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<br />A. IJU'J.' ICP.: OlJ' DH1HIIJ RElS'l'RTC'l'TONS
<br />- 'I'h. ""d., .1." ".d "nd.". tanda "I>ot tl> h p' 'm' ,. ""', I,. '''1>]. ut Ie" "d.od ,..,,,," tJ "n." ""d "~I,
<br />""Y b. ""H. ,.." I u U o. ""an cIty '."nla tlon a . 'I'h. '" "j." , v".d . aa ",",0 a ".al'''''a' hi I 1t Y ,,,'
<br />()Ulllll.lliHlUe I/j th ~IlY i;ippJ:lcaLJ e de=d LelfOtLL,;Li()lll3.
<br />B. InlJ,j(:~INSIllU CUN'l'll/'Hl'l'OHS AI/lJ COll'l'HI\C:'I'OR REiBPUlI:'il Ell "~l'l'II1;,~
<br />If the:. ()\'lI1el: lias h!u.d a UOlltl:autl)l: 01 COllb:aul.o.c.,:. to \Indert:al,,,, \-lori" they 1I10lY be t'eqlLired
<br />) '0 b. 'I "."..,j In '''00 ,d.noe nHI> "" t. ."d 1 "c.' '.g'''.. U on. , If tho ''''n '''a ",,,,,_ 10 n" l
<br />JJllellsecl as reqlllled l)y Jaw, both i:ht:: OI^lll€ll: arid [J~-Jnl:1E,c;Lor may be nl.t.::od tOl: a IIdt:ldemliliOJlOr
<br />1ilolaLJon \1I1dIH' stal:1l: }aH. 'If the Q\>Illel: O.l .1.11l.eillo:ied Clontraul:ol' are llllr::erLciJn IHI h) I/h'-ll
<br />II uellsJll(j rellldrelllelll:s llIay i:lpply for till:: inlended 1M)];, they ar:e advil:led to rJolll:c:H1L t:Ilii:s
<br />1:Il:y of Zephydd LIs BUilding DepartlllenL, fl13-'/BB 6611.
<br />H'IHLlIeHlllrJl:o::, it Llls Ol/Ilel has Ill.Led a oonttacl:ol or- cOlltraotors, he III aclvlsed to hi'lve lhe
<br />"""t,."to, (0) oJ"" 1'''rUo". of tho "Con'er.ctor "eqUo"." of Lhh .1'1',11 "ot) "" f'H' "hi oh 'hoy
<br />"ll' ". "eopon.1 hls , If y"u, .. the Ollne) . Ig". ". t h. "OIlL '" otor, Y"" aro Indl "a'o) n9 Lh. L
<br />YOIl, nll'.IH:t thau the contraotor, are responsible f01 I:he \lurk. If the oOlltnwl.:lll. Idshell
<br />\'Ull to E:l\ \.Ill as cUllttact:rJL that: may be all Jndical::Iol1 l:1lE;1: lie 1::1 Ilot PJ:oper-lyU iJellsed ClIIlI j s
<br />1101. ellt.ILled l:o pe1:IIIJI:Ullg pr.ivileges 1.n r.he UJl:y of ::',t:ipllyl'idlls.
<br />l: . 'l'HI\I'I/:J l'OH'J'h'l'TCINI J1l'AC'l' FH:HiB l\lllJ U'l'l lrI'l'Y CONI/IiJC'I'lOII H'HiJlJB
<br />n. COIlB'l'HIIU'J'IlIOII },Iltll l./~W (CIIAP'l'!!JH '/1:3, If'IJORIlJ)~ S'I'A'l'U'I'H:B, AI3 At1HiN[JE:Il)
<br />I oel:l:j ty that: I, the appJJcant, hall6 bsau Pt:ovic\ed \lith OJ. DOPY of "jj'lr)l'.l.da's COllsl:r.llul:Joll
<br />llt;l1 ],01\1' JJollleWI'/IIer's Proteotion G\lide" prcipared b~{ t:he E'lortda lleparl:IIlCinl: of /'I\)1.101Ill:11Le
<br /><llld COllslllller /Itfain:l. It the applIcant: il3 SOllllf;lOlle otl)e1" that: the "lHlllel:", 1 wH.1 tv L:hal: 1
<br />Ilalfe oll(:i::d lied a CJopy of the ab()v~ ctelilOl.:Jbed dO(]lunenl: and prollll.se III good fnJth t.o dell vel'
<br />j I. 1:0 LJlf:l "ul/IIeu:" l'tJnr. 1:0 OOlfllnenoelilelll..
<br />U:. COII'l'H/\C'1't'lH' FJ!llWHfilW 8 }IIf'H'[/)1\Vl'{'
<br />I lJertJty Lhl::d: .11) Lhe illtorlllaLJolI:ln Lhts appLloatloll J~ aoollt:aLe and thai'. all Hnr!> llill
<br />Ile dOlle 111 UOII\plJance IJJth aU applloable laHs reglllatillg oonatnLOLlon, zonl.1l9, alld .tl:lllcl
<br />de ve I.Oplllflll t .
