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<br />1\. 1I0'j'TCF. Oti' IlH:ilJD HEB'j'l1IC'j'IONB
<br />'I'bo::; lIndets.lgned lInderstands that: tide p'=rrnl.'~ Ill'~i be 81Ib.l<::u1: 1:0 "deed rest:r.j{Jtlo11S" l'lllidl
<br />Iilay be 1II01:e r-esl:l.ict:ive than Cl.ty n:g111,~I:iollS. The undeLslgned aSSlllnes re13pollslb.l1ity for:
<br />cOlllpl lance Hi th auy appl.lcable deed t:€;s' LJel.:ioll:3.
<br />Ii. lJIlJ,ICffiNSE:ll COH'i'I1AC'j'OHB AND COlJ'l'Hl\C'l'OR RmSI?OHSTBILJ'l'JIr..'J
<br />If the (Hillel: has hired a contl:actDl: Ul l:ontl:actols to Ilndertake Hork, they may he r6qll:lred
<br />to be licensed in auuordallce v1Jt:h state and .1.0Cftl l:eglllatJons. .If t.he Clont:rautot: .Is nol
<br />].1 uensed as requJr'ed by laH, both Lhe DIHler and contrEtctOl: may be oited for a 1111 fldellleanor
<br />vlulal.lon IlItder state .lal,. If the OHneJ: or .1.nt'lnded cont:J:actor are llllr.eLtaln as to Ilha!:
<br />I luans! n\j rerjldtelnents lIIay apply tur tll.; InLendE!d Iwrk, they are advl sed to contact the
<br />I:Uy of z'epllvddl.ls BUilding Deparl:llIenl, fl13-'/BE:'661J,
<br />F'ur.Uler.1lI0re, if the OHller has htl;ed a contr-actol or contractors, Ite 113 advi.sed to have the
<br />oontracl:01:(s) sJyn port:.ions of l:he "Contractor Sections" of thls app.l.1ostJon for I-Illicit they
<br />Vli1i be respollsJble. If YOII, as the moiner signs as l:he oontracto!:, you are Jnd.leal:Jng that
<br />YOII, !:aLher.' than the contractor, are responsible fo!: the \-Iotk, If the (Jontraotor Htshes
<br />ynll 1:0 a.l gl1 aa contraotor that may be all indication that he is not pl:operly 11 cellsed and 1/3
<br />nut entl t:Ied to penllJ LtJng pri vi.leges In tile CJ ty of :Z,ephyL"lli.l.ls,
<br />c. 'l'RJINBI:'OH'l'A'J' fON U1PAC'1'IfE,EJI3AlJD U'l'ILI'l'Y CONlIEC'l'ION WHiES
<br />D, COH13'l'RlIC'I'1I1l)(oj LIEN IJAW (CIIAP'j'ER '713, FI,ORIUA ,'3'l'A'l'U'l'EI3, AS At1ENllED)
<br />I cert.i fy that: I, the applicant, Itave be6n provided vdth a copy of "/i'JorJda'lS Constt"1HJtl.on
<br />.1 len },all ... lIollleOl'lrler's Protection Guide" prepared by the E'.lorida Depar.tment: of Agr:iclllt.ure
<br />and Consumer. A1:fail:"S. If the app.lJcant is someone other: that the "o\'mer", I CEHtfy that I
<br />Ilave olltaJned a oopy of the above desorl.bed clocument and promlse ill good faith to del.lver
<br />it. to t.he "O\-lIler." pl~.i.or to commencement.
<br />Ii:, CON'I'HJ\C'l'OH' B!OWNffiR' S l\FE'IDAVI'1'
<br />I oed:.tfy Lha!: al I. the informat:Jon in t:lds appll.cation Js aCCllrate and thai: aU Hade 11111
<br />he clone .l.n compUauce Illth all applJ.cable TaVIS regulal:l.ng constnwtinn, zoning, awl land
<br />developmenl: ,
<br />l\pplJcaLJolI :Is hereby made to obtain a permIt \:0 do workalld lnsta.llatl.on as l.lldioat:ed. I
<br />cetU f\, Lhat: 110 Hork or .lnstal1a1.:Jon has oonunenued prJor to issllallce of a penni.[' and that
<br />al I vlOrl, \"111 J be performed to lIleet sLandards of all lah's regulati.lIg {Jonst:nwt!on, CII:y
<br />codes, zonJng regulat.i.ons, and land development regll.1.atJons In the jUt.tsdJutJon, [aTso
<br />ce.rl:j fy 1I1atT IIndsrst:and that the 1:6g\l1at101\a or other govenllllen1:al agencdes waV appl.y to
<br />t.he in\:swled ~/{nk, and that it is my responsibility to Jdelltlfy l'lhat: aot.1ons I I\\\lst Lal,s 1:0
<br />be in cOlllpJl.ance, SlIch a\Jencies .inclllde bllt are not limited to: *nepart:ment: of
<br />H:l\virrJlllllenl:al HeguJation-Cypress Bayheads, Wetland AJ:eaf.l and n:nvirolHllent.ally SensiUve
<br />j,ands, Waler/Wast:eHaLer 'j'teal:llIent
<br />'Boutinlest: F'Lor:ida ~'1ate.r HanagsllIent: DistrJct'-Wel1s, Cyp.t:ess Bayheads, Wetlandl\reas,
<br />1\J terJ.lIg Wal:ercOlIJ:ses
<br />'/Itluy (:ntps of mngjneeJ:s-8esHslls, Docks, Navlgable Waten'iays
<br />f'!JepatLlIlenl: of Ileal tit 6< RehabilJ tatJve Sen1.ices, E;nv1.rollll\ellt:al Health 111d.t-Wells,
<br />WasteHater 'j'reatmen1:, SeptIc 'l'anl(B
<br />""\1. s. jj~nvj 101ll1lE9ntal Protection Agency-Asbestos abaternelll:
<br />~. ",il:ld Cbl.LI fy that, if fill materJal Js to be used In lJ'lood Zone "A" or' "A,etc,", it _is
<br />understood l.hat a dra1.nage plan addressing a "compensat:.lng VOlllloe" Villi be submi t:t:ed \'IltJ.ch
<br />Js prepar:erl hy a [.lJ:ofessionaJ eng.l.neer. registered in the State of Jj'loricla prior to pet/nLt:
<br />issllance.
