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13-14517
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2013
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13-14517
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Last modified
6/12/2014 9:30:04 AM
Creation date
6/12/2014 9:30:04 AM
Metadata
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Building Department
Company Name
CHURCH OF THE NAZERENE
Building Department - Doc Type
Permit
Permit #
13-14517
Building Department - Name
CHURCH OF THE NAZERENE
Address
6125 12TH ST
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understands�tlwt this permtt mey/.be:sub�9���'�O�r <br /> 'NOTICE OF�EEDRESTRI�OW����� iaaace��Mth any <br /> ��.m�,��re•restrictiva�than�oi�i�e9��Ons. The.underabnsd.aasumes responstbiitty��P� <br /> .appik�bls dsst!r�tr�' �OR:REBP.ON3181L:iT1E8: ..K.�h� �owne� . �'°r . <br /> �UNUCEN8ED,CON't'R�►CTORg'��� With state and.bc�i'�ns. ff me <br /> contractors fi�un��� �y b°���o be Iicsnsed in a000rdarx:e � ���.miademesnor vlota�on <br /> �a�Or is not Ibs�sed as requb�ed by 1eM►� both the o�wr��nd o�tra��Y �� mao��,P�r� the <br /> w Mtsnded�oo^tr�act°r�'° uncertaln.as�tn what li��������.at 72T-647- <br /> ur�d�r s� Isw. .If the o�wno� Q�q�1if1Q IMp� <br /> ir�tended work�Y���to contadths�Ri�sco C� or oontra�ors� hs is advised't� •h�'�'�S� S� <br /> gppg. Furtt�srmoro. if !hs otivt�er hss�hirsd:a oontr'ac.t� � bs ���• ff Y°U�.ss-ths awner�si�r►as the <br /> portions of thA`� �ock" of�this app���'�whk�t��d � tt0��tled.to.permi�i�9:P�°� in Pe�sco <br /> �r that msy be an ir�dk��on�i'�t'he is no�proPs�1Y <br /> ' tE valuatfon of wo�lc is�2►�500.04 a'more. � <br /> Cour►tY• r713��8�ubs�asam�d�d): �'s <br /> CONSTRUCTION.UEN LAW(ChsPb � a capy of'the 'Flotida Constructio� Lbn Law�—H <br /> c�tify that i, the aPplic�^t, h�e been Pr�a�idsd ���I�,e�nd Consum�Af��• ff the ePpli�►t�� taifh to <br /> protection Guide' Prep�r'ed bY'the flocida OeP�rbn��of the abotie descxlbed documeM and promise in good <br /> other than the`awner'� �certifY that I ha�ve cbtsinsd <br /> d e l i v e r ft to the'owner'fxior to commenosmant. �,, i o e rt l f Y that sll the h�fortnatlon in this aPPik�°� �a�urats and <br /> CONTRACTOR�S/O W N E R'8•A F F I D/► �Ie laws re�u l�in� ��� ��9 a n d land <br /> t h a t ali wo�ic wUl be done in compi� � all aPP� �do w�k and in�����. I certifY <br /> development. APpii�� is I�erel�Y r�e t o o b t a i n a P�h of a permK an���I wo�1c w t l i b e p�t o <br /> that no w o r k or instaliation has c�ommr��sd P��0��� � �y c�des�.zoninD re�ulat��� � �^d <br /> �et standards of all la�ws rs�D �dal�o c�ert�MY th� I understand t� �► � °f other <br /> developmeM re9ulations in ths �. a! � ��at ft is mY rosPo���to klenWY w�ectlons I <br /> . �overrumer�t a� �Y�Y'to ths intended work <br /> must tak�e��bs in complisnce• �bo Untorm ths awner of ths Pertnt�c�nditbns set� <br /> � far staGrical <br /> If t am the AGENT FORTHE ONMER� � P�'�^b°��°Od t�t s ss� P�n� b°�� <br /> this sffidavit Pt�to commendn� constrt�• I und�nd � s� lndud�d In tl�s aPPik�n• A <br /> slpns� welis� Pods� si�r conditbninD. y�s. or a� i��� not as autl�arth�m viois�e�c�nosi�s�� °f <br /> ��� �,q �construed to be a Ibst�ss� P�� M the BuNdin�Of�iCia�from�� <br /> sst aside anY Pro�°f the techn�c�fiidd���n�s of any c�d�. EveN pe�it fssued ah�dl bsc��e irnalid <br /> ��9 a cortec�or►°��O� �� � ' � wtithin sbc mon� °f P�K�' °r ff woric authorized bY <br /> �r�s the wocic autl�o�ad bY suctt permit is c�mn�r�d � s�ths tims ths w��commet�osd• An extsnsion <br /> it�s su�P�r�d�°r�^dO�ed fo�a psrbd af sbi(8)m��t��ocos�d Nnety (9�)d�Ys�w�l derta�'� <br /> �� �{rom the BuAdinp O�for a psrbd is considered sbat�. <br /> ' in writln8 n qf work oeases ior t�Y(���W°d�'th°job <br /> �ble ca»s for the ex�ens� • <br /> e <br /> � � � • YO`UR FAIt;URE TO RECORD A'NOTICE'OF'C.Q��ClMENT Mp►Y RE8ULT IN�YOU <br /> WARNING TO 4WNER. ROV���.ro YOUR PROP�• <br /> IF YOU•. FINANl�N6�C�sULT <br /> PAYING TNfICE FOR <br /> F�,pRIDA JI�AT(F.S.11T.03) <br /> �nd b <br /> ���i�(or alArnNd)bstore rtN thb s�"�,py � <br /> Who h�fri P�rsotiNy kn°'wn b�°r� 1M�o ,W�t�t . �s Id�� <br /> No�Y PubNc <br /> . Mpfry P1�bNc <br /> Conn� . <br /> Conu�O^� <br /> �d NofarY bP�P��or� <br /> t�hms d NohrY HP��a�or� <br /> "fe gRI1NC13 G.� <br /> � ����°��� <br /> �� �es:�•r <br />
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