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<br />""'"n J.'J.\;)'.H! \.!W .':'.~:g~rr'J.' l\I!'E',':nAVI')'
<br />
<br />A, NO'j'Tem Oil' Dfllwn RlilB'l'RIO'l'IONB
<br />'j'be llndeu:tiJyned Il1ldlu;atlinda tbat this parll!l,. In~y llt~ ~1I11.le;ut I:p "deed resl:J.:j.fJl:jl)lIa" l'lldnh
<br />.1i\00Y IJtI 1II01:a rfUltr:.lol:jve than cJ.ty reglllations, 'l'ht. llndtH;j!YIHiH.l afHllll\lf:lS raSIHllH:llldl.1I:\, tor.
<br />fJOIllIlll,lHlue \lJth 'lilY applJcauJe deed t:i2strlo.:Juili:.
<br />B. IINj,](;/iINBIlJU CON'l'R1\C'mRS AND COII'l'H}\C'l'OR RIil8,?UNS. 131 1,1'1'I B:S
<br />If. tho o 1m ill: hila hil:iid iI oontractor 01: LJOnt,.:0I'J::Cl::1 to lllldl:lttal,e \'Iorlt, they IIlay be t'filCjllj red
<br />) 1:0 ue .lJ(Jtlllsed :l.u i1lJuorclanae ~l1l:h stClLe aud local l:eglllacJoIlB. It the aontrilnt:CI~ .Is lint
<br />l.J.llilll/iled IHI leqll.1rad by law, both the OI'lIHH alld oClIll:raol:or Hlay be ntted f.(lr III lIIiadlillBaiilHll:
<br />11.Lulal:ioll II II d En: &:ital:e TAU. If the OHller 0.( .tlltellded lJOIlI.:l:aotor ati:l Illlo6r!;a.ln alii to Hha!:
<br />liuiillliJllg Hll)lIi.rEllllenta llIay apply fo,\: the intended I/Orl>, Uley al.'e adlll.f.led to CJOIlt:aIJt the
<br />1~Il:y of. l?,ephyddLltl auUI.tlng DepaJ;tlllen\::, OD-'IBB"6611,
<br />1l'luLhtll:lIlrHe, j f the Ollller has Jd.red il aontracLor Dr UOlltraators, he, Js aqvlSlid to have 1:111=
<br />r.wntl':ewt:.or (Ii) tiJ.gn port.ionlil of the "Con1:ulOt:or Sections" of t:h:l,fij app.1..1',lation fpl: Hhioh t:Ill*V
<br />\lill I.H;' !:f:lspoJlsjbla. [f YOII, as the: OIIne): 11I1~IIHI iHi the wHltranto1:, you IiIre tlld.1 elating 1:11/:11:
<br />\,011, l:/;il:her than the r:ontraotor, ani~espons.ible fo). the \lurk. If Lilli oonttitul.:llt IdlilheB
<br />\1011 to si un as OCJllt:r:/iotol that lIIay be an indloeltiDll that lie .Is nol: plol1er].y 1.1 UfjllSill! awl I B
<br />Iwl, anti t1 ed to lJilrlllitl:,tn'il privilegeB 1n tile uJt:y of ZephyL'ldl.la.
<br />1:. 'I'H;UIB~()n'J'h'[,T()N IMl'AG'l' FEIlJ3 AIW U'l'!LITY CCJNIIEC'I'ION li'llilllS
<br />n. CfIlIB'j'HIIC'j'U HH/ ], T III I I LJ\W (CllAl?'l'I!lR '113, IrI.ORH>A ,'j'l'A'l'U'l'li)FJ, AS AMB1NDB:n)
<br />J wu;t;j ty that I, the apIllJnanl:, hlil\lEl bean [?1:C,vJcled \lit.h a OOIIY of "B'lQJ:'.1.rt/:l'1ii UOUSl:t'IIOt:.lC!ll
<br />.I1"n 1,011/ - lJollleol'lner' a l?1:o\;i1otlon Gulde" preplU:ect by the B'lo.r.ida J'jljrpu:tlllent: ur Agdoull:ll.tlj
<br />and Cun~llll,er l\tfaj1:~. If the applJcant il3 (Wm~IOlle Ot:jlfH: ~lli~t the \I r1\'/1I e:r. " 1 J 'lilt:1 ty thaI: I
<br />IlilVa ubta.llled a (lOpy ot t.ho ahov~ daaorJhed dDm~lnellt: and promise in goodfldth to rhtU Vit.
<br />J L l:o thf;i "uuller" 1lrlo1: to aOllllneunellleu t..
<br />Ii:. COH'l'!U\C'j'OH' 1:I/0WHIilB' 8 AFIl'IIlAV1'I'
<br />I CJeH'tJ fy Lllal: /ill 1 the information in t:hll:l appli oatJolI .11'1 aaCllrate alld that all uorl, 'JJ 11
<br />be dOlle 1.n UOll\pU.ftllCle Hlth aU applioable lawa rlilgulatillg rJonstrllotiolll zonl.1I9, and l~Hld
<br />elevelopHlfillt.
