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<br />: ; : C2 AIr. ZEPHYRHILLS BUILDINC
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<br />FAX No. 813-780-0021
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<br />P. 004
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<br />".-- ",. 'NOTICE OF'OEED RESTRICTIONS: Theundtirsl~ined'u.nd8r tahdsthafthis permit m~ybe subjecUo-deed~>f':estrjction~~':, . _ .
<br />" which may be morerestricUve than Coullty'regulations. The. nderslgned assumes r8sponslbllity'fot-compliar.uie .wlth any
<br />applicable deed restrictions. " ," .
<br />--7-"-UNLlCEN~ED CONTRACTORS AND CONTRACTOR-RE ONSIBILlTIES: If the .oWller has hired7;n;ontrador~or-'- --..
<br />contractors.to undertake work, they may.be.requiF$d.tobe Iic,nsed in accordance with state and iocal reguiations. If the'
<br />contractor'i,s not licensed as required by law, both the'owne and contractor may. be cited for a misdemeanor violation
<br />under state law. If the owner or intendE;1d contractor. are un rtain ,as to what licensing requirements may apply for the
<br />jntendedwork, they are advised to .contactthePascoCounty uilding InspectionDivision-L1censing.Section at 727-847."
<br />8009. . Fu~hermore. if the owner has hired a contractor or contractors, he isadvlse~ to have the contractor(s} 'sign
<br />portions ofithe .contractor Block" of this application for which they will be responsible. If you, as the. owner sign as the
<br />. ~~G~~;.tor, rat may be an Indication that h~ is not p.roperly I e.nSed and Is ,not entitled to l:mrml~tlng privileges In. pasqo
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<br />CONSTRUCTION LIEN LAW (Chapter713"Florlda Statute . as amended): If val,uallonof work Is. $2,500.00 or more, I .
<br />'certify that! I,the applicant. have been provided with'a y of the, "Florida Construction' Lien Law-HQmeowner's
<br />Protection Guide" prepared by the Florida Department of Ag~culture and Consumer Affairs. If the applicant Is someone
<br />. other than the "owner", I certify that I flave obtained a copy of he abov.e. described document and ,promise In good faith to .
<br />. deljvel' it to ,the "owner" prior to commencement.. ,
<br />. , ! CONTRACTOR'S/OWNER~5 AFFIDAVIT:'(cert that all the Information in this application is ~c9urate and
<br />; that all work.will be done incompliance with al applicable laws regulating construction, :zoning'and land.
<br />; development. Application Is hereby made to obla n a permit to do work and installation as indicated. I certify
<br />that no wQrk or installatlon'hascommenced prior issl,lance of a peimit and thai's)1 work will be performeej to
<br />: meet standards of all laws regulating constructi n, County and City codes, zoning regulations, and I~md
<br />. " development regulations in the jurisdiction. I so 'certify that 1 understand that the regulations of other
<br />I. goyernment agencies m~y apply to the Int~nded. ork, and that It Is my responsIbility to identify what actiori~ I
<br />I must take ,to be In compliance.. , '" , ',' ,
<br />If I am the 'AGENT FOR'THE OWf\lER, I. promise in good fait to inform the owner of the permit:ting C()nditions set forth in .
<br />this affidavit prIor to commencing construction. J understand that a separate. permit may be, required for electrical work,
<br />. plumbing, ~lgns, wells, pools, air conditioning. gas, or other Installations not specifically Included in th~application. A
<br />permit Issued shall be construed to bea license to pr9ceed jth the work and nqt as authority to violate; cancel, alter, or
<br />set asldeaflY provisions of.the technical codes,rior shall issu~nce 'ofapermlt prevent the Bulldin.Q .Official from thereafter
<br />requiring a porrectioh of errors, in Pia, ns, construction orviolatif.ns of any codes. Every permit ISSll, ed Shal,l,become invalid
<br />unless the work authorized by such 'permlt is commenced wi~hln six months .of permit issuance,or if work authorized by
<br />the permit ik suspended o~ abandoned for a period of six (6) onths after the. time the work is commenced. ,An extension'
<br />may be requested, in Writing; .fromthe Building Official for a eriod not to exceed ninety (90) days arid will ,demonstrate
<br />justifiable cause for the ,extension. If work ceases for ninety ( 0) consecutive days, the job is' considered abandoned.
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<br />WARNINGlto OWNER: YOURF~ILURE TO R~COROA NOTICE OF COMMENcEMEN~ MAY RESULT. IN YOUR
<br />PAYING lWICl: FOR IMPROVEMENTS TO YOUR PROPE .' IF YOU INTEND TO OBTAIN FINA~CING, CONSULT
<br />WITH'YOU LEND R OR AN A ORNEY BORE R CO DIN YOUR NO E OF COM ENCEMENT,
<br />. 'F1..0RIDAJURAT(F.S.117,03). ,,' '. ,
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<br />OWNERO~~~ ',t'k_ll, ~~J . '
<br />: . SUb$~~~~r')to(~a~rmed) erne.thls"
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<br />. qn.. ~ ~i:rer:!ona~ l(~m to me or has/have p uced
<br />: .. as identiflcallon..
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<br />CON~CTOR "..'. .
<br />Sub61,bed and ~;crn to (or affirmed) before me this
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<br />. Wllo 'rare PerSonal.1y known to .me or has!hllve produced
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<br />Coml'SSlon, No. .,
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<br />Nam of Notary ty~, printed or stamped
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<br />Notary Public
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<br />~ W~_NotaryPUbllc
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<br />Commil;5i';n~..-.L' ').An ~.;:> r;;L 'OlD .
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<br />Nall19 of Notary typed, printed or stamped, '.
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