<br />1\ pelmJ t j BSlled sha 1.1. he oonstrued to be a license to proceed Hith the Horle and not ss
<br />all!:hor.iLy to v101al:e, cancel, alter, or set aside any provlsions of the teohnlcaJ. cmdesr
<br />nor shall i Ballance of a permU: prevent the BuJldj ng offJciaJ. from I:hereaftB.t requ.l.d ng a
<br />con:euLJon of errors in plans, construotion, or violations of any oode. Every pe.rmi.t
<br />iss\lect shall beoome invalid unless the work authotized by suah permit. 1s COIlllllerwed HH:ld II
<br />Sill mouths of lss\lBnce, or if \'lork authorized hy Lhe pernd.t 113 suspended or abandoned tor a
<br />peLiod of !:d,{ months after the l:lme the Horl; .is commenced, One 90 day ext:ensioll of t.lme
<br />may be all (mad for \:1119 l1enni.t I'i.i.tlt fee chal:ge of $Hi. no, '1'1Ie elttension shal.1 be r.equesl:ed
<br />in 1I1:il:1ng \:0 the Building offioial, An approved .lnspect:.ion lIlIISt: be logged dlld ng each sia
<br />month perlod, or: tl~e projeot: Id.ll be oonsidered abandoned.
<br />WAfU1HlG '.1'0 OWNffiHI YOUR Jj'AIJ,UHEl '1'0 HJiJCORD A NO'l'ICI!', OF.' COMl1ENCEMEH'I' MAY HffiSIJJil' IN YOlll\
<br />PAYING TWICE Jj'OH U1PROVEMEN'I'S '1'0 YOUR PROPER'I'Y. IE' YOU IH'l'I!:HD '1'0 OB'l'J\.ItI F.'lNAlIClIlf3, CD!-lfjl/1,'l'
<br />WI'I'H YOIJR j,nalIJER OR AN A'l"I'ORNil~Y BEH'ORR~ RECOHDHIG YOUl~ NOTICE OF CONME:NCtr.MEH'I'. ,TOBS lJH/lEa~
<br />$ 2 ,51111 I tI VA l.IIO no IIO'\' N" on '1'0 R'COII\J "'\[I POS" A "tlO1' Ie" OF COMM'Nc.m:N'J''', ('
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<br />S'J'Nl'El Oli' l!'I,(IRIIlA ~~;~;~;,~:yO~FFT.(>R:rIJ~__i~~_Q~_.________.________
<br />COIHl'l'Y OE' -_S?A-~S:P.__.____.________":__.___ _
<br />'J'lIe torego.tng 1.nstrument Vias acknmdedged 'l'he. forego.ing .l1l3\;~ent: Has ackllo\"lledged
<br />Befcll'e lIIe till 8 _:l~____ day of__J>e.~____,~~J- ~eyfo~.~~B ~ __'~~~~:...-~~~~
<br />bV -._C:hV:Jz.-bY"l~J~;"..:J~_~~~_______________
<br />(name of perSall acknowledged) v-j (.name of person aolmo~lledyed)
<br />IYf'ivho is personally ImoHn to me, or ~IO .1 s persona Uy knoHn t:o me, ot:
<br />
<br />U 1">/110 bas pl:odllced___.______________.___._ lJ villa has prodllCt;id_.__._.___._____.______._.P_,_
<br />(Ie ypa 0 f idan tHI oa Uon I ~,; ~ Y~t 0 f J. ,.....1 e.li U..f. J CJOl t. J on)
<br />Ig-<l'[d not taka an oath, and~._V~~___~~
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<br />--"-"--~'at~~~'~,~;ied~;;;';~;;t s~,.'tute of peraoB Ceklng aoknou! edgment'
<br />,"riA\'f~o;:: Bobbie Swetland .
<br />~i:'~ MY COMMISSION II ~~8931~. ~~I~~~____ ______. ___.
<br />-i:i~~';~-l~~.p"""'*,~) !:r6~~~?~gyf ~Jmt~~i.c
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<br />',.U'I.'!".'.'LO':E' O,~~ !:':'~m~::'1' J\FF'IDAVI'1'
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<br />tlellne t
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<br />~. .~~j EXPIRES: April27, 2003
<br />",>;f;;...,:~" Bonded Thru Notal)! Public Underwriters
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