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<br />OCT~31/?007/WED 02: 18 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />?, 003
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<br />..NO'tICE,QF.:OEED.RESTRICTIONS: The underslgned .understands that this .permIt mC\y'b.B subject to ~deBd. restrictions. .
<br />-whic~ may be.mere restrictive .than County regulations. Ttot.e undersigned assumes 'rasponsibllity.fo~ comp.!iaf.lce with any .
<br />applicable d.eed restrlctlans. . ..
<br />.UNLlCeNSED CON1"RACTORS .AND .CONmACTOR RESPONSI8ILITIES: If the owner has. hired a contractor or
<br />contractofsto undertake w.ork, they may be required to b.e licensed jn accordance wlth'state and local regulations, .If the
<br />oontractor is not Ilcensed as required by law, both the owner and contractor may be.cited for a.:misdemeaoor violation
<br />under state law. If -the ownar or intended contractor areuocertaln as to what licensing .requirements may apply for the
<br />intendedwork..they are advised to contactthe Pasco.County Building. Inspection Dlvision-l:.icensing Section at 727-847-
<br />8009. 'Furthemlore, if the owner has hired a conu-actor or contractors, ha Is advised to have the contractor(s) sign
<br />portions .ofthe "c;ontractor Block" of this .appllcatlon for which they will .be responsible. If you. as the owner ~Ign as the
<br />contractor,.ihat may be an indication that he is not.properlyn~nsed and is not"antitledto per:mittlng privileges in Pasco
<br />County.. . . . . .'
<br />CON~TRUGTION"LIENl.A;W (Chapter'713, Florida S~tutes. as amended): Ifvaluation of work Is $2,500.00 or more;.'
<br />certify that I, the applicant, have been proVided with. a copy of the "Florida Constrqction LiBn Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs... If the appllcant is .someone
<br />other than-the "owner", I.certify that.1 have obtained a copy of the above descrIbed document arid promise in good faith to.
<br />deliver It to the "owner" prior to.commenoement . '" . . . .
<br />CONlRACTOR'S/OWNEKS AFFIDAVIT:. I oertify that all: the information in this application.ls aCGu~te and.
<br />........ .." 'that- all ,work -will' be-dr.me In: GElm~llanOB.:with-.atl.~applicable..laws .regl:llatiFig.<GOAstrl:lCtlOA.;.,zoAiFlg.;and,.13Ad---'''-
<br />development. AppUcation Is hereby made to obtain a permIt to do work and installation as Indicated. I certify
<br />that no wQrkor'installatlon has commenced prlor.to Issuanca of a permIt and ~hat.all work will be performed to
<br />meet stand~rds.of aU laws regulating .construCtJon. County and City codes, zoning regulations, and .Iand
<br />dBvelopm~.nt .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 thaUt is my responsibility to. i~entlfy what actions I
<br />. must-take to be In compliance. '
<br />If l.am the AGENT fO~ T.HE OWNER, I promise In good faIth to Inform the owner of the permitting conditions set forthJn
<br />this affidavit prior _~(j. coii'lI:llE!ncii:1g construction. I understand that a separate parmit may be requIred for. electrical" work,
<br />plumbing; signs; weJls, :pools, air eonditloning, gas, or other installations not ~peciflcally.lnoluded .in the application. A
<br />p.ef.{1:l.It:i~SQed.stl,all,'b.l;l cOll!'\trued to be a .license to. proceed .with the work and not as aLitharity to Violate. cancel, alter, or
<br />set~si.qlia.ny..proYI~icms of th~ teohnical codas, nor ~hall issuance of a permit prevent the Building .qfflcial from thereafter
<br />. . reqtJlrimg.a'correction of ern~irs in plans, constrliction or violations of any codes. Every permit iS$ued shall become invalid
<br />. .iJnl~sii;Ij$~WQJi(~i;iutnprjzad'.bY such'.perritlt is commerlC;ed Within six month~ ofperrnlt is~uanc8J or If work authorized by
<br />. .. .th.e:p.eriiin.:;!:tsu~p~ricl!!ld or "abandoned for a period of. six (6) months after the time the work is commenced. . An exte.nsion .
<br />. may.;'pe ~-eqlJested, -in .writing, from the Building Official ,for a periOd not to exceed ninety (90) . days and.wilidemonstrate
<br />. j~~~ifl~~le CiliJ.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 .FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br />WlPA !ING TW!f;..~.?R IMP~OV~NiE~J~~ VQ'i~ r.~mrEmrJ!::.;:~W..lW5N.Q,;t9J~~J.AI/ll{!~""CJNG,. CONSULT
<br />_. . .1_ o=.RU.'. R,.l1). ",AN~A+.:nor~l'u::,'IlltlEr;:W",g.: tl::!.... . rw.l"'~..1'.uu .;y,rOffCE 'F COMMENCEMENT. . .
<br />..li ;::::JlEliij~ .;, ~.._' 1'fI't~bgf' ."~; . .' '. .... . ; .' .
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<br />.. . . . by" . by __7 ~I?C:fI-
<br />Wl10 islaTS per,sonally known to .me or hasfhave produced . Who isfara perstmally kno\Nrl to me or ~sJhave produced
<br />as identification.. -...- '-.- as Identification.
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<br />Notary Public
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<br />Name of Notary type
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<br />Notary Public
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<br />CommIssion. No.
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<br />Name of Notary typed, printed or.stamped
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