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08-7456
Zephyrhills
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2008
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08-7456
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Last modified
1/19/2010 9:45:46 AM
Creation date
9/19/2008 10:03:59 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7456
Building Department - Name
FL HOSPITAL OF Z-HILLS
Address
7050 GALL BV
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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" -restrictions" <br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br />applicable deed restrictions. I <br />UNLICENSED CONTRACTORS AND CONTRACTOR RE~PONSIBILlTIES: If the owner has hired a contractor or <br />contractors to undertake work, they may be required to be Iiclflnsed in accordance with state and lodal regutations. 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 unc;ertain as to what licensing requirements may apply for the <br />intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- <br />8009. Furthermore, if the owner has hired a contractor orr contractors, he is advised to have the contractor(s) sign <br />portions of the "contractor Block" of this application for whichl 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 />CONSTRUCTION LIEN LAW (Chapter 713, Florida StatuteEf' as amended): If valuation of work is $2,500.00 or more, I <br />certify that I, the applicant, have been provided with a cqpy 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~he above described document and promise in good faith to <br />deliver it to the "owner" prior to commencement. i <br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in 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 obtalin 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 will be performed to <br />meet standards of all laws regulating constructibn, County 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 />I government agencies may apply to the intended work, and that it is my responsibility to identify what actions I <br />, must take to be in compliance. ! <br />If I am the AGENT FOR THE OWNER, I promise in good faitt) to inform the owner of the permitting conditions set forth in <br />this affidavit prior to commencing construction. I understand! that a separate permit may be required for electrical work, <br />plumbing, ~igns, wells, pools, air conditioning, gas, or otheriinstallations 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 violate, 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 Yiork authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br />the permit is suspended or abandoned for a period of six (6) rhonths 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 (~O) consecutive days, the job is considered abandoned. <br /> <br />WARNING1TO OWNER: YOUR FAILURE TO RECORD AI NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC MENT. <br />FLORIDA JURAT (F.S. 117 ' I '/1 <br /> <br />OWNER OR AGENT CONTRACTOR <br />Suljlsqribed and sworn to (or affirmed) before me this Subsq~bed and worn to (or affirmed) before me thip c::' <br />.zll LO"8'" by Me ryv....J: Qo~('''' Sn~d€-1'" '.?J qo~ by ()"t..--yy,e,{ QGI~t- v~d€.v <br />\fIj.llQ is/are personally known to me or haslhave produ ed Who is/are personally known to me or has/have produced <br />\--L. ~a.. L\. L as identification. p____ \)evl/'Z. U <:'-., as identification. <br /> <br /> <br />Commissio <br /> <br /> <br />Notary Public <br /> <br />i~~d~ <br /> <br />Notary Public <br /> <br />Com~ission No. ~ K t:; M'II <br />__- ....' al8n . I tn <br />i!t \~ Commission # 0 <br />Name of Notary typed, . October 29, 2010 <br />'. ......,.".lIIM:IN~., In. ~791A <br />
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