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<br />'A"W~ ~'J.~i'.'Hj'.-Ir ':'.l:l:mU'I' l\F'~'!:::)AVI'J'
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<br />A, NU'J'ICE: o Ii' DHlHlD HHla'l'RIC'l'IONS
<br />'l'he ulldersJunou lllluel;atallda that thJa f;Hll!l L lO~y bu ~qll.ll:JL 1;0 "deed 1:eatl."JrJtj ems" 1'/hJoi"1
<br />1111:1,\' IJtllu()n~ LIilStJ:Jot:lve than cJ.ty regulations, 'l'lJ.. LllldlH;jjyned aaSllllllH:l l.'tlsponsUl:\l.1l:y Eor.
<br />iJUllllll.lanue IIH'h fillY applJcaLJe deed r:eatdol:.1uiIS.
<br />B. lJNl,Ullill>lSBJU CON'l'H1\n'l'URS AND COII'l'HAC'I'OR RIIlSl?uNBTBll,I'I'H,,3
<br />If the CJlmt;u: hela hiu:d a uontraut:or 01: uoutri:lCi::Cl.:l to 1llldl:lJ:tellOll wcn:lt, Lhey IIlay be rlilCJuj red
<br />J I.u be lh)ensliHJ;\1I iwuorctanoe HJt:11 st:Clt.e and IncCl! 1.ElglL!.ClcJolla. If the Clonl:r/:lnl:cH:IB lint:
<br />UL1ilIU:led tiS leljlll led by J fiW, both the OI"lIHH and oontuH::t:o:.' may he rifted for iI IIdlidlilHl&lilJlClr
<br />\/.Lulal:iDn IUlue!.' !:Ital:e la\!. If the O\meJ:: or ,1.utfll1ded lJDllti:auLot. ara IIlIOt;U:Lli,ln as to Hha\:
<br />l.iufml2.lll\J rel)lIi.r.elllEluta llIaV apply to,t: I:he intended l/Drlll 1~IIt~Y are advl.ljed to CJont:illlt the
<br />1~Il:y of 2,ephydd LI if f:l\d.ldlng Della~tlllent/ 013-'lUB"6611,
<br />li'IU"LhtilIllDl.'a, lt the Cllme,t: hOlS Id.l.'ed a oOl1traol:01: or lJOlltl:.lOtorlll, he lei ilqv:l.slicl t-:o h~vljl the
<br />C.Wlltl:'i!wt:Ol: la) aJ.gn port,ionli of the "Conl~rElotor SerJI:iollS" of t1Jj,liI appl.1 c,lation fPt Hhloh I:hllY
<br />llill be; nllliponajhla. It YOII, as the OHnlH &1\;/1105 iiH:i thc: cwnt.rllutor, YOII Iifa jnd.lnEltjng t:hi:lt
<br />you, l:ii:\ther thall the oonti::aotor, au. tespons.1.hle tOt Lhe \lorl(. J f t.he OOIlI:UlllLlll: 11.1 SlllU
<br />Yllll 1:0 sj gu l:lIi oDlltt'jln!:ol that lIIay be an J.ndiocll.:l;Jll UlClt he :Is I\ot: prol)er}.y ,1..1 oiilHlfHI a\H1 l S
<br />HUt. entitled Lo perlllll:tiug privilagea 111 the u.ll:y of Z,ElphYL'hJ1Ia.
<br />1:. 'l'R1iJ./BPoH'l'J\'l''f(JN :rHI:'AC'l' B'IllHlS lUlU U'I'ILI'l'Y CONHEC'I'ION FlllfilS
<br />n, COI/B'l'RlIC'l'lJION l,nHI IJ\W tCIIAP'I'I!lR '113, I1'l.ORIDA l3'l'A'l'IJ'J'IDS, AS At1BINllB:n)
<br />I CJlu:j:j ty that: I, 1:hf:il apil11.CI'UIl:, have betlll i(l:ovicled Hith it COllY of "JJ'lQr.1.dl:l'li UOllfll:t'llrJt.l.C?n
<br />.l1~1l l,iH/ -. lJolllfiClI'llllU:' fl I?rot:i1otion Gulde" prepa,red by the f'lor.ida DflIllilfl:lIlilnl:: Dr /\Yl.imlll:lli:li
<br />illld (JOllSlIlller l\ffai. l:a. l:f the applJcant il3 someone Ot:!lfll,' ~:Ili~t tha "rmlle.r.", 1 qElJ:':1 ty thai: I
<br />have Ubl:id lied I:l (Jopy ot tho AlIova ufllaorJbed UOOllmellt and promi.se 111 goodfftJl.:h j:u (teUVlitt'
<br />.I t to thf;l "Ul'lIltir" Ilt:lor to OOlrl/I\ElllCJeUlelll:.
<br />Ii:. COH'l'H/\C'l'flH' fJ/OWHIilH' B AI!'Il'[llJ\Vl'{l
<br />I ufntJfV thaI: all 1:)1l~ ll1fo1:maUol1 in \:Ills appUoal:Joll JI=! aO(lllrate a.nd I:hal~ Jill uo.rk IIjl.1
<br />he done 1.11 r.JOlllpli.C\IlClf;j lllth aU I:lppliaabla laws reglllatillg rJoT\strlluLion, zOlll.ng, C1l1d land
<br />davelQf/llItiill1t.
