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�uoRICE aF o� f�SiR�cTn� The �nde� �� ���' ��,�restrictians° <br /> v�hidt mey be rtore reatric�ve than Canly re8iiador�s- <br /> appRCable deeid ��s. <br /> W.1C.B�B1 C��ITitllCtOliS MD t�O�ItRAG70R If U�e anR�er' hes Hred a aorirac�or ar <br /> oor�Ua�ors �o txidertalas wak 1�Y ���'� m be fioen�ed 'e� a000rdanoe vritlt stP1e ar�d local r�ept�ons. if the <br /> ooritrac�or is rnf Boer�sed as iequired bY law, bdh ltte awner' end aontra�da' meN be d�ed f� a rtisdemeanor violatlon <br /> urder Sta6e la�v tf Uie or+ner ar ir�tended oon6aC6or are tnoertain as b v�at ioer�irg r�equirerr�erts rreY �P�Y tor �e <br /> inberdeci work theY are ad4iged to mrMad U'ie Pasc�o Coi.rtY B�8 �� ��"��� 9edion et 7L7-847- <br /> 80Q8. Ftrtl�errrure. if U�e airier has Frned a oon6ac�or or aorttaciors, he is eiduieed to haue the oorriac6a��(s) sigr� <br /> portions d the oor�ac�or �ocit' af lhis aPPicefior► �cr v�hidt tl�ey wdl be r�po�t� If Y�. ffi Ute owner sign as tlte <br /> a�+�ac�, tl,et �y de a� iRrai�iia�►1tr� 1ve is �nt pRape�b 6oene�ea ana is �►a► e�rlahfea w pemil�g i�f+Bege�s 1n Paecso <br /> 'IRANSPORTATION �YPACT Ai� RE90l�CE RBOOM@ZY F� The tndersig�ed indastar�ds <br /> �t Trar�por�ion IrtPed Fees a�td fieoouse IieoouerY Fees ►igl� ePP�Y m Uie oor�lnxfion af r�ew bi.idr�gs. d�arge af <br /> use in e�dsllng buldrgs, or �er�sion aF eo�r'g txal��s. as �� Pesoo Car�lY Q�anoe ruri�er' 89�Ur/ arxi <br /> 90�07. as amerKled. The u'idersig�ed siso tnde�arbs, thet strh fees, as may be d�.� vw'N be idenUfied at the tiRe of <br /> parriqing. It is fuAha trxiersaood thet TrarBparf�ton irtpect Fees and Fiesoi.�oe F�eoouerY Fees m�st be peid pior to <br /> reoauirg a oer6b�0e af ooarper�oy/' ar fi'�el powier neleege. if ihe project cbes not traolMe a oerMficale of ooaipenoy or <br /> f�al PaNer relees� fhe tees m�st be peid prior �o perrrit iss�iar� Furtltern'�or� if R2eoo Ca�nlY 1f�eriSe�nier irtpact <br /> i�ees ere due,1�+ rru�t be Peid Prior b PeR� ��t a000rdanoev�lh epp�Ca61e Paeoo Cb�riY a�r�o�- <br /> �@t�./MIVqC�ep�er7�{3,,iriclitls�els*ss,ffi�x�Y ifvehyelianaiwakisy�.�.aDrarrr+are,1 <br /> oeiUfy tt�et i, the apPl�. t�ue �een p'o'rided wilh a oop� d�e 'Flaricla Cor�struc5ort Lien s <br /> PYOlectian Q3cJs* PrePered by tlte Fiorida Depertrra't af /�gia�Euie ard Car�rr�er Atfairs. If ihe aPPicart is sorreone <br /> dt�er fhan iFte'anner".1 aeriifY 1t�et i here ot�ined a mPfr d tlte eboae deeaibed doanmert and P�ee k� 9ood iad#� io <br /> deNMer it � the owr�' Prior tio oortrr�enoerterR. <br /> A�AVIT. i aertify that aM �e iiortriatlon in Uis ap�Uc�on is aoara6B ard lhat all work <br /> w� be done in oorrpifenoe v�Nh aM ap(�YCable laws reguletlne oorrstrticdor�, m�rg ancl lend deuelopn�en[. APP�� � <br /> hereby rn9de tiD d�in a Pem� �D dD wark artd Y'mis�e�dOn e� tr�['�ed i oertlg► fhat nD work a' �dan tt� <br /> aorm�enoed Pnar 6o i�noe of a perrrit and 1F�t a6 walc v� be pabrtred t� meet s�rbards af aM lews neg�Ur� <br /> oons�rudior�, CariY ar�d CiIY aodes, aor*� ne8�lr�ior�s, and land de+�eloPn�ent ro�la6ior�s n ihe ju�d�ian. 1 also <br /> oe�it�j n'�ek t�rd �het tive reg�leliar� vf c�+er 9o+einne�rt age�ries �► �pphl b tl�e i�'yerrcfed wak. �M ttrdt � is <br /> rn/ �por�l� i[1e�fYwFtet acUions 1 m�st 18ias to be � aorrpYanoe� 51xh ager�aes indtxle 6u[ aie not ii'�'30ed ioc <br /> - DeparlrrterR oF Er�+lrorYr�enfei RaiecliortLyR'ess Eayheecls. Vlbtlend Areas arxl Fs�rotrr�arkarY �er�ue <br /> - Sa1Fwn�est Floricia 1N31er �ILar�gat�ent �ric�Wp#s. OyExess BaYheads. V4�ar�d �ee�s. A�eri�8 <br /> V1E�Beroouses. <br /> - An'ry CarPs af Englneers�.SeeweNs. DoCJs. IJaipAbie V1�w�eYs <br /> - Depgrtrnent af hieelUt & ReF�abi�ve F-IeaMh Ur��. V4�eu�a�ar Tneefrrlerx. <br /> Se�licTanis. <br /> - !1S Er�uironr�erysi ProlecUion Ager�oy�bes6as abelemer�. <br /> - Federal Ao�ieBon <br /> i uide��.