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<br />JAN/C7/2808(1~or 10:24 AY ZEPHYRHILLS BUILDING
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<br />FAX No, 813-730-0021
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<br />p, 003
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<br />N<mcEJ~:;::NS: ~~J-....fu.~:~1D"de~...--..
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<br />which mlfY be more tesb1ctive'1han CoUnty f'E9JlatIons. The ~ndersigned 8SSUfIl8.S,-responsib!lilyfot'compliance with 'any,
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<br />=~e:~ ~=TORS, AND CONTRACTOR +StBIUTlES~:.:,~~btm~' hils' hired a contractor' or': "
<br />" contractors to ...dertake work.. they may be r:equire(f to ':=be" ed In accordance ,lIrith. slate and IoclII regulations. if the
<br />, contJiadk)s .~not Iic8nsecLas AlqUired, by law. 'both the ,and contractor may be cited for.8 misdemeanor.vlolation,
<br />under alate law. If the 0'tW1ef' or Int~ed contraCtor are.u . as to what lIcenSing requhmenis may aprlytor ~
<br />IlIlended WOIk. they are advised to conIact Ihe Pasco ~~' ,WIding InspecUOn Division-Ucensing SectIon a 127-347-
<br />8009. .f"uI1heInllOfe. ... .... has hinId a~.adof ~f}I( 1ClIN. ~__&.... is"adviselt"lo ~:~ ......._~II) sign
<br />portIonS ofithe "conIractorBIock'" of thts appIce1IoIlfOr .. they" '?e,~~"". If~. - ~ 0MJ8r sign as ~
<br />'~~~'Ithat may bean indicatiOntftat:he is ,nOt properly . ~ end .,.not9!1tiUed to permIttIng'privllegeS in ~
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<br />CONSTRUpllON UEN'LAW (Chapter 713; Florida S . ~amencIed);. Ifv8luation of work 1$, $2.500:00'''- more; I, .
<br />certify '1hatp. the, applicant. ~ beerHwOYided with -8. or the "Florida ~ Lien laW--Homeowne(s " .'
<br />ProtecUon Guide" prepared by'the ,Florida Department of and Consu~ Aft"aira,; If the 'applicant is someone .
<br />. .other than .the~ownef', I certify than have otJtaijwt a copy of above des9ribetl docunenl and promi8e'in'QOOdfalth,to " '
<br />, deliver It lO:the "~ prtor to mmmenceinent. ' ' " .'., .
<br />, .~ CoitTRACTOR~SIOWNEfl'S AFFIDAVIT: "I" Wall the Ii1formaIion Itl this applicatiOn IS ~raiB',8I"!d .'
<br />:, that all work,wiH'be done Itlcompllance 'will applicablel.ws. regUlating cOnstruct~. :zonlngancHaod '
<br />, . development. ApplicatIon is hor.eby made'to. ' . a permit to do work. and. Installation as irKIic8ted. 1 certtfy
<br />that no work or in8ta1l8tiori~h8s commenCed priOi- is8uance of a permit and .that. all ~ wII be ~ to
<br />; meet sIaldards of all laws regulatin,,. COf16 . ~ and City codes. zoning regulattons. and l.w
<br />., develOpment regul!iltions in ~ Jurisdicl\Of\. I eerily that 1 ooderstand ,tt)at the ~ations of ,other
<br />, .~ gpvemment agencies ma~ apply to the intended and that It is my responsibility to'identlfy what actionS 1
<br />, lmu~laketobelnoompllance.:, ' . . "., .',CIf I am the ~GENT FOR THE OWNER. I promise In. goOd .to inform the owner 'Of the peanltlng Conditions set forth in
<br />. thiS affidavit prior to commencing OOl'16trUction. ,I understand thai ,a sepMate permit ma)' be requi'od for eIecb1caI work.
<br />plumbing. ~Igns, walls. pools. air conditiooing..gas, or other nstanationa not specificaliy Included'," the.application. A
<br />p9rmit Issued shall be, construed to be a Itceose to ptyoeed " th the work and ~ as authority to violate; caqoeI, alter. Or '.
<br />set aside 3f1Y provisions of jhe, technical codes, nor shaft iss~ a pennit prevent ttv, BuildIng Omciai from thereafter '
<br />requiring a fo":ectIotl of errors in plans, coi1&ln.!ctioh, or viola. ns of any codes. . ~ ~ ~tJed shaI ~me Invalid
<br />unless the rrork alithorlzed by SUCh 'perml is commenced . six rnonttr.J of permit issuan(:e. ,or If work authorized by
<br />the permit is suspended or abandoried for a pertod of six (6) after th8 time the ~ is cornrneJ1ced;' AIl extension
<br />may be requested. in' writing, from. ~ 'Building 0fticiaI for a ~ not to ~ ninety (90) days arid Will demonstrate
<br />ju8tifiabIe cause for the extension. I.f ~ ceases for ninety;:;( ) consecutive dayS, the job is considered abandoned. '
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<br />'WARNINGITO OWNER:, YOUR.FALUJU: To au:CO.m:A NoTICE OF C~MENc~~~ '~Y Re~~LT.1N, YOUR.
<br />PAYING lWICE FOR "PROVEMSf1"S TO Ycxnt PR .'IF YOU INTEND 'to OBTAIN FINANCING, CONSULT
<br />YOU OR NEY BEFOR 0 C
<br />R.ORIDA JUlfAT (F.S.117.03)
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<br />OWNERORAGEHr . .
<br />~.......... (........, 1IIefaIB._"
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<br />VVho Ware pefsonaIIy,JCnOWn.Io'm8 or haItIav8 prodUCed
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