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<br />Apr 28 04 11 09a
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<br />B~mith
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<br />4078430251
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<br />p.4
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<br />.,..
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<br />A. "onf:v. O~ 11f:t:D 1U!::iTIUCTIOI.S
<br />'l'''e \)l\dolt~';'9_ Ilnd,,,."t.nnti.. l:nat t"11' po\rl1\H _Y be subj__t t'(t -d..a .,...Lr1ctlO""" "hi,.')'
<br />..y b. mare re.t.ltiCLivw LI~n Clty re9~1~~ion8. The undcrOLOn~d a.~~. re800naiuility ror
<br />compliance with MIY eppllc~b1~ ~-u Eewtr1ctlona.
<br />8, UI'fI.IC'tNaw COIiITAACroRS lUll) OJIITRI\~R Rr;BI'ONSIIUL1'l'1~,.,
<br />I r ti'l.. nwn..,. lI.a hlr6Cl A oontra<>to,' or cont....ctOr'" to \lnOertak~ wnrk, tt)e}' _Y be ...quireet
<br />to ~ licen..d in Accor~An~. with stAt~ and 14cal r.qul.tlon~. It t~ contrecto&' .... n~L
<br />li.c.",..d .. .."....._.<1 lJy .I..w. both tile _ner .nl2 cuntr:\c:tor IUIY b. <!leAd fo,' ;;. l"i..d4l1leanor
<br />violation under atdtc J~w. It tn. ownee or intended COntractor are unCcrt8in ~8' to .~Qt
<br />l1cen<1in9 requl1'_nt" ....,' awly for tile int..nrt",,., wnrk. they .re .d......EoCS to COnL.."t the
<br />CiLy ,)f ZephyrhiU.. JluL1din9 O""....t.-nt. OLJ-700-(/0:./0.
<br />rurthcr.ore. if the owner I~. hired a aoftt~aCtor or c~tr~et,nr~1 he le .d"'i~~d to bBV~ the
<br /><:nntr"ctQ[I:lI .:Iiqn porr,Jlll\!'I Of the "Contrlll-:tor ~ectlon~~ "I' rhi.. ..pp.1..i..,....ion (or ..hi.cb th.y
<br />...1.11 ~ r""'f"'lndble, I i you, .., In,, O_.r ,u'Qn8 a8 t.1Ie ellntract".. ~"J\I ..e. indlual,l,nQ that
<br />you. t.\:hc" tha" ~lIe eontracLu~. "I.. nt8~'oneiblQ ro;r tll. work. If ~hc COlltrllcto~ ..~...h"':!I
<br />you to ,'l'Jn .... "''''Itraotor that lMY be IIn lftCUC8l;i.on t.hat he 1e "01' "rnMIlv llcensed a,'d ,..
<br />not. entitl"<1 I'.... (MPrlll1ttinC) p".ivHe~ee UI ll,. Cit.y ~'f ZephyrhlUQ.
<br />c, fMNspoaTM'IQtI IMl'AC1' n:~ AND U'l'ILITY COtUilv.rION fEES
<br />D. ~S'lRUC'lUION LIEN LAW CCHAPt'ER 713, noRlDA :;TA'rOTES. 1\9 JlHF'.Nnl':fll
<br />I c:er.-r 1 fy th..t. J. U... "Pr'\\oant. 1111". boen provIded witb a ec.py ul "~'\ O"lda' S Con$t"..etlc.n
<br />11..n WW - H_nWl"T'" Prntl!'ction GU.i".- prCtpA....d by the Florida O"pOOrt....llt ", ~riC'u1\...re
<br />o1nu Cw'..__r Affol..s, I r the appllCio1I1L 18 80l1leOll(l Other: thilt tile -C)Wn.,,". I c,;z'lfy that 1
<br />bayo obtaIned 8 copy llf the .1Iuv.. 't.ecribed c10CUIllCl'It ilnU prQ1l\10e In gooo ralt." Tn delive.'
