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<br />05/02/2003
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<br />11: 16 9771122 ,. Jl~:urP.t'l~f.L1!A".L:I
<br />,,~:. .... ':vlJ-,i ~r"'1""'A ......., Jl" ~trtl"l"nllt...
<br />- -. .~-.. _NO.... ,,)1. ......., Aai81 ~\.,"'.&.UI."'"
<br />Th. bnd..,,19r..d ~nci.r.u.l>d. ~hat ~h1" pCOna1t ....y l)a "..b1.c:t to "<$..d r...tr1ct1onO" wl,ic;h
<br />--r ~. no~. ra.trtct~ve tba~ City r.gulat1oDB. Th. und.~.ivn.d .~aume. r..pon~l~il~ty ~Qr
<br />oOlllPl.l.al'lcD W.l.tll any, appllocllbl. a.edl r....t.o:~e~"-on..
<br />~. UN~JCKMI.C coNTRAc70~5 AND CONTRAcToR ~~PONSIB~LITI&s
<br />It the olmar II.. b.iJ:eQ a "",nt"'aol:or Or ""lItraoto:;. to Illtdorta.ll:. wo>::lc, th4!lY may b. *,oql.llor"d
<br />CD J.)1I l:i.o..na.d in aooord.noll With stitt. .no;! 100.1. calt\o11attona. It the conl:~aOl:or t. not
<br />llo.no.g .... t.qu1rad by law, bOth tba own.r and contractor ma~ b.. oited tor a ~.d.'....nor
<br />violat:i.on under at.ato .l.ItW, It the own.;: Cle 1.r.t.llnQad c:ontl-actor ara Llnl:<.rt:a1n a~ Cc> wh.t
<br />li.oen.inV reoql.li r_ht. lIIsy apply f"l; t;;he 1n.tllnCictd. ..c~k, they ar. .Av.l...d to OOI\t:aal:. the
<br />ca."y <Jof t"Phyrh:i.lll ltl<.1.1Gt1.ft9 ~art;_ftt, '~:J-788-a.:L;a..
<br />Ih''''l:h..rlftO~, J. f tll. "wt>.t bll. bJ.r.d .. o_cr.u,,,or Or contr..c:t"r., ha .1.1 IIdvl".d 1:0 h.ve tn.
<br />a~fttraef:.orC.) ..1.91'1 portion. of the ~cQn~~.ctor .eet~an.~ O~ th1. .ppl~c_e.l.on tor wbiah th.y
<br />w1.1.1 :t>.. l:a.s>~.ut1.ble. It Y<;\.I, a6 tll. C)lroa:: ..l.~. a. tl\.. contrllotct. lfQu are. il1d.l.CJa.t1ng tbllt:
<br />you, ~.th.r l:haD ehe contl:."tor, ar. 1:..pcnelb1. tor t:.h" work. l:~ th. CDRt..aatOI: wi_h..
<br />~ou ~o .~g~~ .a acatrael:ox !:.h.t .ay ba _n lLd1c.ti_ ~~t ne 15 r~t p~perly l.l.csnaed .~~ 1.
<br />~o'C ent1!;~ocl 1:0 peAl.i.t'C1ng P-l:t Vl~.'le. 10 l:1'.e Cll:y of Jc.ephy"hU,l..
<br />C. 'l'l\1INsfOJlTATIOH I)ti'ACT rn:S AND I1'1'ILIT:t' ~C'1'IOH f8E5
<br />D. CONS'l'RUCTUIo.N LID u.Ji' (CRAI"J'S!' '113, rLoIUt\A. STATUTI!. AS A)UNPII:D)
<br />I certify tl\.~ I, tnt app1Jaant. have b..ft p:ov1dea wlf:.h . copy or ~Plor.l.d.'. Con.l:~ctiDn
<br />lian I..w - H~CoWb.r/. 1'~..t:.cl;1QJ\ Gt.o1d.o" prll~.l:td by t.ll. J'l"~1da Depart:_~I1: o:! A~U~3,t\tr.
<br />ahU C~n.I~r Ar~.l~.. I: tGa .ppl1c.nt i. someone other t.hat the ~own.rv, I ceri~y that!
