIBII,I'I'Tiff';i
<br />I t the mmel: hj;js h11:ed a UOlltJ:autor or (JOntrClot:cns to Illldt:tta)(e 110rl" they 1l1ClY be L'lilCjlljred
<br />) 1:0 LtI IJuli:l/i,ull! JII i11JOorclanoe \>lith stAte and local regldal:.oIlB. If tIle OOlll;ralll:p~11il lint
<br />lJ.lliillsed /:IS l'eqlllt'ed by Jaw, both the Ol"lnEH: allel ullntnH;\:OJ: may he nltCild for a misdemeallor
<br />v.iulaLiclIl IInUi:l1.' fll;al:e lAH. It the O\mer or ,1.ntended (JOIJt:J:autOl." an:! IIIIO(U:l:a.ln illil l',D ~'Ihi:\t
<br />I JU611s.lllY rillJlIirelllleul:s I/Iay apply f{),t: I:lle intended I/O):!>, t:hey al'e advJ.IH~d to nOll\:illllt the
<br />1:II:y of l?,epllyddLlfi f:hdlcUng Dl;lIpartlllent:. 613-'168'.6611.
<br />Jl'luLIIClrIIlO1:f:I, it the Climer haa Id.J.:ed a oontractor or (J(Jlltl:",otora, lie; ia iH~"i.illicl [;0 lliwe the
<br />rwnl:r:acJtoJ: (al algn [mrt.iollli of the "Contraotol." Ser.Jtions" of t1d.a app.1.1 C:llltJon fpr uhJoh I:hl:lY
<br />11111 ba nHipollajble. If YOIl, Cia the OHner aigns alii LIlLO: wmtrautor, YOIl lire i,nd.loill:lng l:hi:ll:
<br />YOll, l:atllfu: thall t:hlll oOlltraotor, ani t'esponslble fo!..' the Hork. Jf. the uOl\t,t:'illll,:o!: 11JshelJ
<br />\'lJlI 1:0 f:l1 \jll cUI OCJlltr:llctOI.: that may be all ind1.oil1.:1.'J11 l:bat, be is nol: prolHlrly ,1.1 Ufillfliir! illIlt ! s
<br />IIDl, allt,! tIed Lo pe.lUlil:Lillg privilagea In tha lJJty of Zephyl'ldlla.
<br />l:. '1'H1\HBPUH'l'A'l'lDN I Hl'AG'l' FBllllS All/) U'l'lloITY CONIIEC'l'lON H'IIlIllS
<br />)J. CfJIIS'l'RIIG'I'lJ lenl ), TIll 1,1 IJ\W I CIIAP'l'WR '11.3, WI.ORI DJ\ ,'J'l'A'l'lJ'{,liJF.l, AS At-2BlIHHlln)
<br />I IJel:l:j ty thai: I, thf# apillJaanl:, hallEl be~1I l/.t:oviqed H1t.h a oopy ot "jj'.lod.dil' 05 UOllal:l:'I/CJl:J,?11
<br />.I1~1I loa\I . Ij(lllleol'llle.t:( ij J?rotaotion GIIJde" prepared by tile lJ'lor.ida /'lepcu:l:lllent: ('it l\yr,i 0111 t:ll rtt
<br />.Hld t:JulllOHlIller 1It1'a1. l:S. If the app.lJcant il3 S(illlliOne ot!la~. l.:hi!t the \\rJ~lIIel:", J IJecl ty I.:hal: I
<br />hava oljl:i:dned a (Jopy ot the above cteaorJhed dOOlunent: and prolll:t.se In goodfnJth to ChllJVliH"
<br />J t l:o thl;l "uulIer" llr10(' to OOlllIlIerlCJelllell 1:.
<br />Ii:. cm'l'l'H}\C'l'(IH' S/OWHIilfl' a AIi'II'{/)AVl'l'
<br />I lJertJf.v Lllal: all I:lle intormaUQl1 in \:Id.s apPUCJatJoll lF3 aOCllrate alld that all UrH:Jt l/J 1.1.
<br />he done 1.11 UDIl\pU,ftlWe \11th aU appliaahle laws regulating oonetrllotil.ll1, zOlll.n\l, and 1lHld
<br />cleve lOll/lieu!:.