<br />J\ppJ.JnaLJ.on :Is hereby m~de to obtain a penmlt to do \rlOtl, anll Jnstallat:.itlll f.IIa indioat:tlc" I
<br />mu:I:Jfy t:h.d: n,) \lodl ell: illllta.l.laUoll has oommenaed pr.1.p!:, to ilillilllilUOlil (If Ii pennlt alld I:Jult:
<br />all \'Iol.k l-J:l,ll ))6 ptu'fOl.:llled to IIlEUlt standards of all laws regulating UCllllill:nwtlo11, C.II:y
<br />/lodes, :;:01lJn9 regllllll:.1.olllii, and land c!i1veloplllent .t:i:lglllal:1.ona 1n the jlu:Jsdlutj on. I allflo
<br /><.Jelt t:i f.y thaI: '[ IIIHiersLand that the l.:flglllatJolllil of othar yovenllnlilnt:al aYliIlIctJ.l:llil 1II1i~ IilPply 1:0
<br />Ille 1.nt:ellded ~md(, and thai: it ~a my 1;"AlPPl1db!14,ty to JdElllt:.Ify I',hat: ClUUOllS I III11~L I,ahli I:n
<br />UliJ 1n wllllpllftllClIil. Slwh agenu.te8 i.nCllllde bllt ate 1101: limited tal *DepllrI:I\lElut: or
<br />ElII v i r:UlIlIlElll t:a 1 Heglll a 1:1 O/l'-Cnlre~r6 BRyheads, We \:land Al."!:lali aud hlnvJ routHen t Cl L1,y litmd l:J ve
<br />l'Alldi:i, WatElL'/WaBt:eual:er 'llreallllenl:
<br />4fjolll;11I'</t:ltll: Ii'lodcta Water I"HtIHlgemeul: IHlItrj at-Wells, CYP.li.'ElfHi Bayheada, Wetlauc! }\I;eali,
<br />Alledll\J Wal:e1:(JOIll:Btill
<br />'lu:mv UOLVa of 1il1lg.1muu:a-BtUlHal.ls, Dooh.s, Navigable Wat:e1:\-Iays
<br />~)l~llClI:tlllenL of Health & Rehabilitative 5el:viuea, Env1.1:ollllliilll:ttl IIlJ1Alth IlllJt-Wel.llil,
<br />Waabn/i:tl:er 'i'1:eatllllllnt:, Bl!lfll:.lc.l 'l'el11l~f:l
<br />~II. s, li:llvJtCllJlnelltlll E'1:oteClt1.oll Agenoy-A21bellltolii ab.telnent
<br />1 ,dfiO neHLltv that, it fllllllatt!lr.l.al.115 to be uliuid in Jj'lood tOile "A" Dr "A,eto.", it 1:;1
<br />IIIHlil1:al:ood that a drainage plan i1ddressJng a "nompellsal:ing VQlllll\e" w1.11 be IUlbmltl:tHI uld.rJh
<br />1a P1."ep~J:.'Eld by a profeu.lollal i:iIng.lnel;ll.' x:ag.1.atel:itd in the State of ll'ludda pdol:' to peu:ml.t
<br />ilUlIlilWti .
<br />1\ penult Jsalled shall be ClollatruEld 1:0 be a 11.aense tD pl:ooeed \lith the WOrll And not: aa
<br />cwt:h'l.I:J Ly to violatel OlilHJel, alter, nr set aside any llrov1a.1.'ms of t.he tElohnJnloll oodes,
<br />nor 8hall .iluwl!lllce of a pel1:mH, pre'venL the Bu.tldln\j Offi.oial 'from thereaft:~1.' nqulti,l1lj iii
<br />noruwl:J 011 of errors in plana, l:lqfUJI;!;uotloH, or vi'~l,fit:iol\1il ef Any CJu~e, II1v.~y p.CII\J,u
<br />JUllfoiU li1H,11 )JIiwome invalid un1ft.. the WO~}( .u~bodz.d hy Slloh pURlH 18 IIOIlUlllilllued Iii tld II
<br />jjJll month. of i..lUlUO., or. i.f uork ftllthod,zad hy Lha pfltlllJt: J.a SIUI(llillldecl or Iihallduru,c1 fur Ii
<br />ped,ad ot abl months atter: the tl.llIfl the work ia OOllll1lo/lOed.. One 90 day elltensiClIl uf. t: IlIIli
<br />IllaV be Iillol'led tnr the l)o~mt.t \'11t:h fllle oharSJe of ~1!1.00. 'I'he lilat:enalnn shaLl h. UH)lli'lIat.('
<br />ill Hri LillY Lo the BuJ1di.og otUn.ial. An Ii\pprOVI!llt illfl[lIiwl:1on IlIllllll; he lOl.lglild dud ng ellwli lilt H
<br />mouth lJlu:i.od, or the prQjeot: \dll be 1101l1id.derad abandoned.