<br />h.v~ obta1.ned .. copy at tb. above ~.c~ib.d dDOUMant .n~ pro~.e in good t.lt:h ~o d.liv.~
<br />.1 t to l:he "o>mo.r" p~:l.,,~ t.O QQIlInenc_e,
<br />&. CCNTRAcTO~'8/~~R'S Arrr~Vrt
<br />1 oo~~~tt t.h6t all the ~nfornatlon to ~~. .ppticatLon 1. accUrAe. An4 that all WOrx w1ll
<br />be Clo". in cOJlllPl1enc.e wlU, all appl1.o,N,l.. 1._ r.gul..~ino con.tJ~uct.loJ., sol\1."51, .hd 1.and.
<br />Q._l~u:. .
<br />,1\ppl~c.I:..I."1I 1. h.;l;~y _ae 1:D C)l:lta11J . pendl: to de> HOrk 6bd 1not:.ll.t;LOII ... 1ndic.t.d. 1
<br />Qo~t:.1ry that n.. WO~k or 1ntital1.~lon h.. O~.nc.d prio~ to 1..uanCl. of . per.it And that
<br />.11 work wl11 h. p.~ro~d to ~ot .tanaard. ot all lawl ;l;.9ul_tina conatruotion, C1t~
<br />~de.. zoning ~.qUl.t1Qn., and land d.v.1QP~nt r.gul.~~Oh. In tho jUri.~1ctlo11. 1 ~l~o
<br />oortity th.t x und.r.~and that ~h. r.~~l.t:ton. of othe~ gevarnm.ntal .ganai.. ~~y .pplV ~..
<br />~be 1nte~~.d wo~k, .nd thaI:. ~t 1. my ~..~on.1~ll1ty tc> identity what aotiona ! u~.t t~k. to
<br />I>a 11> cQ...lia"c:e. IlIl.1ch alil'"mc",.. .1.ncl\.\;:I.. but. 81:. not 11111itecl to: "Ilap.~t:lI1ene. of
<br />~V1.co~t&~ ~~l.~.1."n-~fPr.aa ..Ybe.~. WetlAnd ArlO.. ahd Env1rOmhULf:..~~y 5.~aitive
<br />I.anel., 1f.~.J: /"_atewat:."", '1'1>..bIuon1:
<br />.Scuchwa.t ~1~~1.d. W.ta~ M.n.liI'~t D.1..t~1et-Walla. Cypr..~ ~.Yh..4., Wat.lana Area.,
<br />Alf:.er~RV ~.~ercou~.*.
<br />""emy Corp. ot ltl'lJ1.u.ec.-ll..w.al.l., Dao:::k.; Navi'1abll!t. ".t:.r:..a)'_
<br />.Uep..t.~~t or H..lth ~ a.b.bilit.aClvo aerV1cea, aavlror~nt.l H..l~h Uni~-_.ll~.
<br />K..t..",.t.r T&'....~_"':. ..pt.l.C Tanka
<br />~u,~. EnV1~o~t.l Prot:..otlcn AqeocY-Aa~eBto. ~.tefteht
<br />! ..~... ce.rt:t.ty ebat, .l.f t.l..ll _eec.1.al .10 ko be u.ed. lor. rlood. J~. "'A" 00: "A.,et.c.", it; 1.
<br />wnder:.cooQ tb&~ a G=elnage pla~ .dd~.aing a ~CQnpen..tlb~ VOlume~ Will b. .u~~tlad Wh1.~
<br />t. PLapar&d ~y a peofe.atonsl enq1~.e~ ~.gi.~.r~ in cb. s~.tc of Flo~id. p~1cr Co pe~t
<br />i........na..
<br />A p..~A1.t .l.l!Il!Iu"'d ..b.ll be eOh.truad tc be ... l.~e_.e to prc-~Clad wi~h tl,,, w<>"Jr. ant:l. Dot ..
<br />&u~~Q.l:"~e)' to violate, c:ano.l, al.ter, or llltt .aid.. any prov1a1o"1l e>t t.ha tllc;:hnio&l "''''d...
<br />nor ahall. .l......nc.. at ... po,,:rnj.e prevent. 1;Jlo 8\l.l.ld1ng Ot%1c:.l.ltl trom tbo.c.artCl.r :z:.q.ain.))O ...
