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<br />OCT/f1/2007/THU Ol: 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 />:No::r:lce.QF-l>EED.RESTRICTlONS: The undersigned -understands that this permit m~y'he sl:lbJect 10 ~deed. restrictions.
<br />.which may be,'more restrictive than 'County regulations. TAB undersigned assumesresponsibility'for compliam:e with ,any
<br />applicable deed restrictians, , ,'. "
<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 acoordance with 'state and local regtilatlons. If the
<br />contractor Is not licensed as required by law, both the ,owner arid contractor may be,Clted for' a',rnisdemeanor violation
<br />under state law_ If the owner or intended contractor arB uncertain as to.what licensing 'requirements may apply for the
<br />Intended work. they are advised tocontad the Pasco ,County Building Inspection Divlslo~icenslng Section at727-847-
<br />8009. 'Furthermore, if the owner has hired a contractor or contractors, he is advised to havs the contractor(s) sign
<br />portions ,of the "contractor Block" of thisapplication'for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may be an Indication that he is not properly licensed and is not enlitled to permitting' prJ.vllsges in Paaco
<br />County. "
<br />CONSTRUCTION 'LIEN 'LAW (Chapter713, Florida Statutes, as amendtld): IfvaJuation of work is, $2,500.00 or more;-I
<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 Agriculture and Consumer Affairs. tfthe applicant Is someone
<br />other than-the "owner", I.certify that I have obtained a copy of the above described document and promise In good faith to
<br />deliver it to the "ownerD prior to commencement. "
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that iiltthe information In this applicationJs accurate, and
<br />...... ,--;that- allwork-will be <lone In.. compliance-wlth-,aIl,-applioable..laws -regulating'-Gonstniotiol'l,.::zoning--and"land..--------
<br />development. Application is hereby made to obtain a perm_it to do work and installation as indIcated. t certify
<br />that no work-or installation has commenced prior to Issuance of a permit and that all work will be performed to
<br />meet standards of all laws regulatingconstruclion, County and City codes. zoning regulations, and land
<br />developm!'Jnt regulations in the jurisdiction. I also certify .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 actions I
<br />, must take to be in compliance.
<br />If I-am the AGENT fOR TI-lE OWNER, t promise In good faith to inform the owner of the permitting conditions set forth:in
<br />thls affJ,davtt priortP, comm~ncli':1g construction. I understand that a separate permit may he required for. el.eetricaJ' work,
<br />plumbing; si!}ns; weJls,pools, air conditioning, gas, or other installations not specifioally.lncluded In the application. A
<br />p.ef.m.lt',is~!:!€l.dsh;;!II'b.e coiis,trued to be a,:license to proceed .wfth the work and not as authority to violate, cancel, alter, or
<br />set.;isltje. ani.provl~lon!5 of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />, requirlrng,a'wrrectlon of errors in pl~ns, construction or violations of any codes. Every permit Issued shall become Invalid
<br />.',un.I!i~~j~~~~~~~.~i.JtrprizBd'bY such ,permit iscommen?ed WIthin six months o.f p8rmlt'is~u~nce. or if ~ork authorized by
<br />,'Jf~e':p(;}tm1t":ls sus,p~nd~d or abandoned for a period of SIX (6) months after thebme the work ,IS commenced. An extension
<br />,ma'y?be requested. -In ,writing, from the Building Official.for a (*lrlod not to exceed ninety (90).days andwtll demonstrate
<br />. :j~~*1~t,jle ~use for. the extension. If work ceases for ninety (90) consecutive days, the job is considerBd abandoned.
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<br />Notary Public
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<br />Notary Public
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<br />Commission No.
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<br />Commis51on No.
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<br />#-Ll,urY ~ rck6o~~
<br />Name Df Notzuy typed. printed or stamped
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<br />Nama of Notary typed, prlnt~ or stamped
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