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<br /> MAR/28/24071��D 07:20 AM Z�PIiYBHILLS Bt1ILDING FAX No. $(3-7$0-Oa21 p, Op�
<br /> , 'NC3TiCE t��:DE�x?f2ESTJZICTlOHS:'f'he.underslgqed und'erst�nds.t �t fhis pErmit may.be•subJ�ct:to'"de�d"R�stticklans""•
<br /> whlch may Be mc�re restrtctiva ttRan Gountyregulattons. The:uttdersi� ed.assumes Yesponsibllity for�omg�lara�ce=uvith any.� .
<br /> .�pp)3oabt�desd restrtations. . . .
<br /> � •UNLiC�NS�D�CQNTRACTORS•11t�D�coNTf�AC'C�f�.R�SPQ�C51 1[:1T[ES: !f•the ownar has•hired•ca-�con#ractar•or•... :
<br /> cotitratifors`�o'ttndertake wark;they-Cnay-6e�requir�d-fo be licensed.! accordance wifh s�ate.and Iaoahregulations. ,if t�e
<br /> confraafor ts not lieensed as required by taw, batit the awrter�nd� ntractor rrtay be eitedYot.�'ii�isdemeanQr vloiati`on� --� � ""
<br /> .under stqfe taw. tf�the owner or int�nded•can�raotor�re unce�tainta 'fa whaE liaettsing•�equfrem�nt8 mey�pp(y for the
<br /> . intendad wbrk,they ar.�advlsed�fo aonfisaf tha•Pascn County Baiiding inspection Division—t,toensing Section.af 7.27-8�T-
<br /> &009. FurEhermore, f�the owner has hired.a contracfor or'cnnfta tvrs, he is advjsed'Fo•haVe^the conft-�c#ot(s) sign •�
<br /> • �ortions pf the"oontl�actor Blo�k"of this appltoation•for 1Nhioh`fhey w ti be respohsibie. if you, �'s•th�awnet•sTgn'as fhe
<br /> cohtractQr, that may b� an indlcation`thaf h�is hot properly Iioan.sed and ts nat enfiited�fo�permifting.priviieges icn Pasca
<br /> Caunty. . .
<br /> CON&TRUC'flpN.�.1�t+i.LAW(Chapter7't3,�fiioricta Stafufes,.�s.a anded�: if V.aluation of Wo1'k Is'$2;500.Op or mol'9,1 -
<br /> . cattity'fhat !, 'tlte applicant� have .been ptaVided wlth � copy Af' e °Florlda GonsfivoHan.Li�n. Law--Nomeownar's
<br /> Prot�ction GuEde°prepared �yt�e FEor�da Depar.tm�r�t of Agriculture and Consumer Affalrs, !F the applicant is�someone
<br /> ofher than the`"ownerII, 1 cerfify fhaf(have obtained a copy oF th�ab e d�scrlb�d�documen�and promise in good falkh to
<br /> de(iver if�o#i�e"awner"prior to comrnencemenf. • • ' �
<br /> -� GO1V7'RAGTOFt'SlC1WN�i�'•S•AF�tDAVIT:.1 certify that (the information tn•fhfs appiicaEtan is-accuiate and
<br /> _ fhat �If work wiR�be�done tn cornpilance with ali�appli abie taws regutafing Qonsfructianr zoning and tand
<br /> dev�lopment. Application�Is hereby made to•obtain a pe mtf to do work and insfailation as indicafad. i cettify .
<br /> - that ho watk or ins#a!latlon has comrnenced ptior fo i$su nce of e permit and•fhat alt work wlit be perfprmed fo
<br /> rnee� standards of al! laws regulattng G¢t�struution, C nty and Clfy cod�s,.zontng regulaftans, and land
<br /> dev�lopii�enk t'egulatiaris in the jurisdictian. 1 alsa as fha# ! tlndersfaht# th�t'the Cegulatlons of other
<br /> .gaverltment agettcias tn�Y apply.ta the 9ntended wotk,a d that it is my!'esgnnslb!!!ty to identlfy what actlons l •
<br /> mustfake•to be ih campltance., . • .. • . .
<br /> if[am fhe A�E�S'f''FOR"TH�oWt��R, t promise iti gaod faith ta inf rm the owttet'of the pet�nicting cortditions set fot#h'sn
<br /> tfifs�affldavit priar io commencing construcfion. •i undarsfand that a separate�perrnit may be requir�d for efeetrica!work,
<br /> plurnbinc�; si�ns, wells, poals, air condiGontng, gas,.or other install tions not specific�tty lnciude� in the appitcation..A' �
<br /> ' perrizlt I�SUSd shal!be ac�nstrued to.be a llcepse to prooeed with fh w4rk and nof as aufhority fo vtotafe, cancai,a(ter,ar
<br /> set aside any provisions of the technica!'codes, nar sh�]!issuance a permit prevent the-�uildtng.Offiiciai f�om thereaffer
<br /> requieing a correct�an a#errors in plans,constnsction or violafibns af any oodes. Every permlt lsaued shal!become invalid
<br /> . untess�fhe wartc atrtharized 6y such perrnit is commenced wtthin sl months of perrpiE lssuanc�,or if wo[k aUEharized by
<br /> fhe permit is suspended or abandoned far a-periad of six•(6}month after the flme the work ts commanced, An extension
<br /> may�e requesfed, in wrifing,from the Building O�iaiat for a p�rso not ta exceed ninety(90)days and wiN dernonskrate:-
<br /> Justifiable cause for#he ex�ension. ifiwork ceasas'fior n�nefy{�o}co secuftve days,t�e)ob is car�sidered abandoned.
<br /> 'VIIARrl1NG TQ ClW�IER: 'YOUR �AIL'UFtE'70►•F2ECORD A'N � CE•OF;CI�MM�HC�NI�NT M�Y"'R�SULT IN`YiJIIR "' '
<br /> FAYft�1G'ClfttiC��OR INIPRQIl�MEHTS'TO YOUR PROk'�RT'l. ! YoU IN7EHb T�OBTAIN�ttVAt�iCING,GOhiSULT
<br /> WiTH UR!.E Ei2 O � N A'I`f" RNEY ��o�.�t��co !N (lUR NO ICE OP CC1IlAMENC�N(ENT. �
<br /> F[.ORtDA,1Uf2A'i'(F.5.44703_ � •• ' ' . . •' . .
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<br /> ' ,�t • as tdentificatinn. , •as idet�tlflcallan.,
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<br /> � . NoYary Pobtic Nob�1y Pu6(iC , .
<br /> Commtss on No. .�h_���� Gnmmisslo IVo. —+ � �� .. . .
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<br /> Name of NoGary�yped;printed oi stamped . • • Nama'Of ht tary Q�ped,prihterl or sfamped , -
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<br /> ' 11t11"fZl LElGH�VANC€• ; ' ' � � MITZ1•tEIGH VANCE
<br /> 'NOTARY' , •�OMMISSEOI�I��FF 4gOSS Nornav. COMMlSSlON t1 FF 49Q8�.
<br /> euauc� •��RiRES 0efober 9,20I7 srr=E pF. ��XplRES Qctober 9,2017
<br /> 57ATE OF.� �
<br /> -FtOR7DA BOkD£D THROUGH � ftOR1DA 90NDfp 7kR0U6H
<br /> ' t R!!INSURANCE COMPANY RU INSURANCE COMPANY
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