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<br />OCT/ll(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 />.~N01;ICE~QFDeEo,'RE5TRICTIONS: The undersigned understBnds 'that this permit m~y'he subject to ~deed" restrictions"
<br />-Whic,h may 'be..mere ~e~trictlve than 'County regulations. TAe undersigned. assumes 'responsibilityfor compliance with any
<br />applicable deed restncbGos, . . .' .
<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 if'l accordance with 'state an.~ local.-r9g.UlatJons. If the
<br />contractor Is not licensed as required by law, both the .owner and contractor may be.C1ted for a'.misdemeanor violation
<br />under state law. Ifthe owner or intended contractor arB uncertain as towhat Iioensing -requirements may apply for the
<br />Intended work, they are advised to contact the Pasco ,County Building Inspection Divlslon:----L:icenslng Section at'7-27-847-
<br />8009. . Furthermore, if the owner has hired a ~ontractor 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 lndioation that he Is not properly licensed and is not entitled to permitting' privileges in Pasco
<br />~~ .' .
<br />CONSTRUCTION'L1EN'LAW (Chaptar713, Florida.Statutes, as amendttd); Ifvaluation of work is. $2,500.00 or more;-I
<br />certify that I, the applicant, have bee:n provided with a copy .of the "Florida Construction Lien Law-Homeowner's
<br />Protection 'GuidEt prepared by the Florida Department of AgriGulture and Consumer Affairs. If the applicant Is someone
<br />other than-the "ownerM, I.certify that I have obtaim~d a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior tooommencement. "
<br />. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that atl:the information In this application,is accurate. and
<br />.. _ ;;that, aU work -will be-done In compliance . with,. all.-applinable..law5 . re~ulating"aonstniotioFli" ;zoniAg..and..land..-.......
<br />development Application is hereby made to obtain a perm.it to do work and installation as indicated. I certify
<br />.that no work-or installation has commenced prior to Issuance of a permit and that all work will be performed to
<br />meet standards Df all laws regUlating .construction, . County and City codes, zoning regulations, and land
<br />developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations af other
<br />gavernment agencies may apply to. the Intended work, and that it is my responsIbility to. identIfY what actions I
<br />. musttake to. be in compliance. .
<br />If lam the AG~NT fOR THE OWNER, I promise In good faith to inform the owner of thB permitting conditions set forth:in
<br />thIs affidavit prior.tp,Gorill:n~ncli':lg construction. I understand that a separate permit may be required for,electricaJ'work,
<br />plumbing; signs; wells,pools, air condltlaning, gas, or otherinstallatiohs not specifically, Included In the application. A
<br />p.ef.m.tt;i8,~~l:!.d.StipJl.b.e oonstrued to. be a,:license to proceed ,with the work and not as atith~rity to violate, cancei, alter. or
<br />set.;isltle 'any':provl$lons of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />. 'reql:lirlRg,a.correcilon of errors in pl~ns, construction or violations of any codes. Every permit Issued shall become Invalid
<br />. .un'!i~k'itie':lNork:iji.Jth9rized 'by such permit Is-commenced Within six months of permlt.i~~uance, or if work authorized by
<br />...t'fi.e.:~rJ.nJt.:ls.su$ji~rid~d or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may.:-:lie requested, 1n writing, from the Building Official.for a period not to exceed ninety (90)..days and will demonstrate
<br />. j~~~l!l;it~ cause far the extension. tf work ceases for ninety (90) consecutive days, the job is considerBd abandoned.
<br />
<br />
<br />Notary Public
<br />
<br />~~-F,-g~
<br />
<br />.Commis5lon NQ. D]) 6/ ~ 3 'I
<br />
<br />. L.,,,,~ <: '7./~'-IIe;'Lerq.py-
<br />Name of Notary typed. printed orlOUlmped r
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Nama of Notary typed. printed or stamped
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