<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:ICJ:,.G)I;,:l;>EED.RESTRICTIONS: Theunderslgnedunderstands that this permit m~y'hB sl:lbjact to ~deed~ restrictions" .
<br />,which maybe-'mGre restrictive ,than 'County'regulatians. Tf;te undersigned aS5umes'responsibllity'fof compliar:lce with any'
<br />applicable d.eed restrlctlGns. ' . , " ' .
<br />'UNLICeNSeO CONl"RACT()RSAND .CONTRACTOR RESPONSIBIII.I:rIES: If the owner has ,hired a contractor or
<br />'contractorsto undertake work, they may be required to: be licensed in accordance ~Ith 'state and local, regulations. If the
<br />contractor is not licensed as required by law, both.the owner and contractor may 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 contact the Pasco ,County 8uilding.lnspectio'n Dlvision-I:.icensing Section at 727-847-
<br />8009. 'Furtherm'ore, if the owner has hired a conlractor or contract~rs. he Is advised to have thecontractor(s} sign
<br />portions. of~he .G.ontr~ctor, Block" of this 'appllcatlon for which. they will be responsible. If you. as the owner 31gn as th.e
<br />contractor,.that may be an indication that he is not.properlYlIcensed and is not'entitled to per;mittlng prlvUeges. in Pasco
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<br />CON~TRUGTIONUEN1.AW (Chapter'713, 'Florida St;!,tutesi as amended): Ifval~ation.ofworkJs $2,500.00 or more;'1
<br />certify that I, the applicant, have been provldeCI with. a. copy of the "Ronda Consl:r'qction Lien Law-:-Homeowner's
<br />Pr,otectlon Guide~ prepared by the Florida Departinent of Agriculture and Consumer Affairs..lf,the applicant is someo~e
<br />other than-the "owner", Lcertify that'l have obtained a copy of the above descrIbed document and promise in. good faith to. ,
<br />deliver It to the .owner" pr.iorto.commenoement; ',", ' . " .
<br />" ., CON-rRACTORrS/OWNER~S AFFIDAVIT:. I certify that all: the informatlqn in this applic;atiofl.ls acqu~te and.
<br />... ..'.... ... "that- all.work -will. be "liCll'le In: Gomflllance. :witti-, 2\lI--applicabIB:. leiws ..regl:llating,<ooAstrl:lctlc'%"zclAiAg.:and"lano"',""
<br />development. Application Is hereby made to obtain a permit to' do work and instalh:dion as Indicated. I certify
<br />, that no wor.J<' or'installatlon has commenced prior; ,to Issuancie of a permit and ~haf' all work will be performed to
<br />meet stand~rds.of all laws regulatlng .construciJon, County, alld City. codes, zoning regulations, ~nd .Iand
<br />dsvelopmf:.nt .regulations in the Jurisdiction. I alsO certify :that I understand .that the regulations of other
<br />govemment agencies may apply to the Intended work, and that 'It is my responsibility to. i~entlfy what actions I
<br />" mustiake to be In compliance. .
<br />If I ,am the AGENT FO~ T:HEOWNER, I, promise In good faith to Inform the owner of the pemiittlng conditions set forth ;In
<br />thiS affidavit pri.or _~P. coii1m~ncjRg construction. I understand that a separate permit may be requIred for. electrlcaf work.
<br />plumbing; si~ns; wells, :pools, air Conditioning, gas, or other installations not ~peciflcally.lncluded jn the application. A
<br />p,eilJl.\tis.~UE!.d.sli.all,'b.~ coii~fruea to be a'license to.proceed.wlth the work and not as alithrnrity to violate, cancel, alter, or
<br />set~si,r;!fn:;.T:ly".proijl!;iions of the teohnlcal codes, nor ~hall issuance of a permit prev!=lnt the Building .qfflcial from tl1ereafter
<br />. 'reqtl,lr\rilg.a: correction of errcirs in pll;!ns, construction or viQlatlons of any codes. ,Every permit iSf!ued shall become invalid
<br />,'. '~n!~~,~'1tt~~r!~~~~_a.~f!1p.rized:'bY such .permlt is' commef1,~d Within six monthl!! of permit i~!iu~nce. or If work authorized. by
<br />. ,the:~fiii:it.js ~u~p~ncll!ld or abandoned for a period of, SIX (6). months aft6r the time the work IS commenced. An extension.
<br />. ' 'ma:y~'.be r-eq",ested. ~n .writlng, from the Building Official .for a l"eriad not to exoeed ninety (90) ,days and'-willdemonstrate
<br />,jji1stjf}q~le c~iJ.se for the extension. If, work ceases for ninety (SO) conseoutive days, the job Is considered abandoned.
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<br />, Notary Public
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<br />~..t...vd.-'~ ~ ~p H6taryPublic
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<br />. .comm~slonND.D12 57/8' b 9
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<br />N~me of Ngtary typed, printed gr stamped '
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<br />Commission' No.
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<br />Name of Notary typed. printed OI'slamped
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<br />"t30~ Pv"
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<br />'!1 .,
<br />"'''>0,.,,\.01'
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<br />-rJ,~;~J r{biic State of Florida
<br />L")v,nn - p \~ Capece
<br />[1. ,:13sion 00571869
<br />'jiUiJI'?010
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