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<br />MAR/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING
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<br />FAX No. 813-780-0021
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<br />p, 002
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<br />'NOTICE OF :DEEO RESTRICTIONS: The .underslgned understands ,that this permit may .be'subJect~to-"deed" IT'Bstrlctlons'" .
<br />which may be more restrictive than CountY-regulations. The.undersigned.assumes responsibilityJor:'comp!iarme'with any,
<br />.applicable deed restrlotions. ,
<br />'UNlICENSED ~CONTRACTORS ,AND'CONTRACTOR.RESPONSIBllITIES: If the owner has 'hired';a"contractoror" .
<br />contractors 'to undertake work, they may be required to be licensed in accordance with state and local-regulations, If the
<br />contractor Is not licensed as required by' law, both the owner :and 'contractor may be cited ior ..e:l misdemeanor violation
<br />,under ::otate law. If the owner or Intended contractor are uncertain "as 'to what licensing 'requirements may ;apply for the
<br />intended work, they are advlsed.to contact the Pasco County Building Inspection Division-Licensing Section.at 727-847-
<br />8009. Furthermore, IT the .owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portions of the "contractor Block" of this application for which "they will be responsible. If you, as,the owner 'sign as the
<br />contractor, that may be an indication 'that he is not properly licensed and Is not entitled 'to 'Permitting .privileges in Pasco
<br />~~. '
<br />CONSTRUCilON .LIEN ,LAW (Chapter 713, Florida Statutes, ,as ,amended): If valuation of work is$2:500.00 or more, I
<br />certify 'that I. the applicant, have been provided with a copy of 'the ~Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by,the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
<br />other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it t.o the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'SAFFIDAVIT: I certify that all the information 10 this application is accurate and
<br />that all work will be done In compliance with all applicable laws regulating construction, zoning and land
<br />development. Application Is hereby made to obtain a permit to do work and installation as Indicated, I certify
<br />that no work or installation has commenced prior to issuance of a permit and'that all work wlll be performed to
<br />meet standards of all laws regulating construction, Cpunty and City codes, zoning regulations, and land
<br />development 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 it is my responslbll\ty to identliy what actions I
<br />must take to be In compliance,
<br />If I am the AGENT FOR 'THE OWNER, I promise In good faith to Inform the owner of the permitting conditions set forth in
<br />this affidavIt prior to commencing construction. .1 understand that a separate parmit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, ~r other Installations not specifically Included in the application. A
<br />permit Issued shall be construed to .be a license to proceed with the work and not as authority to viol~te, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of permit Issuange, or If work authorIZed by
<br />the permit Is suspended 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 Official 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 considered abandoned.
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<br />~.. .
<br />CONTRACTOR .... . /.... . .
<br />. 8~a~:. ~~~~W~:~~
<br />
<br />ho Is/are \J...'i9\IIY known to me or hasJh~ve produced
<br />, as Identification. ,
<br />
<br />
<br />Notary Public
<br />
<br />
<br />Notary Public
<br />
<br />MITZI VANCE
<br />Notary Public, State of Florida
<br />My comm. exp'. Oct. 9, 2009
<br />Comm. No. DO 479643
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<br />, MITZI VANCE
<br />Notary Public, State of florida
<br />My 00IDm. exIT. Oct. 9, 200Q
<br />eo.... No. DO 479843
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