<br />J\pp/..loaLJ.olI Is hfHelly m"de to obtain a pel:mJt to do Horl~ ann illlill:1I11al:.i()l'1 filii ll1cUoat:8Ct. I
<br />CHHtJfy that 110 1I0rl. or llultallatioll hilS Clommenaed pr1pJ: to iSJillalleal uf Il parlntt and t:lud:
<br />all vH>1.)( HL11 he perforll\e'~ to IlIlilet liILiUlciarda of all laws regUlating OOUl:II:nwtloll, UII:.\'
<br />IHld~s, zonJlI\l 1:eglllet.1.onll, end laud deVi:llQPlllent reglll.Il:l.ons.1.n the jlu:JadJutjon. '[ allJo
<br />GeH l:j r.y Lila I: . I 1I1llien!lLalld that Lhe 1:I:igulatj DIlIiI oF. other govennnellt:al ftYlilllCJ1.ea IlIlIY lipply 1:0
<br />Lilla inl:ewlllld ~HlJ:k, and thaI: il: ,~a my 1j"IlPpnaU~ilU;y tD ldenU.fy l'lhat: aot.t01HiI I IIIl1tll: Llilltli to
<br />be 111 (JlllIIlll.!alwe. SIWI! agenuiea JnO]llde bllt are HO\: limited tOI AneLJiHI:llIent: of.
<br />I1:nvj t:ulllllellt:fd HegU,lal:inw-Cypreu BiilyheciHllil, Wlit.l,md Areaii aud HlnvJl:OlUllentaLly Benll1.t:Jvli
<br />J,illlda, Watet'lWaa1:eUill:ar 'l'reatlllent
<br />Al.hJll(;ll\~etll: U'lDdda Water: Mi:lnagemenl: lJistdot;-WlilJ.a, cyp1i:ess Bayheacls, WeLlalld }\I:elil/ii,
<br />A I t:i:ldlllJ Wal:e.l'UOllrtHis
<br />A/1.l1ll\' Co 1. llll of 1ll119,11lI!ler.s-Btlft\~al.ls, DOClh.lil, Nilvigable Waten/aY(j
<br />l./ll;'lPi:\I:tlllenl: qf lIeal1:h Ii Rehabil1tal:ive Sel:viuea, I!lnvJJ:olllniinl:al Health IIIIJL-'Wel.llil,
<br />Wi:\al:eHH11:er 'l'J:eatllllilll1:, Bept..io 'l'anl~l'.l
<br />,ill. S. 1i:llvJrfllllnental 1?1:0tIlClti.01\ }\gfinay-Asheatos ab.ternent:
<br />1 ~lfi(J (Jel.l:lfy that, if fLU lIIater.t.al.105 to be LUUtd in Jj'lood ZOlle "A" 01: "A(ClIl:n.fI, JI: 1a
<br />ulHteni/l:ood that il dt:ilJllage plall ilddrassing a "lJompensaLi.ng volume" \'11.11 Ilf:l l:1ulllllltt..d ~lhi.cJh
<br />Jl'.l pl:epa tad by a prQfesl'.liollal engllle~J:.' j:'egJatered in t.he St:ate of Jj'lor.i.da pd.oJ.:' I:u pennlt
<br />iBlilliillCllt .
<br />1\ fHuudt laSHed shall be Clollatrued 1:0 be a U-OIilIUH:il to prooeed Hith the ~/(nJ( jind not IiIIl
<br />autlLUd I.y to vJolatlt, O/illuel, alter, or set aside allY provJa:!'lns of I:he tCHJllldl1aJ eloc/ea,
<br />/1(n "hall JlIsuallCe of a permit: prevent the BILt .LeUng Of fi.dia1from Lhel.'fHI ft:lu: UljUJ t.i.llg iii
<br />noneul:J on of errOl.'lj i II plans, 'Joru,t!:uQtloH, or v1.ul./fit:iol1&i of AnV aU~Il, 11I".~V li.1:1itJ,u
<br />i.&f"Utu! .ludJ )JliHJoJn& invalid un14lU the wor;)c ."~horiZ\llld hy suoh perntH J8 nOllll/llilHJlild Hi l:hlll
<br />i1jit muuth. of l..lIIlUOII, ell: i.f \wrk alltho,dzad by the pe.t'llIl.t 1.a f:lllipelldecl or al>alldonad for a
<br />lied.ad of. sbe montha atter the t.l,me the \iork ia OOlllrnemoed. One 90 day eltteluili{JlI Df. 1': 111I&
<br />lIlaV La alll)\'lfiild for t:hClllel:m:\,t ",ith tea oharc;J1!I of ~15.00. 'J'he eut:enslClIl slll'iU b. lliHlllfililteHI
<br />jll \lritilllJ Lo the BIIUding OfUui~l, An approved inapliilul:ion IIllISt he l{J\J\Jad du1::lllg eaDh I;d/(
<br />month pliirj,od, Ol' the projeot: \~ill be L10llsidered abandqned.
