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<br />NOll/28/200'!/WEr 01:56 PM ZEPHYRHILLS BUILDING
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<br />FAX No. 813-728-~G21
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<br />F, C02
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<br />..NO-nCe.QF,t.)E5P:RESTRICTlONS~ :rhe"undersigned .understands:that thf&..permlt m;~'be.:subject to '!d~" restrictions"
<br />.Whlch m8l('be-mOMt'lestriclive'.than~OUIl1Y regul~. 'llIs.undersigned 'assumes 'r&sponsibiltty'for .comPliance With sriy ,
<br />applicable"deed restrictlGns. ,. : '. . , , . " '. ' , '" '
<br />'UNLICENSED 'CONTRACTORS .AlID .CotnRAC'f.OR .RESPONSIBLmE8: .I(the. owner has hJred'a contractor .or
<br />c:on~cto~8. to undertake Work."tI:1er'may be ~ired'~-:.I_ Bcensed ~ aceor.d~, ~ -stat.nmd ,local, f8SlJlations. if the
<br />cont,ractor- IS not n~s~ .8Sl"8lprsd.by law, both the,owner.~ contractDr.~. ,be.cIted for.a:mtademeanor vIolaUon ,.'
<br />urider state law':, If :the ~er or In~ mflb:8clDr are -uncertain ~ to .what lk:ens""g'1'8qulremenis may, apply for the
<br />Intended work. '1hI!lY are advised to co~,the Pasco ~ Building Inspection:Dlvlsion-UoBnsing ~n at 127-847- .
<br />8009. . Fur1hermcre. if the owner has .hlred a.co~ at contractors, he is :.adv~ to have the ciQ~r(s) sign .
<br />. portions.Ofthe ccontractor.B'ocIr..of,~ .-a~~ for whidb tAey' wUI be responalble. 1f}'DU. as the owner sign ..'the .
<br />contractol'. ' that. may -be an indication :that he is not prdpeI'fy llcensed...d Is not ,entitled 10 per:miI6og' prI.vIIegI!Is . in PUC'o .'
<br />County. ' . , ,,' : ' .,' , . .' . .
<br />-CON~UCn~.LteN'LAW (Chapter713. 'R0IkIti StIIluW8, as amend.c:t): '!f:\faIuatlon,ofwork .:$2.500.00 or mO~'I. ;
<br />certIfY that'l, !he applicant, have' been ~Ided with. a copy. of.the'~JDrida 'CbnstrUct)Qri, Lien Law-:-H~er's '
<br />Protectiorl 'GuldeB prep8red by tIie 'Aorida- Department fJf AgrICulture and Consumer Affalr8. If the applicant is someone
<br />othertharrthe -CMOer", I.certifythati have 06tatned a copy of the aboVe rteScrIbBd document .,promise In goOd faith to'
<br />.-deli\terltto.the-owner"priottowmmencemenL '., ." .,.,' ':..,. ",
<br />,_ ' CONTRACTOR'S/OWNER'S AFFlDAYn': ,,1 certify that Sll the information in tI1I9 aP.PlcatlOn is'accurate and '
<br />, ~.. '._" .:. -:JI1at--all.WGr'k.wll he--Gone il'l' oompllance.wilti-.aIJ.-eppl~~ -regul~...c;IO,,~;:.ieRmg,:aAd-l8Rtt...,.:--
<br />development. Application is hantby made to obtim e permit to do work ard inStallation as "indicated. I certify . .'
<br />that no work, or ln~n has commenced prt9r to Iss,,!iIl"IOe of a.permit ,and that all worit y.e be ~Qrme.d to
<br />. meet standards of 8I1.1aws .-.guIatIng ~on.' County 8ncl CIty codes, zoning i'egliJanons, and .Iend ' .
<br />davelop.mtIRt rsgula1ione ,in the juriscIIotioI). I also certify:that I understand that the regdIa60ns of other'
<br />government agencies may apply to the Intended wor1c. arid that ~ is my reSjxmslbltty to,i~tIfy what actions I ,',
<br />. must1ake to be In compliance. ' " '. . . . ,
<br />(f lam1he ~NT "a~ 1'.HE OWN~" I ~ in ~ faith to inform 1h8 owDat. of the parmitting 'c;onditions set tor1h:tn'
<br />.this afridaVIt Prioi~,comm"nctAg construotlon. I understand that a sap&ra\B p8rmit may-be raqlJlr'8d for.eledrtcarwork,
<br />plumbing; signs; well., :pools~ air conditioning, gaS, at: oilier installations not ,pecifIcaIly.ipcIuded in thI!I appIiGafloR. A
<br />. ~1lia$Qe.d ,stH.llI:~ consjrUl!ld tQ be B 1tcense to.proba8dwlth the ,WOI1t and not as aulhertty to violate, can~, alter. or
<br />Set,Dida aOY'~ of the technical codes, nor shall Issuance of a permit ~ the Bulding ~ from. ther8after
<br />. requlFtitg.a~tion of errors Ir1 p~nB, construc:tion or YIQ&stions of any codes. Every permit is8Ued shall bedome.lnvalid
<br />''-'nl'~'''.:L'-=.:.::;~''''::''.b..--:...-I''b 8UCh.-.n.rf is'-commEinc8d Withln'sIx rnonthlp of~,~. or if work authorized hu ,
<br />U ",PB' ,"u.t. "- en..., I\orI ~ 'Y ........ ..... . ., .-:, ,
<br />'..,ffi~;~<:iS~~ or Bbarldoned for a perioctof six (6) months aftertRetime th8wortclll comrneoOeC:I..An exteJlslon .
<br />. .m~ ;eQ~ested,.m.writing, from the Building OfficJal.for a ~ not to ~ ninety (~)..daya ~',wll c1e~onstrate
<br />,~AlIIP caUSe fOr the eninsion. If work ~. for ninely (90) consecuttVe dBys, the job Is CiDnSldered abandoned. .
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<br />. wA'RNiNG 1!0 OWNER: YOUR 1=AILURE TO RECORD A NOTIC! OF COMMENCEMI!NT MAY RESULT IN YOUR
<br />. PAYING TWIce FOR IMPROVEI'tliENTS TO YOUR '~1..;1F lAU.~.:'[Q~~.6.ur-'"ti. CONSULT .
<br />. . . .~iCId~(J:~~~l!El~j;l.lif~." ..' ,
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<br />OWIIIEROR AGIiNT. ' .' 'CONTRA~ ' .,
<br />SW8cribed and'sWam lD (or aftInned) ~me thbi ' s~ SId..... ., (ex: lIIIInned) bIfDr8 me this'
<br />- by , . ..-, ....~ .'.. ;',
<br />~.... ~1cnDwn IOmeor~ ~ :,' ,WhO Is/8r8 pin;an8II)' ~ to me~~_producII!1., ,
<br />, , , as idl;ilI-..ao... " '. " .,' , as idellIIcdon.
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<br />, Notary PutiIio
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<br />. COmmlsslDn No.
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<br />Name gf Not8ry typed. prIntIICl or sBnped
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<br />Nlune m:NoIIQ.... pdnI8d or~'
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