<br />1 r. r.<, th.. ~ownel:" pr.i.ol' to '''-'''''cl:\_nt.
<br />&. CONTRACTOR' S/OWNER' 5 AFFUlAVn
<br />I COrt1fy that. all the Info....tlon in thi~ ~~11eatIOft io a~~urilt. 3n~ tbCt all work w.l1
<br />b. (lone in c....,lunce with ~11 .~ll~"hl.. lAW. N~l.ti.nq oonatl'""u,on, zoni",. ldld 1.n<l
<br /><\",.1"..-" t .
<br />Appll~Atlf)1\ ie h.r...tly _de to obt...1.. .. [lorm1t to 110 worle o1M in"tallBtion 85 incb,cal'...1. r
<br />Certify ~hat ~ MJlt nr ln8'-8J)"t10" h~. COMm~nr.An prlol' Lu i..UAn~e ul .. ~.~1t alld th~t
<br />all wt.t_t w1ll 1:1.. ....rr"nIled ~o ,....t etanda~c1. vI: ...n lawe regulC1:i.nV constr,."t,ton, City
<br />cO<lOD. zonln9 rflqUl...tiong. ...ld land dlllvelop_nt ","?"I.t~one ~n en. '"r;"c1;n"'Oft. I 0150
<br />c"..tlty"I"'1: I undur:n:.na tJl:lt tho r.qulA"I!)I\" ", otlMr '.InT..r""ental ."o.."i.. ..ey apply toll
<br />...... Intended work, ana L1"'l' It i. my l'eSPOna1Cl.IHy tn idcntl!y what. ael.vlI.. I '"".t take to"
<br />be 1n ccnpliCllOe. Such "ocnci.. lll1,;1ude but ;He not 11111te<l to, .lJe.partmAnt nf
<br />t;nvirol\llM!nt" I /I.9Ul..tion-Cypceell 8"Y'.Cilcl,., Ifet.t"n<l lOr...." linG ':nvlr(\'lIMntoJllly 1:;en81 th',.,
<br />Land_. Wat~r/N."t..wat-..C' 'r..t:...nt
<br />'Sou~h~.ot rlo~lda Water Manago.ent DL.trlct-Wa11., CyprQ~. a~Yb"G.. .etl.~d Area..
<br />Alt.Olr.ln';' "atQCClOllr...M
<br />'~..y COl:p8 nf P:n~i n_u" ::.8.alla. DOCkO, "",v19~hl. Ihotlll:W.Ys
<br />-Department ul W..lth , ~.~bllit.tiY~ ~.rvlC... tnwlro~ntdl HWdl~h On~t-W.l1.,
<br />.~G~~t.r ~E..~t~t. s..pllc tanks
<br />-1I..s. J;lWlrol\1llenta1 PZM,<'ction AgotftC:Y-AlI!).,ato.s aboatolnlmt
<br />I &1.0 cert.ify t.h.at, ..it: fill -.tuJ.,_l t" to b. u.ed" in r\t'WWj Zona *.A'41 or "A, Mt.r:. .', .t \.~
<br />UC\c10rolO&JCi tnat a drainag" plan adc!&-e,.alnq a "CCIlIP.II~"LJ.ng yolWll." wUl be ...lault..d whl""
<br />io praplU:C(l by a prOfeUional oiIlQ.'''...r rtN]htQt'ocl Ln r:b... !:t;ltc of tlol:idA p~l or. to PC[1ll!t
<br />1'a\a.wu...
<br />A POntH. hllue<.J sh..l be .::un.Lzu.... to boo .. 11",W1s. to proeeCd with ~h. _I:k .nJ lIuL ..'"
<br />alltllority r.0 Violate, cancel, ..1t..., I>c "'!It asldQ ;IllY provI:;;lone Of tbe teclll'l1.'~l\l ".0<1....
