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19-21165
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19-21165
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Last modified
1/7/2020 11:34:13 AM
Creation date
1/7/2020 11:34:12 AM
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Building Department
Company Name
COMMUNITY CHAPEL COG
Building Department - Doc Type
Permit
Permit #
19-21165
Building Department - Name
COMMUNITY CHAPEL COG
Address
5320 1ST ST
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, <br /> ° <br /> ' ,��h' bomom�restrictive than County The undersigned assumes responsibility for compliance with any <br /> applicable deed.restriction' <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired-a contractor or <br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation <br /> under sum uuw If the owner or mtendnu contractor are uncertain as to what licensing requirements may apply for the <br /> .—Intended work,they are <br /> advised to contact the Pasco County Puildin§Inspection Division—Liconsing Section at 7.27�847� <br /> ~... Furthermore,~ .portions of the"contractor Block'�of ihis'boplication for which they Will be respigns'iblP. If you,as the owner sign as the <br /> contractor,~ that may~~ a'"—Indication that'~~'^^properly lic—`~~~and Is,not^entitled~permitting privileges~Pasco <br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND-RESOURdE kEbbVERY FEES: The undersigned understands <br /> that <br /> use In existing buildings, <br /> 4"-0' as amended. The undersigned,also understands,that such fees,as may be due,will be identified at thd time of <br /> permitting;. It ls�further understood that Transportation Impact-Fees,and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of.odcupandy"or final power releas�.. If the project does not involve a certificate of occupa ncy or <br /> final <br /> (Chapterfees are due,they'must be paid prior'to permit Issuance In accordance with applicable Pasco County ordinances; <br /> CONSTRUCTION LIEN LAW <br /> certify <br /> Protection Guide" <br /> other than the"owner", <br /> deliver It to the'?owner'prior to commencement. <br /> CONTRACTOR'SIOWNERS AFFIDAVIT: I certify that all the Information In this application Is accurate and that 611 Work <br /> w0 be done In Compliance with,all applicable laws regulating construction,zoning and land development'. Application is hereby made to obtain a permit to do work and Installation as Indicated. I certify that no work or Installation has' <br /> commenced prior.to Issuance of a permit and that all work Will b6 performed to meet standards of all laws regulating <br /> construction, <br /> certify that/my responsibility to Identif must I <br /> .ywhbtactlohsl . ake.to be In compliance. Such agencies Include but are not limited to: <br /> Department of Environmental Protectidn-Cypress Sayheads,Wetland Areas and Environmentally Sensitive <br /> Lands, <br /> Southwest Florida, Water Management District-Wells, Cypress Bayheads, Weiland Areas, Altering <br /> Watercourses._ <br /> Army Corps <br /> ,artment of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,_ <br /> Tanks. <br /> US Environmental Protection Ag.ency�Asbestos abatement. <br /> . ~.. <br /> \understand that the following restrittlotis apply to the use of fill:�Use of fill is <br /> � mm1N material is to be used in Flood <br /> "compensating volume"will be submitted at tirne of permitting Which is prepared by a professional engineer <br /> u�onuaouymo State of Florida. <br /> If the fill <br /> � Y0 material � be used � ` <br /> dversely affect adjacent properties,the owner maybe cited for violating <br /> the conditions of the building permit bnbod under the allached permit application,for lots less than one(1) <br /> ovr6 which are elevated by fill,an engineered drainage.plan Is required. <br /> If I am the AGENT FOR THE OWNER,.1 Oromlse In good faith to Inform the owner of the permitting conditions set forth in <br /> this <br /> plumbing,—_ <br /> permit Issued shall be construed to be a license to proceed <br /> set aside any provisions of the technical codes,nor shall Issuance of a permit prevent the Building Official.from thereafterunless,the.work authorized by siuch permit Is commenced within Six months of requiting a Correction of errors ln,.plans,construction or violations of any codes. Every permit issued shall becomia invalid <br /> permit Issuance,or if work authorized by <br /> the permit is suspended or abandoned for a period of six(�)months ofto may be requested,In writing,from the Building Officlal for a period not to exceed ninety(90)days and Will demonlitiate <br /> r==e cause for vthe~==~ "work ceases for ninety(9 )consecutive day --t�lb is considered abandoned. <br /> YVARNING TO OWNER- YOUR FAI�Vftg TO RECORD A NOTICE OF MM C ENT MAY RESULT IN.YOUR <br /> PAYING~ CONSULT_ _ <br /> WITH YOUR LENDER OR AN <br /> pV�mxJun*T\�unru�--- ---' - — — <br /> /IN <br /> QWNER OR AGENT, CONTRACT <br /> .~~b~~ subscribed and <br /> sivorn to(o Afirmed)before met this <br /> by bD <br /> —_---personally known--_—_--produced Who----`_ <br /> identification. -- m°mmoom. <br /> Notary public nmm" <br /> — Commission No Commission <br /> . <br /> Name of Notary typeo,'printed <br /> a,stam"�� � � Name of printed or stamped� <br /> ' <br />
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