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<br />NOV/PI/2007/THU 09:48 AM ZEPHYRHILLS BUILDING
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<br />FAX No. 813-780-2021
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<br />p, 003
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<br />,.NO:r.JCE.G)l;,~eED.RESTRICTIONS: Th~ undersigned understands :that this .permit mi!Y.be 5\:1bjact to ~deed. restricti~ns'
<br />.WhloA may 'De-.mOI'S .~.estrictlve ,than 'County regulations. .Tl:Ie underslQned .assumes 'fasponslbllity.fur compJlancewIth BI1Y.
<br />applicable deed restrictlans. ... ,. ...
<br />'UNLlCENSeD CONTRACTORS AND .CONTRAC:r.OR RESPONSlSIUTlES: If the owner has hired.a contractor or
<br />contractofS to undertake work,., they ~ay be. require9 to' bJillicensed in accordanm~ with 'state and local:reSlilations. If the
<br />.cont;ractor lsnct licensed as required by law, both : the owner and contraotorn,ay' De .cited. for' a '.mlsdemeanor- violation' .., --
<br />. under state law. If the owner or intended 1;ontractor are -uncertain as to.what licensing .requlrements may apply.fer the
<br />intended wo~, 1hey are .advised to contaclthe Pasco :County B.uildlng.lnspeetion Divisjcn--~icensing Section at 727-847-
<br />8009. . Furthermore, If the owner has hired a con,tractor or .contractors,. he is advised to have the contractor(s) sign
<br />portions.QHhe "oontmctor Blook". of this .applicati6n fQr which they will b~ responsible. If you. as the owner 51go a~ the
<br />contractor;. that may be an Indication that he Is not properly licensed am;! is not: entitled to per:mitting privileges. In Pasco
<br />. : County. .. . . . .. .. , . .
<br />.CONSTRUCTJON'L:JEN'LAW.(Chapter713, Florida statutes:; as amendl3Cl): If.valuation.ofwork is $2,500..00 or more;"
<br />. . certify Ulat.l, fhe applicant, have been. provided 'with a copy of the "Florida COnstruction Lien Law-Homeowner's
<br />Protectlon,Guide" prepared by the Florida Department of Agriculture :and Consumer Affairs. If the applicant is someone
<br />othertharrthe .owner", LcertIfy that! have obtained.-a copy of the above described dOCllmBnt.and promise In good f~1th to .
<br />.deliver it to the "owner" prfor to ,cdmmencemant .' . . .. .~
<br />_ '. ,. CONTRACTOR'S/bWNER'S AFFIDAVIT: I c.ertify that all: the information in tt)is appllcatiol) .ts.aceurate and..
<br />... ,...' m ~'thatn aU.work -will, be ..EJ.;lne.ln" eomp"ance"wlth-a1~-applioabla..laws .feQulatiAg.-GOFlst!1:iotiOFl.,...:zor-lir-Jg.:anrlHamj.....--_.
<br />development. Application is hereby made to obtain a permltto do work and installation as indicated. I certify
<br />that -no work- or Installation has commenced prior to Issua.nc8'of a pennit and that all worlcwIlf be perfQrmEtd to
<br />meet standards of all I~ regulating .construction, County and City codes, zoning' regulations, and .Iand
<br />developmf'nt regulations in the JUri,sdlcilon. I also certffy .that I und~tandthat the regulations Of other
<br />govemment agencies may apply to the"lnteilded work, and that it is my resrmnslbJlity to. i!ientlfy what actions I
<br />.. must'take to be In ccimpllancB.. .
<br />, If I ,am the AG~NT f0~ T:HE OWNER; I promise.ln g~:)Od faith to Infonn the owner of the pemilttfng conditions set forth ,in
<br />thiS affldavit prior .~p, comr:l1l~ncing construction., , understand that a separate pennit may be required for: eleetricar work,
<br />plumbing; signs; wells, :pools, air Conditioning, gas, or other installations not ~pecificaILy. included in the applicatlor:1. A
<br />p.e.r.mit;iaeq~d.sti~ll:b.ecp"sJrued to be a 'license to. proceed with 'the work and not as aUthority to violate, oancei, alter; or.
<br />seLI;isl<'4e' any ~p..rOvi~iQn13 of tml technical codes, nor shall issuance of a permit prev!3nt the. BuDding OffIcial .from tj1ereafter ..
<br />. .requirhi!g,a.correct!on of errors II') pl~nsf constnictlon or viqlations of any codes. Every permit Issued shall become Invalid
<br />.', .iinJ~~~~~.~gt~'_~utDp'rlzad:.bY such .permit is" commenced W1thin six month~ oy permit i~~uance, or If~ork authorized by
<br />. ,tl1e';~~o:IS $u~Pf'ndf'ld or abandoned for a period of six (El) months after tAB time the work Is commenced. ,An exteflslon
<br />. ' 'n:"ay:;be ~l:;lested, ~n ,writing, from the Building Officlal.for a period not to exceed ninety (90) -days and.will demonstrate'
<br />. . jiistJfi~le caLIS';. for the extension. If work ceaseS for ninety (90) consecutive days, the Job Is conslder8d abandoned.
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<br />W~RNING TO OWNER: YOURFAlLURS.TO.JtECORO A NonCE.OF COMMENCEMENT. MAY RESULT. IN YOUR
<br />!:f'.!~N~ TYV"!CE fOR JM.PRA. OVE?NiENT!.!RYO~~ r.!!q~~r(l Jr. y. l.uN.ToJ~t~Jgl:B;9IJ~~E~!~~CJNG~ CONSU~ T
<br />_. Y~NiJ - R . R". ,.A I NC",.lmi ~l. ..' if:ffcj . ICe v ,-,0 M CEMENT . .
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<br />.OWNEROR AG~T ' .
<br />. Subsprib$d and sworn .to {or la1llnned) belora me this
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<br />Who is/Eire per,oonally known to me (lr ha5/have produaed
<br />as ldenlilicatkm.
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<br />. .jwtary Public
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<br />Notary Public
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<br />Commission No.
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<br />.Cornmhlslon No.
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<br />Name of Notary typed. printed or stamped
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