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<br />OCT/31/2007/WED 02: 18 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />P. 003
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<br />.,NOT:ICe,GF.:I;>EED.RESTRICTIONS: The'undersl!;lned understands that thIs permit m~y-b.B subject to ~de8d~ restrictions" .
<br />.whi~h may be-'mcr.e restrictive .than 'County 'regulations. TIte undersigned assumes -responsibllity'fer compJia[:\ce With ahY, '
<br />applicable d.eed r.estrlctlons. ' " ' " .' ,
<br />'UNLlCENSeO CONl"RACTORS .AND ,CONTAACTrOR RESPONSIBI~ITIES: If the owner has hired a contractor or
<br />'contractorsto undertake w.ork, they. may be requIred to: b.fi) licensed jn ~ccordance wlth'state a.nd local regulations, 'If the
<br />contraotor is not licensed as req\.llred'by law, both.the owner and contractor ~ay be ,cited for a':misdemeanor violation
<br />under state law. If .the owner or intended contractor are 'uncertain as to .what licensing 'requirements may apply for the
<br />lntendedwork, .they are advised to contacl'the Pasco County 8uilding.lnspectio'n DMsion-l.:icensing Section at 7.27-847-
<br />8009. 'Furtherm'oi'e, if the owner has hired a cOr.llractor or contractors, he Is advIsed to have the eontragtor(s) sign
<br />poition~ .oqhe .G.ontrac~or Block" of this 'appllcatl6n for which they will 'be responsible. If you, as the owner ~Ign aa the
<br />contractor,' that may tie an indication that he is not.properly,IfC(;}nsed and is not-entitled ,to per:mittlng privileges, in Pasco
<br />County.. ' ' , , ' , ,', '
<br />CON~TRUc:TIONUEN'LA;W (Cl'tapter713, Florida 5~tutesi as,amended): Ifval9ation.of work Js $2.500~OO or more;' I
<br />certify that I. the applloant, have been pro'o/Ided with. a. copy of the "Florida Cons~~ction Lien Law-:-Homeowner's
<br />pr,otectl6il Guide~ prepared by the Florida Department of Agriculture and Consumer Affairs.., If, the applicant is someo~e ,
<br />other thaliihe .owner", I.certify that'l have obtained a copy of the above descrIbed document and promise in good faith to, ,
<br />deliver It to the "owner" prior ,to ,commencement: .,., ' . '. .
<br />" "CONTRACTOR'S/OWNER'S AFFIDAVIT:. I oertlfy that all: the informatlqn in this applicatiop .Is accu~te and,
<br />... "..... ..; '-that. all "work -will. be '-dene lr"': Goml3"ance. :with",~t~'app\icabIB:.laws ,regl:llatil"1g.<GORstnlCtlClR-i,'ZOfliAg,:and..IBl'lIilm<..-,
<br />devE;llopment Application Is hereby made to obtain a permit to' do work and instaUation as Indicated. I certify
<br />" that no wor.k. or'installatlon has commenced prlor.to Issuancie of a permit and that- all work will be performed to
<br />meet stanci~rdsof all 'laws regulating .CbnstruGtJon, County afld City codes, zoning regulations, and .land'
<br />developm~Jlt .regulations in the jurisdiction. I also certify :that I understand .that the regulations of other
<br />government agencies may apply to the Intended work, and that.~ is my'responslbUity to. i~ehtlfy what actions I
<br />, ' , must1ake to be In compliance. ' .
<br />, If I.am the AG~NT FOR,. T.HEOWNER, I. promise In g~od faith to Inform the owner of-the permitting conditions set forth;!n
<br />this affidavit pri,or-~9,J:;Oii'II:TlImcjilg construction. I understand that a separate permit may -be. requIred for.electrlcafwork,
<br />plumbing; signs; weJls, :pools, air Conditioning, gas, or ,other installations not ,?peciflcally,lnoluded in the application. A
<br />p,e.r.ro.lt:is.~UE!,d.sti_all:b.~ cor'is,trued to be a'license to. proceed with the work and not as aLith~rity to violate, cancel, alter, or,
<br />seUisi.qaany-provisicms of th~ teohnlcal codes, nor ~hall issuance of a permit prev~nt the Building .qfflciaf from tjlereafter
<br />'reqtl.lr\ng.a:cQrraction of errQ'rs in pl"lns, constrliction ar viQlatlons of any codes. Every permit is~ued shall become invalid '
<br />.', 'u.P'~~~':W~~.~9~~_e.~f!1o.rized:'bY such ,permit ia- commet'!ced WIthin six month~, of permit is.~uanoa, or If work authorized by ,
<br />. .th.e,pe~~,s $u~p~ncl~d or abandoned for a perIod of, six (6). months aftflr the time the work is commenced. ,An extension,
<br />. . 'n:'ay:.:be ~-eql;Jested, ~n .writlng, from the Building Official ,for a period not to exceed ninety (90) ,days and.wili demonstrate
<br />,:justjfjq~le o~i.J.se for the extensIon, If, work ceases for ninety (90) consecutive days, the job Is considered abandoned.
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<br />WARNING TO OWNER: YOUR'i=AILURE TO 'RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br />PAYING TW!,CI; FOR IIII!P~ov~Ni~~T.? T_O Y,Q~R r.~q~ERr(! ..IF,Y..O\U.!~I!i~.Q.69..J~~J~/~'f'i~~CJNG~ CONSULT
<br />..WI;rH. ND R.,(l) '".AN,..A::Q1OR~E~SEt:im~ tEe, I ,~V:dCf .WTl'CE . F COMMENCEMENT. '
<br />11--'UIiIS1 Ii . -. l't;<t"#.lJ5f' ..\, i . ," " '., .
<br />~'...".;,.;i.f~.<.iw'.~.."...,....:--" ,:.. ...,..:_J.:".. ....:..............,,;..--._m:-m-.......m-..---m-.m..-.----.....__...::....-'m.~.... " :
<br />.OWNERDRAGE,NT .,.., CONTAACTO~-
<br />Subsmibed and 6wom to {or affirmed) before roB thIs subl';~ec\ and sworn to (or affirmed) before me thIs
<br />. . ~ ' " ~ ' .,
<br />Who is/are pe~onallY known to me or haslhave produced Who is/are perso.naIlY known to me or. hfilslllave produced
<br />as idenllficatlon. ,- as Identillcation.
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<br />CommIssion' No,
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<br />,NotaryPubllc ~
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<br />. ~_N~_ ... ..
<br />", . ~jEI9AJ K .-:P~K~i
<br />N~me of Notary!yp2d, prlnted or stamped
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<br />Notary Public
<br />= .
<br />
<br />Name of Notary typed. printed or'stamped
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<br />l~' .JEAN K. PERRI
<br />~ MY COMMISSIO~ # D0409189
<br />~ EXPIRES: April 15. 2009
<br />1-800-3-N<JfARY Fl, ~ DiI<oUDl- Co.
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