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<br />OCT/H/2007/THU 01: 12 PM ZEPHYRHILLS BUILDING
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<br />FAX No. 813-780-0021
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<br />P. 002
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<br />.'NOT,ICE.QFDEEO.,RESTRICTIONS: The undersigned ,understands that this permit m~y'he subject to "(jeed" restrictions.
<br />'which may be,more ~-e~trictlvethan County regulations. TAB undersigned. assumes 'responsibility'fClr comp.liallce with any
<br />applicable deed restncbens, , ' " '
<br />UNLICeNSED CONTRACTORS AND 'CONTRACT-OR 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 IDeal regUlations. If the
<br />contractor Is not licensed as required by law, both the owner and contractor may be.clted for a'.misdemeanor violation
<br />under state law. lithEl owner or intended contractor arB uncertain as to. what licensing -requirements may apply for the
<br />Intended wor~, they are advised to contact the Pasoo ,County BUilding Inspection DivIslon:--Ucenslng Section at727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions, of the "contractor Block" of this 'application 'for which they will be responsIble. If you. as the owner sign as the
<br />contractor, that may be an tndication that he Is not properly licensed and is not'entitled to permitting'prlvlleges in Pasco
<br />County. ",
<br />CONSTRUCTION 'LIEN 'LAW (Chapter713, 'Florida Statutes, as amendad): tfvaluation of work is,$2,500.00 or more;'1
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection GUide" prepared by the Florida Department of AgriGulb:Jre and Consumer Affairs. If the applicant Is someone
<br />other thatl-the "owner", I.certify that'l have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the'.owner" prior to commencement. "
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aJl:the Information In this application ,is accurate and
<br />,,-:that' all, work -will b8<ione III compliance, with.. all.-applioabls..laws 're~\;/latiAg'-aonstruotiol'l...';zoniAg~'amj.,lafld..-.. '...n
<br />development. Application is hereby made to obtain a perm,it to do work and installation as indicated. I certify
<br />'that no wOlkor installation has commenoed prior to Issuance of a permit and that all work will be pBrfQrm~d to
<br />meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
<br />dBvelopm~nt regulations in the jurisdiction. I also GElrtlfy .that I understand that the regulations of other
<br />government agencies may apply to the Intended work, and that it IS my responsibility to identify what aclions I
<br />must take to be in compllancEl.
<br />If lam the AG~NT rO~ mE OWNER. I promise In good faith to inform the owner of the permitting conditions set forth:in
<br />thls affl.davlt prior -t9, coritm~nclng construction. I understand that a separate permit may .be required for. electrical' work,
<br />plumbing; signs; weJls,'Pools, air conditioning, gas, or otherinstallatiol1s not specifically. Included In the application. A
<br />p,ef.mlt:iSj;;!:!~d,S:hRII'b,e oonstrued to be a.:license to proceed ,with the work and not as alith9rity to violate, cancei, alter, or
<br />set.;3sl~e aoy'provh,lons of the technical codes, nor shall issuance of a permit prevent the Building Offiolal from thereafter
<br />, . requlrb~g.a'.cerrecllon of errors in pl~ns, construction or violations of any codes. Every permit Issued shall become Invalid
<br />,un.l1i~~':~~~~~~tl(~i.Jt!1priz8d"bY such ,perrilit lS'oommen?ed Within six months '1 permlt:is~u~nce, or if ~ork authorized by
<br />".tli,e:petJ,Jrlt.Js susp\7nd~d or abandoned for a period of SIX (6) months after the,time the workrs commenced. An extension
<br />may'he requested, in 'writing, from the Building Official.for a period not to exceed ninety (90),days and ,will demonstrate
<br />. j~~~~~tih~ cause for. the extension. If work ceases for ninety (gO) consecutive days, the job is considered abandoned.
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<br />Notary Public
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<br />.fb .b ~ -" \ ~ ~./ --Iu~-4~otr3.ry Public
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<br />Commission No.
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<br />,Qommi55lon Ng,
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<br />#b-ttUG fi -bk&J~
<br />Name of Notazy typed, printed Dr stamped
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<br />Nama of NDtary typed. prlnt~ or stamped
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