�attd ttlet ttle fioNaiwin6 ne�ri�a��s aPi�Y tD 1he �se of t�: <br /> - Uge of� is rot ailowed in Flood 7_one V triess �pr�essly PeRriEOed. <br /> - !f the 1� rr�Eeriai is UD be used in Fiood Za'ie A. it is Iiider5tood th�t a ciai'�e Plan addre�g a <br /> 'oo�pac�s�g vakm�' vJ� ttie �►��M9ed at fime d pemil�D wl�kfi ia p�epered g► a P�� � <br /> koerned by the Ste�e af Rorkla. <br /> - If ihe tpl r►e6eriel is 1D be used p� Flood ZAne A in aorrledion vwih a pen'r�iBd buddn6 usin9 slern weN <br /> aoretrt�d(or�, l oertly tlret � wiN be used oriY �o � 1he area �n�tfin the sfernweiL ^ <br /> - li til rnalerfei is tD be used in any are� 1 aertlly ihat uiae of si,di f8 v� nat adaersa�Y alfec! ac�aoerrt <br /> proper6es. If use oF � is fouxl to ad�erse�Y Pifed ac�a�oent p+operties,lhe owr� rrey be died for vialeting <br /> the aandNons of the buidrg Pertrit i�ied irrler the 88ad'red pemit applic�an. fOr lols less ihan ane (1) <br /> aoe v�fich as ele��ed bY t�l. an engnee�ed �aii�ege Plan is required. <br /> If 18m itte A�IT f•'�27FE d1M8� 1 prorrise in good taitl't �D ir�atm ftte oNr�er of the pernitli� c�ond�a�s sdt forth � <br /> ittis aWclai� Pcia tia ac�sr,3�w8 aa�curlioc►. t uvd�rS that a sePe�'ale 1�� �'eN he �equiRed for ele�dsit�l wak <br /> Pk+�9. �8ns. well8. Pools,, air aor�onhtp. 9e�, or dl� i�Matlo� rot spedi�Ry included in the app�tion. A <br /> pernit Iseued ahel be oonstrued tD be a ioenee io pr�ooeecl Wtlt 6ie wak and not as aulha�ily 10 videie. c�oei, aNer, a' <br /> set aside aN P� of tlte !ed'rrcal Codes. nar ahai is�noe af a perrrit preuent the &�Idng OfRoal iton'� thereell5r <br /> tequirirg a aariection af enas n pa�s, aor�s6nxtion ar vidaUa�s af any aodas. Every pemit issued shep beoorr�e ir�d <br /> �r�ss U�e work at��ormed bY sixh P�►rit is aorrrnenoed wiarn sbc rrnrths of perm't i�noe4 or if work atihorfaed by <br /> the pen'r� is s��ded or aberidoned far' a period af sbc (� rr�orths alber tite tirrie ihe work is aam�ertoect An �0er�sion <br /> rrey be �eq��led, In v�irg, 5nm �+e Bt�r1g dffiQal for a period not �o eaoeed r�ir�elY (90) daYs and v� derror�tr'abe <br /> �a61e cause fa' Uie vder�sion. If wak oeeees Aor rinely (90) aor�sea.tiv�e cieys, �elob is abaidoneal. <br /> N�NC'a 70 QMBt YOIJt FAIL1�iE Tn F60QiD A OF fiEStLT IN YOt�t <br /> PAYfJC' TM/CE F�t '�OY�2Pf�TY. t70�SlLT <br /> R,Ol7U4.R�1 (F.s 117.0� �- <br /> QMBtQt/lL�l� <br /> S1�BCi7ed �9M01nlD(arslfnrsi)6efOfertefli6 , ! �by b �/���1/ u'�DC �R' <br /> W�o iakre perac+rle�y IQa�f btrearFtaeRlwe pod�oad lacwt b rrsar ImAta�e pioduced <br /> as idat6f[�or► t s ider�Eiaabcn <br /> wey A,�c / / 1� � � �� r�y <br /> Pl,tic <br /> ��, ►� ►,�� i� �'1 �4 4 0 <br /> t�r°°fid°m'yh'ped p'�"e°d°''m"ped ►� �"� SUSAN A MCCOLL'JM <br /> : i�a a� <br /> ?r°, .`� : Notary Public - State of Florida <br /> :•: '� My Comm. Expires May 13, 2013 <br /> %5� <br /> Q`•' Commission # D� 878490 <br /> �� �eO �� ���,, Banded Through National Notary Assn. <br />