<br />}\ppI.JuaLJolllfJ hereby Ill~de to obtain a peunlt [:0 do H()l'l~ alld lllattlllaUoll i:lS jlldinated. 1
<br />oetLJfV Lha!: 110 IlOl'I\ or illi:ll:i:lllaUolI JlalOl comrnenofld pd.pt: to !I:l!:ill!i:lllce of Ii penrdl: alld thaI:
<br />_,I "" dl "II, he 1'"""'11I.<1 to 11I00 t a ta"e's rd. 0' ail la". regllJa tJ"g '''''IS t '"'' U "", L:t '0 Y
<br />l:lJrI..S, ZDIIJlly reYllLal:Jolls, and laud deve]oplllenL 1:I'\:1111al:lons jn the JllrJsdlutjoll. '[ alfjo
<br />celtlty Lllal:'1 IIIHleLi:lLalld that \:he u:sglllaUDns of other goveUlIllental ngt:lllcd_l:ls lliay lilPply j:o
<br />lIlt:: JIlt:ellddd Hod., alld tllat: It: .j.a nw 1;'~"ppnsH~.11j,ty to 1delll:Jfy I'/hat. antJolls I 1ll\ltit: I.al.e 1:0
<br />IJt:: 111 CllJlllll.l hll(Je. SlIch ag61luJes tllclllde bllt- are not lind. tad to I .. Depijrt:llll!:lnt: of
<br />H:llV.1 UlIlIlICllll:i:lJ ItcH\!.1 at:Joll"CYf)t'f':I;lf:l 13RylleadE:l, Wetland Areal:l allcl 1l~IlVll:()llmelltalJy l3ensJl::Ivc
<br />Lauds, Wa l.e l/Was tel/a tar 'l'rea tll\enl
<br />Aa()lIL1I\~el>l: InDI:Jda ~~aLer l'1li\llilgemellt: IlJlltr.lcl>We.l.1s, cYllJi'ess Bayl1eadl:l, ~~eUalld }\J:eae,
<br />J\lll-H.tll\j Vli:ll:elCJollJ:SbS
<br />^IHlII\' Corpl:l of Illllg.1l1eer:s-SeaIH:Llls, Drwhs, Havlgabli: Watfn:l-iaYf:I
<br />)'Ih;,:parLIl16nL of /Iealth & HehabJll!',d:Jve Sel:viues, E:nvJl:OllIll6ntal HealLh IJIIJL-'Wel.ll.:l,
<br />Wal:lI:611<l(:er- 'l'reaLlIIent:, Se~ll:Jc: 'l'an](6
<br />ill. 8. Uillll!lOl'lllltllll:.d I?roL:EHll:loll Agsncy'.Ashestos abati:lllenl:
<br />'l i:dtW lJel.Ltfy Lhat, if f.Ul lllaterJal Ja to be lIolled in Jflood Zone "A" or' "A,eLn.", il: .Is
<br />11l1derSLood Lhat a dralllage plan <ldd.l:f.lssing a "COmpsllsal:Jng Vnllllne" 1'11.1.1 he 1:1111111I1 t:l:li;ld IIhJuh
<br />is pJ:epared liy a pJofessl.ona.l. eng.l.nf;Ofll' x:eg.l.steJ:ed in t.he !:ltate of ~'lol'ldi:l prlol:' t:o pannll;
<br />.i S Illlanra; .
<br />I... pel:lult JBslled shall be construed to be a IJc6nse to pJ:oceed llith the ~1O.tk ilnd not: as
<br />alll:Jlo.tl\.y \.0 violate, Ganoel, alter., or set: aBide any provta:!ons of t'.he teohnlnaJ nodes,
<br />nor fihal) JIHHlance of a pentll pre'vent: tlte Bu.llcUn\j OffJoial frOlTlLheJ.:fJi;lfLI:H taqujtl.ng /:I
<br />uoneuLj 011 of enote in plallB, nOnSL.l:lIdtJoHI 0.1: v.i'J].!itiona 0:1: ClOy IJOQl:l. IlIUity lHi1:11ltt
<br />hl;lllild lilllldl benorne invalid unlesll the wo.t;~ au~hod.~eld hy slInh permj t Js nOllllllenoed 11.1 tllln
<br />.i.1u Illulltha of ilHllll:H1Cle, or Lf lwrk I:Illthorlzed by tile po::tlnJL 113 slIspended Dr aballclulltld for a
<br />pedod of slJ( IIIDlII:hs atLer the tlme Lhe \York.is UDlllfllelHJed. One 90 day eJtl:sllsl.on of. t:lJue
<br />lIlay be a" lo\.u.r! flll: the pe~mtt Hit:h fee oharge of ~1fi. DO. 'l'lIe Cilttencdnn sllell] ill:! !eqllElst:ed
<br />III Iir.ittllg 1.0 the BuLJ.dJ.ng DftitJli:ll. An tlpprolfed 11lspeul:.1on IlllISt: be .loUged dllx:.Jllg el:lnlt <Jjll
<br />month pedod, OJ: t.he pro:} 60t: 1.1Jl1 he uOllsJdtHed abandoned.
