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<br />STA1'EOr rLORIPA <br />CQaji1 '1' 0 f' <br />1'h.tor'90.l.n9in.~z~.nt",as ac:knQwl~d <br />8e1'90 ..llltthb.............Clily ot ' . ..... . ... .'2L <br />by. ... . ..... ... . ....... .. <br />("AlII'. ,O(.P.ei"On,"Ck1lQwl,'4,"~ <br />ClwI\Ol,per,.ona.J:l'Y:kriown to..., .()r <br /> <br />ClWhoh43prOdueec.t <br />I'CW.U .I. "h"nt'tfJ;.o.~S.~n I <br />&ndwlioO cUd 01111d not. take an ~;th. <br /> <br />II. .HOl1~~~i)'~;l\.)J;.M:Q:T,IONS <br />rh'W1'dlt~..lgn.ci .. . .;, .thi.t thh plIIDI1t. 1141' H 'U!Il~'~ll to ....d r..trictions" which <br />Ill.~bt 1I0r. ~.., . City 1),.1.~~,.n., Th. Undera19l'1ed ..iWlle. retpQnl1'lil1l1 ty tor <br />,c~+.bl'l~'ii!!tl\. .... . . .. I~.... . <br />B . . UllLtcENse if . .18tl.r1'zms <br />It tn-owner.. . . ..... e<<f II contUctQr .~. toul\lSertue work,.' th.y IUY be Uq\l1red <br />to be UC"nlilJd 111'~c,ottlal\oe wltl'l.~.... and .!;oC'alt."ulathn., If the. eORU.ctor it no.t <br />1.I.04lnnd n 1!'~~~'by l.w, botch to'" Qlime" a:n!iloontteetorlUybe .dtedfor .a1.d_.no~ <br />vt01Jt1:on unC1l11!. d.at. law. If th,'owner .1' iint'ft4..doontraetor ere unc.rtain a. .to Whet <br />11c9n..\.nq req\lil'''.nt,.m~y apply fori;h'inte~~Work, th.y are advised to contact the <br />City of Zel'hYIll\il,l'B\Jndin<jDep.~l:lI!..nt, 813-1'0-0020. <br />rurtnentore, Ulinll.oliner h.lIh.\.~.d..~ft,~i'al:!1\oro~ CGntt&.ctor." 1'111 h.dvbed to.Il&". thll <br />cOl'ltrllctor:I~IIl:1~,l!O~tion-" of tn.." ....to>> not..LOM" of thhlifPi!.ioaeion foi::llfhJ.chth.y <br />will be re.PQ""~'I3-~.' .:t:iyou. .8' t~ .,th, 09n:t"ctO~1 )!Clil UjllnCiU,oa.Un9th4t <br />you, Utb.ii:~R~hecoi'lt~",~or.,. :lIllltt.orta'!fOfk..lf tn.ClO(l~r..\:!t~f Iill,he. <br />youtodgnaa . .. .. .thl!'t, - ';l\th.~:;tijli.t1ot prj)per..ly 11o'~..d.nd is <br />not ,nt1tJied.t.. prl.:. . 1118; <br />c, T~$-""'1'~.. . .. . '.. . .'r"'$ <br />o. . ~NSllt~tJJt.Qil~'!iAWtC'Aalltf~DEDI <br />I ontltYth...t;;~b';Jp~llQ~nt,.".I;!..ft a QOpy 'of "r~o&'lc:t." ConnructJ,on <br />Hellf;aw -HO"'~\ri1.f'.'PrQteCtlonGii;j.~"'p.1' ............li!yth. rlot,-_ tle~RIlent otAq1'1~\;I'ltur. <br />alld ConalDerAft'"frs, Uth. "f>Pl1c~t1' I_~'&th.r thattll'''own.r'',l.CIC.Uytll-t'tI <br />nave oota1ned.oo~rot theabo~.~~r::f:b" CitocWlI.nt andprolilJ.,. .l.n qoO(t ta.tthto deliver <br />,it toth" "o~net"~.:lorto cOlNl.'l1~_J\t. . . <br />.2 . eo~'lA~R.iStOJflj":'S~I't:rQl';~' . .. . . <br />I certHyt~t 1l1ttheinfGlm.t.lionintbte :alilP1.1(:ation .1,8 'ccul'a~..nd.that all work .w111 <br />be d9ne1:n COIIIp'Hpc.wHhall.pp,1,tCfa.ble ljiilf, :t'ouleUnqcon.tZ:\lotion, zoninq, aileS lend <br />deveJ,oprl"nt. <br />Apj:ll1~.tj;O.nh:h.t:~Yln&dll tOOllt..1cn'~1ttOclOwork alIdinlt..Li.tlon ..1A(UQatlld. I <br />C,Zt1fy tl'l.tIlQW~~"<ll' .i*,.tll+l'~~MJiJ;'..~It~ .pUl1l; to.l,,'~'hQ. qt'''fliit and that <br />.UWQrkwl1J.I:1'iJ!lll;~(U:'Ill'r;1t:o Ill..t"t'~.(j"t.ll 1.wel"9~}.dn9 conell&'UCUO!'l,C1t)' <br />cod.., %on1nq ~.gj.i'~.ti~)Jn, &ndt'nd...- .-rit"19wla:t1on.. in thejuri..Cli.l.otion. I a~lIo <br />eartHy thlt I,undentilrld thll.t .