<br />corr~otiQn ot .r~or. in p~...n.. con.trUct~~, or viol.tioo. of any Q~, avary p.CNit
<br />il!l.~"~ .1'1.11 bee".. ~nval1.d unls.. tho ~gr:k &~tl\ar1~.d by ouan pe~1~ i. Oomm.nCad n.l.th1.n
<br />01x ll\Qnl:h. ot .l....u.nce, or it wo~k'.II.t:hQri;t.d by the p.ml.t ill lI\1s~_~ed or ab...>>don.c:l to;: 1\
<br />p.".l.od or elK aop~n. atear ~he time ~h. Work 1.8 Q~n"ad, On. 90 day o~t.noion 0: tLm.
<br />lIlAY :b. alJ QWIIC\ S:QJ:' t;h. J>orJut With f.. 'lha.r;.. ~r Sl!L PO. 'JIb.. .>tt:en.ion alt...ll be: reqUlIlst.d
<br />in ~r~t.l.h9 co t.h. BU11~lnq Otticial, An .pprQva~ In.~set10n must b. lQ~q.d q..rin~ ..oh ..l.~
<br />~nt:h poriod, or: ~. projogt wl11 ba gC)n.iaa~ abaQQon~.
<br />WAJlNDfG TO O;rN1E1l1 ~R Pll.fltrJ'. '1'0 ~ ok MOTIeI; or COK'CltlCEMD'l' NA.Y l\uuI.'r III 'tOUR
<br />~A'iING ':'/fleE FOR !NJ'RO\IENBNT:I 'PO You);. i'JiOI'I:R'l'Y. IF YOU IHTl!INl> 'ro Oa'l'AIN lI'IN.iutcnlG, COittl17L'l'
<br />WI'1'1I tOUI' !.mfl:l&J\ OR AH A.'T'fC$NEiY BltlOg R&CORD:UIG \'OUJ\ NO'l.'ICS 0.. CCM4DI~. .iQU UNDI!lI\.
<br />02, ~"o IN VA1JJJe ~ )lOT NEED 70 R~(;ollfJ ....Ul PaI!l'1' A "NOTI'CE; 01' ~C"""'N.
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<br />lit, . iI ~4~1
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<br />PAGE
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<br />02
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<br />~4~
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<br />8IGlarolUo. COHT~'J'01l
<br />
<br />~~~;y O~r FLORInA tI JII~ b~V-1J oJ 4
<br />
<br />The foregoing in.tr~n~ wa. .aknO~adOed -s
<br />~;rQ~~~M~-,~~~.A "1, .>>~ 007
<br />
<br />v.. , In.~ ot per.on ACll:nQ",~..c:lgadl
<br />~c ~. p.~.on.~.y knoWh ~o me, o~
<br />
<br />SIG;NJ;.l'UREI
<br />
<br />Ql9NIlR OF/. MIN'!'
<br />
<br />STA'l'J: Or rWlI.JDA
<br />COUNTY Olr'
<br />Th. tore9"ing in.t~nt W.. ItcknowlaQqad
<br />a.fora mil th.l.. _ ".y of . It...-
<br />hy
<br />{n~ or ~er.on .oknowlo~gedl
<br />Ownc ~. ~.c..on.lly known to ma, OJ:
<br />
<br />Cl who b." pl:Qcuoed
<br />(type ot 1d<<nf:.1ricat.l.oh'
<br />llnt\ WhCO did Odu~ not t.lc_ an o"~h.
<br />
<br />o Wh<l hu p.tocil.lClod
<br />(~ype c.f .I.d.nt..i.ftOlltlon)
<br />and wllo OcU.d )Ig:t-l.cl not take In oath
<br />
<br />/...L':. ~r ~ ~ ~
<br />
<br />S1gllature or p&r.an t:.id....g &CknOOll_cl9'DOflt
<br />
<br />-.M..~ J.a)( ~ "
<br />
<br />N__ plitd. pc.l.nted Ool:' .tlllq>.d
<br />
<br />$i~nature or p.~.gQ t.~1~~ .~kDQwled9amenc
<br />
<br />N.~. typed. prjQt~ or .t.~d
<br />
<br />PHILIP LAKE
<br />Notary Pubfic. StItt of Florida
<br />My comrn. u,. April 18. 2005
<br />Comm. No. DO 018883
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