<br />~/l\rulJlIG 'J'O oWlllURa 'iOUH li'ilTl,IJRlil '1'0 RIilCORD A IW'l'[Cl!l ow CONI'1H:!'l(:EJtllliN't' Hl\Y llHiFJllj,'[' III Y.UllfI
<br />P.AYH/13 'l'WICli: ll'OH n.lI?HOVli:J>1EJN'l'S '1'0 YOUn PHO!:ltf\'l''t. Iff' YOU II/'I'E:J/ll 'J'O UB'l'J"'HI jj'J1/AI~lalll3, COtISlll,'I'
<br />~H'J'J1 l'OIlH l.Hlt/fJllif\ OR AH A'l"J'DRIlF.lY Bill !i'OR III flIlJCOHDIIlI:J YOIJH 1l0'l'ICm Ol)' CIl/YJI111;NCft\l,1H;H'I', ,/(JUS IJUlIH:H
<br />~2, !SilO IN VAJ,lI~: DO IIO'!' I-IHilllD '1'() RHlCORlJ AND l?Of3'ji A "i'lO'l'Tcn: DE' cmfi1H:IlCmt'flj:lI'I'".
<br />
<br />'~'.'J.jUJ J.'J.~J.i"";j U,~' .':1,~;:~_!,,~!.'j~\ }\BIWIDA\Jj'Jl
<br />
<br />.'J I 1.1 lA'l'(J filii I OWIIHlH oH l\13Ji:lI'I'
<br />
<br />,_ 4_._..... ".. _ '__~___._. ...
<br />
<br />.. . _.. ...--..-.-.-.....-- . ~..,---~ ,., '._-'~,---_,
<br />
<br />.'J I 1.3111\'I'IJ HE: I I ;Clll'l'RAC'I'un
<br />
<br />'-. '. --.--.-.------.--....-".-...-.-..-".-..
<br />
<br />,'j'I'I\'J'Hl Ol!' H'Lum 1l1\
<br />C!OIJJj'J' 'i 0 Ii'--_____. .._____.. _. .._..___________....__.__.______.____"..___....
<br />
<br />'J'll.. tOr-filyo.1IHj Jnstr\llllltnl: HflS aokllo~il edged
<br />Be to 1'e 1110:: l:ld B _ ..__.. day 0 f. _ . . _ _'__._1 L !L..
<br />
<br />by . ___ _.... ._ _. ___'___ ...____... ..._.__ __.__ ._____ _________._________.....
<br />(nallle of person Clul(no\dedg~d)
<br />U 1/110 1s pel:sonally knol'iO 1:0 lIle, 0).:
<br />
<br />fl'l'A'l'H: DE' E'f,ORT lJA
<br />
<br />COU N '1' Y 0 Jj' .--______ ___".__.__......_.. '.......n__.__.. .._________........
<br />
<br />'l'he foregoing insl:nllllellt \-Ias auJmo~1i EHIYEtd
<br />Bf2fore lIle t-:ldli -.____f.lay of-.-----.____..,.._, )S
<br />
<br />by ____.._m..._..__...._......____....____. ..____.......____........... ....__........ "_''''''''''__'
<br />
<br />(llams of person aoIClIOI-lledU*dl
<br />LJ'ho j S flEU'Slma lly 1a1D1'/n t:o ilia, (n:
<br />
<br />'.1 Hila lias lJ l:odlIOSd_._____..___._..._._________________
<br />(type of JdellL:JfJoatJoll)
<br />and \JholldJd Udtd nol: taliI:': an oath.
<br />
<br />"] Hho bas prodllrJllld,..___..________._......__.__...............
<br />(typCi of I d.,lll:1EJwiil: lOll)
<br />and vlllO L.'.Idld LI-Ud noL tcdt= all Ol:l 1:11
<br />
<br />SJ<jllCiLlIlt: of persoll tald_lIY C\uknollledgelnent-
<br />
<br />.--...-----....--..-..-...,....-..-.,.
<br />
<br />~ _.. _._.. ._.~..h___... _.". "".......~._.. _... _.,___
<br />
<br />SJgnat:UL'E1 of person tal.l.IlY aUI(llOI11 f.:l\lglllenl: I
<br />
<br />NaUlt:: I:YtlIHI, pclnled Ln stamped
<br />
<br />--" .-'.'-- .._~..... .._..-...--_.~-._....~..
<br />
<br />l/cllne L\,ped, [JrJnLed or t;l:clllJped
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