~.~...'r:1~n., o:;o~4.z qo.v'~ntal '\J~l)eit' Nyappl,yto <br />the intended worlh4!'idtAAt .tt 1e .ll!)!..".~.tUty!:o .l.cl.ntUyw~t a.oUeM llilu.t t..ke to <br />~eincOlllPlhn~..S~Cha:<#'Aci"i.i)Cl; b\lt .rellot lilll4;ted to: "o.pal'm..nt ot <br />EnVlroO/'Atn tal a',9!;1~1l~;lon -.C::yp...e~ ...;Yl'i..., wetland An.. al'lC1lnvirofll1entally Sen"1 t1 ve <br />14ndAl, Water IW..t....aterfreatllleltt <br />.SollthwUtFlori4a;W4Ui M"naq~l.U: Oi.,trict-Well., Cypr... Bayheadll, tlotlen<S M.", <br />Alterlnq W.tneoil~.eB . <br />"A1'I\yCorps oftiJ;~~jt.'$lI"S~1lw.ll',Q9I:_' .~'V~~Jo'W,urwaYI <br />"o.lilartlDent. .9tlllJl:lth. "&.fJ~,iJ~.~.,t.t.. . hR"J,ce.,lnvironia.rihl Health OnU"'Well., <br />W.auwatu 1'r...t-.Iii~llt,S"pt1C1'a~~. .'.. . <br />.o.s. En?1rO~llt..J.proha-tl.oriM.ncY-Allbestoll ab.~~Il.n1; <br />I.lao co.ti,fy.th.t, HfUll!\8J:..~J..ll.'..\lo!).u'j1dj,nl'J.OO<I Z()n. "A'" or ~At .t~." ,it 11 <br />undllnto~tlqrt.~.t'j,i'\~g"Phn""'ifla~" .io\)~nfttLnq,(Q,luIll'" wUJ. .~.~"ttedwhlch <br />ie, .Pl"PIl1!lClby a pro !8a) lonlll~I\iI\li1\"'~l'.93..t1I&'t<ltn the $tat41otrlodda pr.ior tOplt.l:'lllH: <br />l8.euance . . <br />A pen.dti..\l~..ball ,bllconatru.~tODe a l1etn...toprocoedw1th tne WOrk Ind .nota. <br />autbOrity tovi~lIite,. c:!i:ne8J., a:1t., ,ot .,t.,s.dtI. .11i)':.J!;,"othtOIlIOfth. . teChn1ealcO<i.j1" <br />nor.haUiUU4I'1Cll,ot .peniilt~~teAt ..ilJtj.'.fJ!il11~9'~~t"'Q;.ltioll. th'f..tt'I'x:~trl11qa <br />correctl ono!:6i:tOl\'inl>.l~.' ..~~~~~'O~,.~.V~~;.liei:-J,.$tIl' otanY~Qda. tV*J".tPlt-i;'nIle <br />18ned,haU .b,c~J.;nVlll:clUn'J.c.'..'"J\t~,,"'.~~.J,.j~~Y.IUClh~~t11 ..C~n . within <br />,1,;xl1IOnth'o! l,,~j,or uwot~.~I'IRl1\4:,i'i"iYth.,.~lt 11 ,gapend.doS' ~.. .....ct ,.oS"e <br />perlo.d of siXllonths after 1;hl! t~.,~l!r'~t'ki.co....ncl!d. Olte9qo';da.y exe.nll1io of 1:4,11. <br />IU Y ." a llowlld ...!Orthll .perllllt.. with. teae .o(;liS,OO; '1'h. . .ext;.n.ion._.ll....~. ~.qilJe:.t.cI <br />1nwr1Un9to.th.8\Uila.;n..OUiOJ...l..M .. ......t.t!...p.et1.on:laUItb.1oq'l.dc1u~.tn9..Ch.ix <br />IlIQnthp..r1od,.ot'thiip:roj".J:l:wU~'. ,~ . d. . . <br />~~tf(i~OllN~AI,(QQtl. ~'.'..~' tQitd;t . . !2iZ~'HA'tRlSQLTI)i YOUll <br />PA,YING . TWICE ....~1I,..t~ .1'0., ..... .. ir~(ll;lX ... . ..'ii'llQ OlJ'r~ti~C:fNQ,C'OtflJui,T <br />wr"H,{OURLENi!lM'Q~ .. . .~y~_ .YOQ~.llQ!litQE9J' @~N1'. JOJS UWDI:R. <br /> <br />'M'O" """,...... Tli ....... ~;;;-'. )1JA.. y{ <br /> <br />SIGNA1'UUi OWNtR.OR. AGENT S:IGNMU1Ul, CON'rAA"O~ <br /> <br />s~~rs or FIlOIUDA +Ll...l!:. ~~.. . .' <br />~UItl'J"fO" __. . . <br />.;:o;:::o~~~,.i'e~totl1!i~f:w <br />by MQ l~LI ...... I ... l_ ----,-,-...._,.,..- <br />~ L:~r:;n:rriOkn::n~:l=~-:~ <br /> <br />Cllfho ~. produotCS <br />(typt <br />id t <br /> <br />.~ <br />S~p.lI,\Jro of petaont..ki <br />NOTARYPUBUC-STATE 0 <br /> <br />N1.lcO~nlliSiO~i;~=4 <br /> <br />-'"".....' Exprres: NOY. 16,2010 <br />BO:\DF..D THRU AJI..".NTIC BONDING co., INc. <br /> <br /> <br />Si9neture of persoA t4.Jcil\9 .c:lwlow4;'~l\t <br /> <br />Ilt <br /> <br />au- t~od; pri,nt..a tlr O'&I\lli>elil <br />