<br />Wl\fil'UUG 'J'(} OWHIilRI 'tOUR li'lIII,UHm 'j'o RECORD A )'W'j'ICfll OR' C()MHIIlN(~alNll'.I~'L' M/\Y HHlfJIH,'I'HI YOIlR
<br />P.I\YHIG 'l'WICIil fj'OR HtPllnVEMIIlN'I'B '1'0 YOUR PROPICR'l"t. Iii' YO\1 IWL'S:JID '1'0 OB'l'IUtl Il'JlfAUtAUHi, r:mISlIl,'I'
<br />Wl'J'1I ~nllH 1,IIlUIJllIH OR AN A'!"!'oRNFJY BIllIfORH\ RIIlCOHDIW; YOUR HO'nCI!l OF COlvJJ1H:UCflll>1JliN'I'. ,JUUji lJJWH:l(
<br />~2, n()U HI VAl.IIBl DO 110'1' NHllilD 'l'n RfllCORLl AND I?Of.l'j' i\ "NO'l'ICEl O)j' c:m'IHIilIICIllMIi:N'j'".
<br />
<br />-. - ,-- - .__.....~ . -.. .._1_._,......_ ____ '_M."__ __".. N" ......_...._'__.._._...._.__...____
<br />S J GIlA/I'll Rill J OWHWR' OR /II..IllN'l'
<br />
<br />fj'j'/\'j'lIl Oil' B'l.C1Rf /l1\
<br />
<br />(JOI J N 'J' 't lJ Ii' .'____._._.._,__ __ ._...,__..,______~.___.._____..__'''.
<br />
<br />'J'ha forego.! /19' Jus t: rllmon t. Has a OkllO\rll edged
<br />Before IILe l:ld ll_......_,.. l!ay of ".._._...__...__, 1!t_,..
<br />
<br />b V ". -- --___.. . .._____,__.,___.._ ._,,____. _.____._..________....____,_
<br />
<br />. (name of persoll aakno"ledgodl
<br />[J Ilho h pl.'u;sonillly kIlOI'</O 1:0 mel, or
<br />
<br />L I ~,ho hftEl II I:Odllafld,_____._..,,_,_,_,__,~,__.._.____._..,....
<br />(type of idelltHJoatJolI)
<br />fwd ~lholJdJd [Jdld lIot tala. an oath.
<br />
<br />. .'.. ._-~.. ~-. ~ -..._._._~...... .~.' ~'----_'_____~_4__"''''_--,-,_""__,,,,,,_,,,_,~.,.,_,,, ,__
<br />
<br />sJynatllL'e of. peraoll tak.ing aCllmol-lledgement
<br />
<br />,- _.-- -....'....."..... .-. ~.. .._,.,...._._4__......~._..._,__ .._._..__...~....______.~~.___.....___..._.. _.'..
<br />),ialll~ .typed, pd uteod In atfllnptH.l
<br />
<br />A___..,. --_.._-'--_.._.~-_....____.---.--.,....,._..___,_.. ., ._._'.H........__._._.. ..",,__..._ ....._.__...." ._... ._......._ .._'.
<br />
<br />:91 GIH1\'l'lI REI CON'l'R1\tl'I'I,m
<br />
<br />WI'A'l'E Djj' ll'LORIIlA
<br />
<br />CDUN'j'Y ()J!' ._..___._.__..........._..,." _...'...'_._'......._...._.__......,.'"
<br />
<br />'.['he furegoing illsl:L'llIllelll; I'HUl ,wlmuH.!fiHlgee,1
<br />l:latorea me tlda ____.s.lay Df-..,.....-..-..--,__.__, Hi _~,,_
<br />
<br />by __.on__..__'____...__._._____ ...... __..__....__...._.__.__. .......,..__._...
<br />(name of person /ilolmQwhdQ.~1
<br />[1110 Js PIilL'/ilDrllllly Im{mn 1:0 lilli, en
<br />
<br />[I ~ho has ProdIIOl5d_____.n__..__'..._n.n..__.___.._..._,
<br />(t 'ype Cl f .J dan I: :l..Hui t;J,nnl
<br />and v/ll[) []dld !.]i:l.d not: l:ill[~ Mil U/ill:ll
<br />
<br />-. .-..... -.-.-........ --_.~_.. .-.--....--....,-..--, -...- ....._-.....~.--..-_.... '___h. .P....., ...__........,_ ,a_.._.. _. ~'__
<br />
<br />S:l.gnal:ure of pe1:flOn 1:ald.lll;J aolmoH)adgllll:H11: j
<br />
<br />~_.-. -. --.-. "-"'~--"'--."""_H_'~'_"_'.__'H' '_'~"."'_""'.'_'._...--,P"'__ ___..__.._. .__....'__. ... ..._ .....".__,.__._.....
<br />
<br />l1arnB tYEIl!HI, ~dllted or al:alllpbe,l
<br />
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