<br />nor "h..U i....a..c. at . p__it prf'lYC'nt the bl.lll<1..n9 l)thcla.1 tJ._ th40rea.l'te.r ......<:1\I1r1.n9 "
<br />(:n~'''';1.1on of .urore in pl....I'. uonotrloCtw". vr vl01atlune; of I1ny COr.JV, Every (.J'ltUul
<br />U$\lEoCS 1111"'1 h,,'-'O_ hnr..lid llnl.... t.ho ..ork .uthor1zcd by .u~1I PCCllllt 1.8 n~ccd W,;,/:1111.
<br />slx _"Lilli ot US...."C8. or it ..orlr ;lutlloriur.l by ~.he !:,"rl\.i~ is "uapendOld Qr ilwonan,,"c! fnr 'a
<br />p.rl......1 o{ ..1... <OC),'U18 atte.. tile t11lle t.he NIOrlc 1. '::~""CJ.."I. Onc 90 day ."t.'81"/\ u( u...
<br />-I' bto! 8110_rt tnt' the p8MllI~. wil'li roo Cllor.cVe of 1;15.00. '1'11" o"teMl<>n 1111,,11 b... r"'..IIl.....t:"O
<br />1n ..r1ltno ~c. Lbo Bu1.1alnQ Offici"l. An "rpTnv..~ ln~p.ction .U~t DC 10Q9Cc1 durlnQ e"ch SlX
<br />DIOntll ~eriod. ..~. lh. pro)...."" w.l.l1 b.o c..:u"...d..,,,<, ab8ndoned,
<br />IfMlfl~ TO 0IIN1Wl., YOUR FAILOau; '1'0 RECORD A NOTICE Of' CO*tll(:tMENr HAY RZSULT IN YOUR
<br />PAVING t'WJ~E FOJ. IHl'Il1,1VElli:IfT TO YOUR PROPERTY. IF YOU lll'l'&tll> TO OBTAIN PIIII\W:ING. CotlSULT
<br />IflTll VQUR LEIIDe:1I 011 AN ATt'Of1N "F:>'l"lflt: lI.ECOIWINw YOUII. NOTICe 0.. c: Ct:fl' 5 (llllOrlR
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<br />~.:I~:::.' '-,. - - u,..
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<br />l; H1NA"t\((F.: OlfNta 011 AGENT
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<br />ST1\TE Qf' rLOJlIDlo CJ.t"Q "l....e..
<br />COU~'l'V (II" +
<br />TII& !VZD90inq i;;:"., r~.nt ~^ ^c~nowleaqe~
<br />Dftfnr.,.,J!!.<! ,thl!,; . day of ~ ,;;:<l.E..1'-
<br />I>y~ j~ {al'( , r",,~
<br />_ .ft_ 01 ",""'0" al;llUlowledQr:c1J
<br />~he> I" por~on..1Iy ~~ONn tv M.. Q~
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<br />[J wllo h.:l>>
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<br />H'rA"~~ Ql' FLOlltnA ~ iJ ;I,,<;S
<br />t:-oUHTY OF f'1 /I' (!/ {tv.
<br />™ rorVlluln\l lnstr~nt ~~~nwl.eG"', d
<br />::,ror~4it, ~~~~k..Z~
<br />
<br />(naa. gf par.on ~~k~..1~9.dJ
<br />Clbo 18 per~on.l1y knowft "~^. or
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<br />t>a.. prn'IIl.--<jnIJL.- AI1ZJ.S!.1J.-~KI61-tJ
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<br />(tY. of. i08l'ltlf.t",,"lonl
<br />i not t. ~n oath
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<br />;lCllnowl.dqaal'lt
<br />
<br />N_ ~ypOcJ,
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<br />~L""'t
<br />Printe:oed 1
<br />. . My CommIIIlon 002
<br />~ ~ Expires October 13. 2007
<br />5LZ~ GN or 5111
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<br />g 'd
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