<br />}\pplJoaUoll Is hel:Elhy m~de 1:0 obtain a pelmJ.t 1:0 do \lOrl( allli illlil:tlllal:ioll U llldioat:..d. :[
<br />CJlul:Jf.y that: II() I/orl. or inatal.lliUoll has oommenaect prJp)::' to ii~llanolil of It ilIHIII,i\: l:l11d Lhat:
<br />all vlol.l( I~Lll he ptll:t(Jnl\~U to IIIIUlt standards of all laws 1?egulat:1.ng UOllal:tlllltJOll, City
<br />Clode8, ~OI1JlIg 1:egIl1aI:JoIl8, and land dlillveloplilf:lnl: Llll\;/u1atJollolii In l:hfll jlu::l.ad:lui;Jon, '[ alfw
<br />Ul'sl U f.y I:hal: 'I IIlHie.ral:and that the l."f1gulat:Jplla of other governmental aglillHd.elil llIilY rapply 1:0
<br />Ihe Jul:f1l1ded Horl(, aud that: .it fa my 1;'IlPpnli.U~.t,14.ty to Jdflnl:.I.fy what aClt.tOlllil I IIl1uII: I.il,a to
<br />be 111 GcllnllUftlHlb. alwh agenu.les .t.lwlllde but are lint limited tOI .\)e~li'rl:l\lel1l: III
<br />H:llvj !:!JUlnllHltal Hegll.lal:ioll-Cypreaa Bliyheatla, Wel:l,md Al:ei\fj and Il1nvJrolllllellltaLly I.itillllll.t:Jve
<br />j,Olllds, Wi1Il:tilL'/Waal:ellil:l:ll: 'I'real:m6nt
<br />Ajjolll:hl"ltltil: lJ'lc>l:lda Wfitlillr !'1ql1igElIllf::llll: IlJl.itd at-Walla, CYPlrEliHI Bayheada, WeLlaud J~J:eall,
<br />J\ I t tH:.I llU Wa I: e.l: UP II l."1il fHj
<br />AJ\l:IIIV t~Ul:pa of 1i11l9.1l1l!1er.a-Beal"lalla, DnnJ!a, NClvigable WatenlaYfl
<br />,I;\lliiparllllf:lnt qf Ileal t:h Ii RehabJl.iLal:Jve Bel:vioes, lEnvlJ:C)jjli\flllltttl lIei!llt:h IInJt-Wel.la/
<br />Wa a I: iHJet Leu 'I' l:eatll\iW I:, Bar I:J Cl '.l'lillll~a
<br />).11. S. BllluJ.rrll'lll\fmtal J:lJ:oteotJon Agenoy-Aabeetos abatlillllllol1l:
<br />1 ilI1slJ ueJ:l;JfV that., if fl..l,llllatar,l,al Jill tn be LUllild in Il'land Zone "A" or "A,I,Il:n.", Jt JIil
<br />IIIHlil1:al:ood Lhlit a drainage pIall C1ddl:f.l,~lld,ng iii \I(JOl\lpensati.ng vQlllrne" wLll bo lfllltllllttt;iHi ~/ld,(Jh
<br />ia pl:epa red hy a profeaaiollal eng.il1el?~: l'eg.1.stered in the S l:ate of Jj'ludda pr.io..... I:u 1)&1:11I.1. t
<br />i fUll IllilWIl.
<br />A penult .lsslIed shall he Clonatrued to be a liaensf.l to proceed \lith the ~lClrl( ilnd not: as
<br />CilltlH)rjl.y tn vJulata, UiillUal, alter, or set aside ElIIY prov1.allHls of t.he tflCJhnJnlill ooclelil,
<br />nc)r oIlhall lUII"lIce of. a plill:IIlH: puvent the BuLl,dJIl\J otf.1.oial from LherfJftft:~1.' I:li'jllh;.t.lllj iii
<br />r:on;rwLJolI of fHlOl:a ill plaua, ()onal;!:uQtlon, or V10+Fltiollll ~f an" aQ~IiI, lll".~y i>>aa:1I1J,t1
<br />JliJliHlid .hall lJllIuume inu.Uti unl.... the WD~~ au~horh.d hy such permit: Js nOllllllliHHlid witld II
<br />allS iiluHt.:h. of i..uauaa, or. j.f \wrlt ftlltho,dzod h:V the perlllJ.t 1..11 a\Uipsll(ieo or I:lhlllHicm.d J"tlt' il
<br />ped,od of. S111 months att:el.' the tj,lIIlj lh. l'lork is aOllunenolH!. One 90 day el(tensiCJII uf. t: 11IIli
<br />1I1lftV La allo\'lild tor tho ll....m.t.t \'lith foe ohilr~e cl:E ~15.011. 'I'he e1CtenBlnn shftU bli l.liCjUllIill:liid
<br />.Ill Hdtill\j to th. BUilding ottiu.1~l. An "pprovecJ illSll~Hll:ion IIIIUit he loyglild dllclllg (l/i\f.lll 1:1111
<br />1I101'll:h ped,od, or Lhe projeot: Hl11 be oOIlIiJdtu:ec! aballdonsd.
