<br />r'11;'(, 1
<br />
<br />Iln'7 1:' T 1 1 , c: '7
<br />
<br />ZEPHYRHILLS BUILDING
<br />
<br />.'
<br />
<br />-! i
<br />
<br />I,
<br />;"::':-{<"~~~;I> ,;:ct'~.:.;
<br />
<br />. .~......t:.:..... , . . .~'..~. ~_... . .
<br />
<br />NOTICE OF DEED; RESTRICTIONS: 'Ttie~unttersigned u,nderstands that this permit may be subjectio~de~d"'re5trlctlons.
<br />'which may be mort? restrictive :than~County,! regulations. l"he undersigned ,assumes,responsibilityior'.compliance,with :anY
<br />'appllcabledeedre~trictlons. - " " .,... .-. "', ,
<br />UNLICENSED 'CONTRACTORS ,AND CONTRACTOR 'RESPONSIBILITIES: If .the owoerhas 'hired :a""contractor or'
<br />contractors to undertake work, they may be .requlred to be licensed In accordance With state and local regulations. if the
<br />contractor'is not Iic.ensed ,as required l>Y law. both the owner and contractor maybe cited 'for a misdemeanor violation
<br />under stat~ law. ~ the owner or intended contractor are uncertain as to what licensing requirements may aPr'Yf9dhe '
<br />lntende.d work, they are advls.ed to contact the Pasco County Building Irispection Division-licensing Section ,a . 727~847-
<br />8009. Furthermore, If the owner 'has hired a contractor or contractors, he Is advisecf to have th8 contractor(s) sign
<br />portions of it he "co~tractot Block" of this application for which they w.ill be responsible. If:you,as.theoWner sign as the
<br />contractor, ,that may be an indlcationthat he is not properly licensed and Is not entitled to permittlng:privileges, In Pascp
<br />County. I , ' " , ,. " .
<br />. CONSTRUCTION 'LIEN LAW (Chapter 713"florida Statutes, as amended): If valuation of work is, $2,500.00 or more, I
<br />certify that! I; the, iapplicant, have 'been provided wfth a copy of the "Florida Construction :UenLaw-Homeowner's
<br />Protection Guide" prepared by'fhe Florida Department of. Agriculture and Consumer Affairs. If the applicant is'someone
<br />other than the "owner", I certify that! have obtainsQ a copy of the above despribed document and promise In good faith to
<br />deliver it to':the "owner" prtor to' commencement. . , ' ,
<br />I CONTAACTOR'S/OWNER'S AFFIDAVIT: , ,,' certify that all the information in this applic~tionls accurate and
<br />i tf1at at; work will be done-' in compliance with all applicabls,laYiSregulating construction, zoning and land
<br />i development. Application ,is hereby made to obtain a permit to do work and installation as 'Indicated. I certify
<br />that no work or InStallatiori'has commenced prior to issuance of a permit and thafall work will be performed to
<br />: meet ~tandards of all laws regulating construction, County and City codes, :roning reglJlations, and land
<br />, , : development regulations in the Jurisdiction. I also certify, that I understand that the regulations of other
<br />I' government agencies may apply to. the Intended wQrk, and that it Is my responsibility to identify what actions I
<br />must take to be In compliance. . " ' .
<br />If I am the ~GENT! FOR THE OWNER, I, promise in good fajth to inform the owner ,of th& permitting conditions ,set ~orth in
<br />, this affidav\tprior to commencing construction. I, understand that a separate permit may be required for electrical work,
<br />,plumbing, ~igns, Wells, pools, air conditioning, gas, or other Installations not specifically Included' In the application. A
<br />permit Issued shalf be construed to be a license toprpceed With the work and nQt as authority to violat~, cancel, aiter;' or
<br />S8t aside ary provisions of .the technical codes, nor shall Issuance of a permit prevent the Building Offiolai from thereafter
<br />requiring a forrecti,on of, ~, rors in plans, construction, or violations of anY,C9d, es. Every permit isStJed"Shall become invalid
<br />unless the JNOrk aJthorlzed by such permIt is commenced Within six months of permit issuance" or if Work autf1oriz8d by.
<br />the permit I~ susp~nded or abandoned for a period pf &Ix (6) months afte~'the time the Work Is comrri&~c,e(;j.' An extension
<br />may be requested; in writing; from. the Building Official for a periOd not to ex~ed ninety' (90) days an~ Will demonstrate
<br />justifiable cause for the extension. If wo~ ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />'WARNINGltoOWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY ~StiLTIN YOUR
<br />PAYING TWICE FbR'lMPROVEMENTS TO Y 'R PROPERTY. 'IF YOU INTEND TO OaTAlN FINANCiNG, CONsuLT
<br />'Y N; A ATTOR Y B:' OR I G Y R NO' F CO Ne M NT. "
<br />FLORIDA JURAT (F.S.'117.03 .,
<br />
<br />, OWNER OR lOENT :[}1(; 0J' I r ~/p
<br />) ub8Cl'l ~ J1d $WOm1lit. ( (OIor amrmed~ore me this
<br />)by .J.J:;;;.I 1, rV,' 1/ .-r-rl€
<br />i iii persO!ll:t11y known to me or haSlhave prodUC8d
<br />88 IdentificaUon.
<br />
<br />
<br />o .~ d ~~POO"
<br />
<br />C~,mm)'(~n.J... . Db (0]]/00 .
<br />~r...Jtpr ,(' , (e 0k:Jtt r- ' .
<br />Name of Not$!'Y typed, printed or stamped .
<br />. I '" '.
<br />
<br />
<br />CONTRACTOR
<br />Subscri~ and 6'M)ll\ to (or afllrmed) before me this
<br />, ' by
<br />WhO Is/are penlOnlllly known to me or has/have produced '
<br />, as identlftcaiton.
<br />
<br />
<br />Notary Public
<br />
<br />Col}1mission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />
<br />AMBERC. TEDDER.
<br />
<br />DEC-14-201217 FRI 10: 35RM ID:
<br />
<br />PRGE:2
<br />
|