<br />Wl~mHlIG 'J'O OWNER. YOUR B'AI11IJRIil 'I'D RECORD A NO'l'ICF, ow COMt1BlNCal~IIEN'L' M1\Y I1HlfllH,'l' III YOUR
<br />1?1\'iHIG '!'WICJjJ H'OR IMPllnVIilMBlN'I'B '1'0 YOUR PROPER'!'Y. Iii' YOU IWl'l!lND 'J'O OR'l'1\ltl II'JIIAINtUl., ClUJISIII/I'
<br />Wl'j'U YOUR l,H1UIJillR OR AN J\'l"l'ORNFJY BUlD'ORHl RIIlCORDING YOUR NO'l'ICIll OF CONHU,NCll1lvJlr.N'I', ,IIJUa IJ/Wl!a~
<br />~2, SOO lU VAWIll no NO'j' NHllilD 'I'n RfllCORD AND fWS'j' A "1-/(1'l'lel1: O/j' r:(Jt'fi11iIlWIi:MllIN')'II.
<br />
<br />... .-___.__._..__u...__.._,.. _.__.-..... ..~._._~____~.~._, ~ _....___.~._..___._~."___,,..____..
<br />
<br />fJ I GNA'L'U Rlill OWJoIIIlR (Ill l\GBltl'I'
<br />
<br />f:I'I'l\'l'ftl Oil' lI'j,um lJ1\
<br />
<br />(Jail N 'J' '{ U II' .___._..._.,____ ._.._'_'_...___.._.___._....._..__,....
<br />
<br />'J'IIa foregut IIg lrul j; J;:lIl11iJn I: Has a okl1o~lledged
<br />Before me I:hla ._..,.,._,,, r~ay af "__..___...__, l!i._...,
<br />
<br />b V .- ..-..._....,__. __.__. '......._.._. .._,_,___. ~.._._.._.___..____......_____..
<br />(nlilllliJ of IHlriWl1 aLllmol~liQgiJd)
<br />Lll/ha JII pe.t:flQlliilly kuown 1:0 lilli, or
<br />
<br />LI ~Il1o /laEl II l:orhlCled,______...._.,_._..~.___.__..,.._..,._.
<br />(type of JdelltHJoatJon)
<br />Ellie! HholJdJd [Jdld oul: t:al,e an oath.
<br />
<br />-". _._~.. --.-'-,.,_ _'~_.n._ ._.' . .____._.~ ______P.~.__.......__.__._.-.._..._.~....... ..._
<br />
<br />SJynal:lInl of persoll taldllY a(JJOIo~lliJdgement-
<br />
<br />-....--. - ~"..." . .'.... - -". ~.... ...., ....~...-~-~ -, ,..-_. """'-0'- ___ .____....... __---..__.__.___._.., ~_"_"_~"_""
<br />l~allll: I:i'pftd, pd IILed OJ: atamped
<br />
<br />._,...,. --""'--.--..,,..,. - -.....-------........-.,..-..-... -, .. .-.-....--..... ......,... """-"'- '--"'-'-'" .. ,.. .+.-..__._~..
<br />
<br />S I GIH1\'l'lI Rill I CClN'I'ft1\C'l'c.m
<br />
<br />R'I'}\'l'ffi OJj' D'LORIIJA
<br />
<br />CDUN'J'Y O!i' ~.~_.__. '._._......_....__,., _.'...._...__.,_....,__..._,.."..
<br />
<br />'l'ha fOUtgoing ills I: rlllll.1I1:, 1'//1 S cHJICllo~l1liHlgiHI
<br />Blttorliil me thls ____..fjay nf-..".......,.,.-,_..__, HI _,~,,_
<br />
<br />by ._'...._.._____.._..._...,,______ . .,.._. _...._....,._..,.._.__.__, ..,...".._,.__...
<br />(nallls of PIiUPll ilOkllQwlfildQ_ul
<br />[J,ho .1.a paj:'/ilCWa Uy lmoml l:o mil, Ill:
<br />
<br />[J I1ho has pr.odlloed_____.....__..__,_,.._._..___,___"_.....
<br />(type of Jdflinl:Lf.t.'lil!:I.cm)
<br />and ~/ho l]dJd DUd nut: taltl1il Mil oath
<br />
<br />-- '_....._-,~..~...-. ----....... - ,-..-.. ~-_....,~..-.---, _..' _. .....--.....-,-..-----.-. ............ .r._. ....__... _ .,,_ .~_.._ _. __. ..__.
<br />
<br />Blgnal:lI.t:e of pel:aoll tal> tug aolmolll edglllenl:: j
<br />
<br />~~'_.-.--_.._-- ..~-" .--~...._~-....._"_.._...-..,~......--..,-..-_......-. -- .~~ '-' '--- "--. ... ."... ..-....____.~...._.h.
<br />
<br />Hallie typed, pdnted or fjl;<llllped
<br />
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