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<br />OCT/31/20C7/WED 02 lR PM
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<br />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,OF-:OEED.RESTRICTIONS: The. undersl!;1ned .understands that thIs .permIt m~y'b.B subject to ~deed. restrictions. .
<br />.which! may be.more r-estI'lctive .than Couni:yregulations. T!;te undersigned assumes 'responsibllity.for compliaRce with any
<br />applicable deed restrlctlans. ' .. '
<br />UNLlCeNSEP CONTRACTQRS .AND .CONT:RA~OR RESPONSIBILITIES: If the owner has. hired a contractor Dr
<br />contractors to undertake w.ork, they may be required to be licensed in accordance wlth'state and local feslllatlons. 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 ownBr or intended contractor are uncertain as to .what licensing .requirements may apply for the
<br />lntendedwork.they are advised to contact the Pasco .County Building.lnspectio.n Dlvision-l:icensing Section at 7.27~847-
<br />8009. 'Furthermore, if the owner has hired a conu-actor or contractors, he 1s advlsed to have the con~actor(s) sign
<br />portions. of the MGontractor, Block" of this .appllcatlon for which they will be responsible. If you, as the owner :llgn a5 th,e
<br />contractof,.that may be an indication that he is not.properlyllcensed aodis not. entitled to permitting prlvlleges in Pasco
<br />COllnty. . ' ','. . " '
<br />CON~TRUCTION-UENl.AW (Chapter713, 'Florida 5~tutes~ as amended): Ifvaluation of work Is $2,500.00 or more;.J
<br />certify that I" the applicant, have been proVided with., a . copy' of the. "Rorida Constr~ctjon Lien Law-:-Homeowner's
<br />Protecll6il Guide" prepared by the Florida Department of Agriculture and Consumer Atfairs..,lftha applicant is someone
<br />other than. the "owner", I.certify that.1 have obtained a copy of the above descrIbed docLlment arid promise in good faith to.
<br />deli"er It to the "owner" prior to ,commencement . .. . . . .
<br />CONTRACTOR~S/OWNER1S AFFIDAVIT:. I oertlfy that all: the information in this application .Is accura)te and.
<br />. .. ........ .." '-that. aU.work -will' be 't\l:ll'le In: Gom",UancB' :with.' ~1~"applicable..laws ,regl:llating.<Gol'lstnlCtlOfl,:'ZOAifl\).:and..landm.....
<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 prlor.to Issuance of a permit and ~hatall work will .be performed to
<br />meet standards.of all laws ragulatlngconstruclJon. COLmty and CIty codes, zoning regulations, and .land
<br />developm~.nt .regulations in the Jurisdiction. I alsO certify :fhat I understand .that the regulations of other
<br />government agencies may apply to the Intended work, and thaUt is my responsibility to, identify what actions I
<br />. mustiake to be In compliance. .. .
<br />If larn the AGENT fOij THE OWNER, I. promise In good faith to Inform the owner of the pemlittlng conditions set forth .In
<br />thIS affldavlt prior _~q. coji1m~ncji:1g construction. I understand that a separate permit may .be reqlllred for. electrical work,
<br />plumbing; signs; weJls, ;pools, air eonditloning, gas, or othBr installations riot ~peciflcally .lnclLlded jn the application. A
<br />p.er.ro.ltis.i?Ued . sli~11 ,'b~ cofi~trued to be a .license to. proceed with the work and not as authority to violate, cancel, alter, or
<br />5et.1isi~ciany.prOYI'iiicms of th~ technical codes, nor :?hall issuance of a permit prevent the Building .()ff1cial from thereafter
<br />. reqtJ.lr\ag.a.:.ccrrection of errors in plqns, construction or violations of any codes. Every permit iSflued shall become invalid
<br />.. 'u.,~~~'~,~.)Ij;$';jii~~.~~'t!1prize{t.bY such permit is commefl,ced Within six month~ ofperrnlt i&suance, or If work authorized by
<br />. .th.e,peff)11tis sU!?PiSlncl~d or abandoned for a period of. six (6) months aft6r the time the work is commencad. . An exte.nsion .
<br />. . ,may;'pe r-eq~ested. .in writing, from the BuJldir:lg Offlcial.for a period not to exceed ninety (90) . days and.wilidemonstrate
<br />. j~~~~~~le c~iJ.se for the extension. If. work oeases for ninety (90) consecutive days, the job Is oonsidered abandoned.
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<br />WARNiNG TO OWNER: YOUR .FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br />PAYING TWICE FOR IMPROVEMENTS TO Y,OUR PRqP.J:;RTY, .n: y'OU..lNI~J)I.P l:Q..QP.-r:AIIII..EI~~CJNG CONSULT
<br />..WI . . -'LEN.D I~"'(!.i. ".AN~A:rnaRNE;\f!SEf;f9~B:.{E(j':: ~~~:.rO"-:lUO~E-"~.Ft'~MrJlENCEMENi. ~ ..
<br />.~i;;o::J...1J.. ", ..;,~....lt.1'i~tJ3f'."~.;. I . '. ...
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<br />.OWNER o.R AGENT
<br />subs.cribed and owom to {or afflrm8d) before me this
<br />. by
<br />Who islar~ p~oTla1IY known to .me or has/have produced -
<br />asidentlfiG8tion. '
<br />
<br />
<br />Notary Public
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<br />.commisGlon No, . .
<br />
<br />_Notary Public
<br />
<br />CommIssion. No.
<br />
<br />Name of Notary typed, printed or stamped
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<br />Name of Notary typed. printed or'stamped
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<br />(e). mAN K.. PERRI
<br />~ MY COMMISSION #DD409I89
<br />EXPIRES: April IS. 2009
<br />1-i00-3.NOTARY Fl. NotaIY J)isocAlnI-- Co.
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