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<br />12/20/2007 THU 14:30 FAX 1 813 806 7190 ADT Security Services
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<br />f4j003/003
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<br />DEC/21J/2007/THU 01:50 PM ZEPHYRHILLS BUILDING
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<br />NOT1CE-OFDEED RES~RICTrONS: The undersigned 'understEmds-that".thls:'permit may be subject to adeed" resirlctions" , --,::
<br />which may .tie more resttlctive than County regulations, The understgnea ..assumes 'responslblllty for compliance with any
<br />applicmble deed restrictl~ns. . ',' '. .'
<br />"UNLlCENS.ED 'CONTRACTORS AND CONTRACTOR RESj:t'ONSIBJ.L;ITIES; 'lfihe owner has hired a contractor"or '
<br />.c~lMtracto,rs:to undertakelwork, they may be required to'be licensed in accordance with. state aOOloeal regulations. .If the
<br />, oontractor'ls not licensett as required by laW. both the' owner and contractor may be cited for a. misdemeanor violation
<br />'under state law. If, the ~wner or int,nded contraCtor,l1re, unoertain as to .what licensing requirements may. apPly f9r t,he
<br />-;nlend$.d work. they are'advised to ,contact the PascQ County Building Inspection Dlvlalon-lioensing Section at 727-847-
<br />, .,8009. . Fur~hermtire, If ~he owner has hir9d a.c:ontraotor ,or con~ctors; he is advis~ t~ h!lv~'~e cOntractpr(s) sign
<br />, 'portions of It he "contractor Block" of this applicati~n for which they will ~~ responsible, If.you, as tt'\e,owner sign as the '
<br />, "~~=ty~"lthat may be t~ I~dloation,~nat,h~ is not.p~~y Iic:ie~s~d ~nd IS, not entltl~d, to P8l11'Ittlng privileges in Pas~
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<br />CONSTRUCTION UEN LAW (Chapter 713, Florida Statules, as 'amended):' If valuation of work,jlp:'$2.500:00. or more. ,I . '
<br />certtfy that; I , the' spp1kiant, ~ve been provided with a oopy, of, the. "Florida Construction Lien laW-HomeoWner's
<br />Protection Guid~. 'prepared by the Florida Department of Agriculture ~d ~onsumer Affairs.. If the.appllcant Is someone '
<br />, other than the .owner', I!certlfy that I,have obtained a copy of the above desa1b.ed doCl.lme':lt.~t:ld promlslil ill good.faith to
<br />deliver It to ,the "owner" p.rlor to commenaement., " . '. ': ' . " "
<br />- . _ " I CO"'.TRAC~OR'SJOWNER'S AFFlbAVIT: J certIfy that all the information In this. application Is aC9urat~ and "
<br />, !,that. all worl< will be d~ne' In compliiince with all app/jcable.l~s regul!'ltin9 qons,r.uctlofl" :zoning. aJ'.ld ,land
<br />i deVelopment. Applioatlr;m is hereby made to obtain a permit to do work and in~tall!1ltloh as IndIcated. I certify
<br />that no worf<!or InStallation"has c~mmenCed prior to Issuance of a permit and that'"all Wor~ will be performed to
<br />: meef\'stanci,rds of aU ,/awsregulatlng construction, County and efty codes, zonin9i;regulatlonS, and l;ind.
<br />; development regulations In, the jurisdiction, 1 also' certify that I undt:rstand that the regulations of, other
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<br />I' goyernment ~en<:iB6 may apply to the int~f1ded work, and th~~.I,t is ,~y responsl~lIIty to Ide~tify what actions I,
<br />, I must take tol be In compliance, ',,' " ',', . ,
<br />If I am tl:le AGENT J=oRITHE OWNER, l,prom1se In'good faith to Inform the owner o(the permitting conditions eet forth In
<br />this affldav\t ,prior to commencing construction. [. understan(f that a separate permit may be ,required for electrical work,
<br />. p~umblng. !iigns, wells. '~ools, air conditi,oni,ng. gas, or other InstallaUons not speolflcal!y in~ludBcj" 1':1 ~e applk?ati~n. A
<br />permIt issued shall be c~mslrued to be a license to pr~ceed:wIth the work and n~t as authority.t9 violate, cancel, alter, or
<br />'set aside sPy provisiomlof:the technical codes, nor shell Issuance of a pel11)lt prevent ~he Building qtficial from there"fter
<br />requiring a fo~ectlOfl of;err~ In'plans. oO~8tructlon ,or violations of any codes. . Every permit Issllfl~ shall become Inva,lid
<br />'unless the JNorkautho~ed.bY such 'permit is. commenced within six months of permit issuance, .or If work. a~horized by
<br />the permtl is suspended ior abandoned for a -period of six (6) months after the time the work Is commenoed.. An extension
<br />may be re~uested, in wr;IUngj from, ~tJe Building OffIcial f9f' a period not to exceed nin,ety (9Q) days and will demonstrate
<br />justifiable cause for the extension. If work ceasas for ninety (SO) oonsecutive dayS, the Job is consider~d abandoned. .
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<br />~~RN~NGlto O~NE~,' YOUR.FAIL.UR~ 'TO R~CORD'A MO~CE OF COMMENC~MENT M Y Rt:SVLT ~N'~O~R
<br />PAYING TWICE FOR'IMPROVeMENTS TO YOUR PROPERTY. ' IF YOU INTEND TO OBTAIN'FI AtIICING, CONSULT
<br />. U'R . ER' TTORN 0 ECO DIN CE OF CO T ' ,
<br />FLORIDAJU~T (F.S. 117.03) : '." "
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<br />OwNlIRORAGENT "; . - " '
<br />" SubSCl1bed iln,d. swcirri to (or a(llnned) ~ero.. me Ih.is
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<br />Who Ie/are personally known to me or haslhave pfoduaed
<br />, ' , r .' as ldentlflcallon. "
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<br />FAX No. 813-780-0021
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<br />. , Notary Public
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<br />N'otary. Public :
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<br />. CommissiOn No.
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<br />Na~e at Notary b'P~d. plinled or 8lamped
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