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<br />DEC/01/2007/FRI 02:02 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />p, DO liDO 1
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<br />'NOTICE OF'OEEDi'RESTRICTIONS: -Tne-unaersI9~ed uqderstands that this'permlt may be subjectto:~deed'restrlctlons.
<br />'Which 'may' be mor~ 'restrictlve:than:Cou htv:,!"egulations. Theunderslgi1edassumesresponsibilltyior'9omPliance "with :any
<br />'applicable deed restrictions. . . . . " ; .- . ,
<br />, UtIIUCENS,ED 'CO:NTRACTORS ,AND 'CONTRAcTOR 'RESPONSIBILITIES: If .the owner has :hlred :a'-contractor .or
<br />contractors to undE;irtake work, they-may 'be ,required to be licensed in accordance with state and'loccil u:gulatlons. if th6
<br />contracto'r'is not 11gensedas required ,by law, ,both the ,owner .and contractor'may be cited -for a mIsdemeanor violation
<br />under state law. ~ the 'owner or intend~d contractor'are uncertain as to what licensing requirement~ may applyfodhe' ,
<br />.intended work, \he~ are advised to .contact the Pa~co County Building Inspection Divislon:-:Ucensing ,Section at 127-847-
<br />8009. Furthermore, If the owner 'has hired a contractor or contractors, he is advised .to have ,th~ contractor(s) sign
<br />portions' of ithe "co~tractor Block"'of"thisapplication 'for which~hey w:iIIl?e responsJble. If you , as 'th~ 'owner ,sign as the
<br />contractor'lthatmay be an indlcationt~at he is 'notproperly licensed and is not entitled to per!llittingi;pi'iVilege~, in Pasc9
<br />County.; , ,
<br />,CONSTRU~TION''-IEN'LAW (Chapter 713,:Florida.Statutes, as amended): If vaiuation ofworkj~, '2,500.00 or more, I
<br />certify that: I; the, ;appllcant, h,avebeen provided with a copy of the "Florida Constructlon'Uen'Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agrlculwre and Consumer Affairs. If the applicant is'someone
<br />, otherthan'the'.owner", I certifythaU have obtained aoOpy of the above described document and promise' in good ,faith to
<br />, deliver it to',the .owrer" prior to commencement." ." . ' " :
<br />!'CONT~CTOR',S/OWNER'S AFFIDAVIT: "I certify that all the information in thls'applic~tlon is accurate and
<br />i that all work will be done. In compliance with all applicable, laws tegul~tlngconstructlon" zoning and land
<br />i development. Application Is hereby made to obtain a permit 10 do work and Installation as indicated. I certify
<br />that 'no work or installatlon'has commenced prior to issuance of a permit and that" all work!will be performeq to
<br />, meet ~tandards of all laws regulating construction, County and City codes, zoning regulations, and I.and
<br />: development regulations in the Jurisdiction. I also certify, that I understand that the, reguiatlons of other
<br />!,goyerriment agenc(es may apply to the intended work, and that. It is,my responsibility to Iqentify what actions I
<br />must t~ke to be in compliance. '" . .' "
<br />If I am t~e ~GENTi FOR THE OWNER, I, promIse in good faith to Inform the owner ,of the permittIng conditions set forth In
<br />, ' this affidaV\tprior to commencing construction. I understand that a separate permit may be re,quire? ~or electrical work,
<br />. plumbing, signs, wells, pools, air cqnditioning, gas, or other installations not specifically included' iry the applicatipn. A
<br />p'ermit issued shall: be construed to be a license to proceed with the work 'and not as authority' to viotate, cancel, alter, or
<br />set aside sPy provisions of .the technical codes, n'or shall Issuance of a permit prevent the Building Official from thereafter
<br />requiring a f,c orractipn of 'errors in, Pia" n,s, constructi, 0" n, or,violations of any COd, es. E, very P, ermlt, issued sh~1I become Invalid
<br />unless the )Nork authorized by such permIt is commenced within six months of permit issuance, or if work authorized by.
<br />the permit i~ susp~ndad or abandoned for a.period of six (6) months after the time the work Is commenced, An extension.
<br />may be requested, In writing; from the Building Offici,al for a period not to exceed ninety (90) days and will demonstrate .
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is conside~ed abandoned.
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<br />'WARNING!TO O~NER:. . YOUR fAILUR~ TO R,J;:CORDA NpTICE OF COMMENCEMENT MAYI ~ESUL T IN YOUR
<br />PAYI~G TWICE FPRIMPROVEMENTS TO Y04R PROPERTY.' IFYOUINTEND TO OeTAIN FIN~N:CING, CONSULT
<br />WITHY UR LEN' ER OR N ATf RNEY B FORE ECORDING Y UR.NO ICE OF COMMENC ENT.
<br />FLORIDA JURAT (F.5.:117.03)
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<br />OWNER OR AGENT
<br />Subscribed and swom to (or affirm ad) before me this
<br />by,
<br />Who Is/are personally known tome or has/have produced
<br />'I ," as Identification.
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<br />CONTRACTOR
<br />Subscribed and 5W
<br />, by
<br />Who Is/are personally known to me or haslhave produc\'!d .
<br />, as ldentificatl~n.
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<br />. Notary Public
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<br />9c-- ~ . < ~ :.. €1-- ~o1a<y P,"II,
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<br />',' ',~~'~~~ Commi$~on#J)Tl4011S9 '
<br />Name of Notary typed, pl1n,ted or 9l!imp " ,if Expires: Apr 30 2009
<br />. . /';1o;Fi.~~" BOndeanmt .
<br />'" "", ,AtIantic;Bonding Co., Inc.
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<br />Commission No.
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