<br />WMUIJ.lIG 'j'O oWNliIRI 'tOUH !i'AIl,Unfil '1'0 RIilCORD A NO'i'[C1il (}Jj' COMt.fBINci!IND1N'l' M/\Y flHlfJlJlil' nl YDlIR
<br />P.i\'ill/l3 'l'WIClll Ii'OH H1PHOVEMIilN'fS '1'0 YOUR l?ROPER'l'i'. IF YOII IlI',I'Ii:HD 'J'O ol1'l'/\HI Il'HIAlNIUli, nmJilllil'
<br />WITII i'OIJR l,HltlUiilR DR AN }\'l"l'ORNFJY BlllD'ORB1 RIllCDRDIW3 YOUR NO'l'Ie!!l ()If COll'lI'1U:NCHUvJllIN'I', ,HJlia IJ1WII:n
<br />~2, SOIJ IN VAWIil no IW'I' NlIlfllD 'I'll RIlICORLI ABn l:'OEI']' J\ \\Hllrl'H~H: (}Jj' r:mn1liIIWEMfiIH'l'u.
<br />
<br />.. ._-_.._-'......__..~.,..--'-,-...__._,......, .'--.-..-- -".~ ~. ~"......... ._~_._._,..._._~~,,---,..
<br />fJllmA'l'[J filii I DWN BlR ' (JR AGliltl'!'
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<br />fj']'/\'l'lIl uD' !l'l/uRrUh
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<br />(JOII N'l' 'i [) Il' .___,.,...__ '..._'__.'___~.~__._____.___.....
<br />
<br />'j'he torlilgoJng JUliil:rlllllont HilS aaknovlledged
<br />Be tor e me I: Illa _........,_ rllty Q f ,.__,.._,_,,_.. __, 1 ~_...
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<br />b V .___....___,..... .___...,. _...,..._.,__ '._"".'__'_ ~ .__..___.__..___.,.,.,...____.,.
<br />
<br />. . (nallle of l)eUoII ALllmo~~l.&ciged)
<br />[II/ho h pe.t:f1omtJlv known to illS, or
<br />
<br />1.1 wl10 baa p l:OrJIIPflcl.__..__._.,___._"~,__.__....__,_..._
<br />(l:YP8 of idellUfJOfttJOll)
<br />Elwl ~Jhol]dJd [Jdld not take an oath.
<br />
<br />.-.. ......"-.- .. .. ...... ... '. .-.-. --. ~'-. ....-. ......4. "'" . -,. . .__ _~_.._._ ._, .___.... ._......... _'_4'.'~'__",_,~_,~,_",,,,,_ .
<br />
<br />SJynal:lIl'1il of. perliOH tak.lny aCllmowledgelOent
<br />
<br />._ _.-_. ... ... ....u. _ .... __.,._. ....._._____............,.._ .._...,~.__..~..,._____._~.___... ,.___.._~._. ..
<br />'j1all1~ '1:~1l16d, pd ut:ed 01: atalllped
<br />
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<br />S I GINA'!'ll REI CClN'l'R1\C'l'OH
<br />
<br />R'I'A'I'E oli' Il'I,ORI IJA
<br />
<br />COllN'l'Y () Il' ___..._... .,_.___.........__._., ._.._....__'_.,.......____,_,...
<br />
<br />'l'ha foregoing lnal;rlllllElIIL: \'IfiS a(JlmoHI ildUjHI
<br />Baform me this ______f.tl:ly of-...,....-.....-..__.__, III _~_
<br />
<br />b'i '_._..". .___....__,.._._.,.._....___ _,,__. _...____,.,__........_..._,.., .........._.""...
<br />
<br />(nallle of peL'Son iiolmQwledijAiull
<br />[1ho Jo5 pel:'f.lC)nally Imm'ln t:o ma, (II:
<br />
<br />[] ~/ho hu I1todl1o.d_____._.u_._"__,_.__._,,__~..___"_._.,,.
<br />(t 'ype Cl f j dan U. :fj,'Ji t; hill)
<br />and ~lhn []dJd DUd not: t:.al(~ MIi '1Ill:11
<br />
<br />_. '_h... _._........... ~__.~.... _ ._,._. ~ .__,~..._,,_ ..--'... "_' _..,__.....~.____... "_"'._ .P__. ""__',.~ .,,_ ..._...._ _. ..__
<br />
<br />S j, gna I: ill'S () f pel:SOIl 1.: a I,lny a OltnOHI adgmen I: l
<br />
<br />...-.-..---- .._~- ..~. .."..----.-.....,..-..- ,...-.~_......_>_..-.._._.~..._. '.'.n. .... .___~__...~,..".~ __...____.~_.__...
<br />
<br />Name tYPE:ld, pd IIted or t:l t,cllllpt:od
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