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<br />JAN/2rj/2008/TUE 01: 56 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />P. 004
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<br />NOT'ICEO~ DEED RESlRlC:nONS: The undel'8ig'ned U'''de~' nds.that this per.mlt'may;be:~ub.leot.to "deed" restrictions"
<br />whloh may be more re~trIctlve~than.Gounty regulations. The nderslgOed assumeuesponsibUity'tor .compllance with any ,
<br />applicable deed restrictions, . . . . .'" .
<br />. UNLICENseD . CONTRACTORS 'AND CONTRA-cTOR RE NSIBILttlES; If "the''Owncr hEls 'hired It contractor Or
<br />cOt1tractors'to undertake' work, 'they may be.requlted to ~'I naedin accordance with sl13te ~ lo9al.ieguiatiOns. ..If the
<br />, . contractor' ~s not lIc:ensed as required by law, both th8 .owner~nd oontl'actor:may be cited for a .misdofl:1e8nqr v1olliltlon
<br />under state law. If.the owner or il)tended oontraOtor are u~ln as to.what 1i~lng fequlrernents may apply for the". .
<br />jntended work, they are advised to .contact the Pasco COU~.ding Inspeotion .Dlvlsion-Licenslng Section at 727-a47- .
<br />8009. Furthermore, If the .owner "has hlred.a, contraotor or contractors,' he Is. advistKt to have. the .contr8ctor(s) sign
<br />portl~ns ot;the "contractor..Block" of this eppJicatlon for Wh" ~y will be responsible.. If.you, as the.owner sign. as the
<br />~~:~or, :,that m~y be an. i~di~tIon ~at h~ is not P~PerlY .' censed ~nd is not ~ntitle,d ~Q .permltttng ,prIvHeges l~ Paeco
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<br />CO~STRUpTION L~E~ LAW. (Chapt.r 713, Flori~,a Statui , .. amended): . If .valuatlon: of W9.r:k -". $2,~O.OO or more, I . '. .
<br />. certify that: I, tho apphoan.t. tlsve bean provided with a py of the "Flor1da Construction ,Lien L.aw-:-HOmeoWner's .
<br />Protection Guide" 'prepared by the. Flor:lda Dep~rtment.qf A ou~re and Consumer Affairs. If the. ~pli~nt Is someone,
<br />. other than tile "owner", I certlfy:that l-tlave' obtained a copy of e above described document and promise In good.faItb to
<br />deliver it to ithe ~owner. prior-to commencement. , . . ...... ..' . . '. . ,
<br />.. i CONTRACTOR'SJOWN-=~'S AFFID~VIT: '.,1 ~rt that all the Infonnatlon In this application is aqetJ"'lIte 'and .
<br />! that all work will be done' in oompllSnce ~. a applloable..l~ reg~l!lting consinJotlpn, zoning and land
<br />. ! development.. Appllcationls, hereby made to .ob n a permltto d~ work and Jnstalll;dlon ~ in~ic8ted. . I certify
<br />that no work or installatlon"has commenced priOr Issuance of a permit and that all wort.< will be perform~ to .
<br />, meet standards of all laws regulating cone\ru n, County and City codes. zoning regulations; and land
<br />. ; development regulations .in the jurisdiction> I o' certify that 11Jnd~tand that the regulations of other
<br />. . 'I goyernment agenc1es me>" apply to the intended and that. It Is ~y responsibility. to Identify what aotlons'i
<br />must take t'O be In compliance. . '.. .' . . .
<br />If I am the ~GeNT FOR THE OWNER; 'ptomis~ in good fait to inform the owner ofthe,permitting conditions seUorth In..
<br />t~ affidav~prior to commencing. oonstruction.' I understand that 8' separate p,ertnit may be required ~or alec~ work,'.
<br />, plumbingj. I!igns, wells, pools. air condlti9ning.' gas, or other Installations not speotrlcally included' ih the application. A
<br />. permit Issued shall be'.construed to be a lioenseto Pl'9ceed the wOrk 'and nqt as authority to. violate, canoei. alter, or
<br />set aside any proVisions of .the. techn~1 codes, nor shall issu nee of a pennlt prevent the BuDding ~Ia! from thereafter
<br />requiring a ~' rreatioi'l of 'err~rs In plans, construction or Vlolatl ns of any c.;odes~ . !=vory permit IssLied shaD become invalid
<br />unless the rk authorized by such 'permit is commenced wi In six mo~ of.permlt Issuance..~ if work authorized by
<br />the permit', suspended 'or abandonEK;! for 8.. per~ of six (6) nths afte!' the time. the work Is commenced. A!l extenalon
<br />may be requested, in writing; from the Building OffIcial for a not to exceed ninety (go) days and wID demonstrate
<br />Justifiable cause for the extenBloh.lf.wor~ ceases foi' ninety ( .) consecutive days. the Job is col'I8ider~ abahdoned,
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<br />.W~RNiNGltoowNER: YOUR.'FAI~URE TO.RECORD'A NOTICE OF COM' .' ~ENT 'MA~ RESULT IN YOUR
<br />.PA YING TWICE 'FOR'IMPROVEMENTS 'TO YOUlt PROPE . 'IF YOU I D t AlN 'FINANCiNG, CONSULT
<br />.. N ., . .
<br />FL.ORlf:?A JU'rT (F.B. ~17.0S~. ; .
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<br />.OWNER OR, AGEiNT
<br />. ~bed a11d cwOm to (or aflinned) I;Iftn me thIII
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<br />. .by . "
<br />Who ~re PGfSO"8l1y knowl:\ to me Or h8sIl1ave produced
<br />'. ' : ' '. as idenlllcation. .
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<br />. ',. NotarY PubllO .
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<br />Nmnl of Not8Iy ty~. .prlnted or stampm
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<br />.,,, . ,-' AA'T"I\'i~NM. DORFF ."
<br />$~If.l:YJllt" MV OOMMISSION' #,00 377ll.56
<br />i"i' i~ ~P\"'E6 vebru<ir'i a, 2009 ;
<br />'J'~' if/ Ii Ii 1"," Noj~", <\Jb!.C Unli~r...",jer
<br />""'XIP.(I;~~\"""''' 50!" .(1,_ _~ .
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