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<br />OCT/ll/2007/THU 01: 12 PM ZEPHYRHILLS BUILDING
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<br />FAX No, 813-780-0021
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<br />P. 002
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<br />.'NOT,I(::e~QF,])EED,'Rl:STRICTIONS: The undersIgned -understands that this permit m~y'be subject to "deed" restrictions"
<br />-which may be'm~re ~e~tfictlve .than County regulations. The undersigned, assumes 'responsibility'for compliance with any
<br />applicable deed restncbl3l'ls, , ' . - .
<br />UNLICeNSED CONTRACTORS AND -CONTRACT-OR RESPONSIBILITIES:' If the owner has hired a contractor or
<br />contractors to undertake work,' they may be required to be licensed in accordance with 'state and local.-r9g.Ulatlons. if the
<br />contractor Is not licensed as required by law. both theowosr and contractor may be.Clted for a ',misdemeanor violation
<br />under state law. lfthe owner or intended contractor arB uncertain as to, what licensing -requirements may apply for the
<br />Intended wor~, they are advised to contad ths Pasco .County Building Inspection DivIsloJ1.-L:ic~mslng Section at'7-27-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions;of fhe "contractor Block" of this 'application'for which 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'prMIBges in Pasco
<br />County., . .
<br />CONSTRUCTION'LlEN'LAW (Chaptur713. 'Florida Statutes, as' amended); If valuation of work 15,$2,500,00 or more;'1
<br />certify that I, the applicant, have been provided with a copy ,of the ~Florjda Construction Lien Law-Homeowner's
<br />Protection Guide" prepar-ed by tlieFlorlda Department of Agriculture and Consumer Affairs. If the applicant Is someone
<br />other than-the "owner", I.certify that" have obtained a copy of the above described document and promise fngood faith to
<br />deliver it to the "owner" prior to commencement .'
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aJl:the information In this application is accurate. and
<br />..-:that- all.work -will be -dene InH compli.mce.wlth..all..applicsble..laws .regulating.-construotiol'lr;zoniAg.:and..lal"Jd..-........
<br />development Application is hereby made to obtain a perm.1t to do work and installation as indicated. I certify
<br />that no work, or installation has commenced prior to Issuance of a permit and that all work will be pBrfQrm~d to
<br />meet standards of all laws regUlating construction, County and City codes, zoning regulations, and land
<br />developm~nt regulations in the jurisdiction. I also certify ,that I understand that the regulations of other
<br />government agencies may apply to the Intended work, and that it is my responsibility to identify what aclions I
<br />must take to be in compliance, '
<br />If I ,am the AG~NT fO~ mE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth:in
<br />thIs affidavit priortp. commEjnclhg construction. I understand that a separate permit may .be required for. electrical' work,
<br />plumbing; signs; weJls,'Poo1s, air conditioning, gas, or other installations not specifically, Included In the application. A
<br />p,ef.mltjs$Qt=!d,Shi'lIl'b.e oon~trued to be a,'license to. proceed ,with the work and not as authority to violate, cancei, alter. or
<br />set;isltje. 'an~":p.rovlslons of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />, .requirlng-a'.cGrrectlon of errors in pl~ns, construction or violations of any codes. Evsry permit Issued shall become Invalid
<br />,', ,up"~~~:i~~;;~~t~:.~i:JtpClrized"bY such ,permit lS'commen~ed Within six months o.f permIUs~u~nce, or if ~ork authorized by
<br />,'.~li.e:pE:}tJ.llit.,js sus,p~nd~d or abandoned for a period of SIX (6) months after the.time the work IS commenced, An extension
<br />. maY-he requested. ~n writing, from the Building Official.for a period not to exceed ninety (90},days and will demonstrate
<br />,j~~~~~hil cause far the extension, If work ceasss for ninety (90) consecutive days, the job is considsrBd abandoned.
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<br />WA'RI,jiNG TO OWNER: YOUR FAILURE TO 'RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING ~,CE FOR IMPROVENir:NT~ ~9 X~UR r~q~/~! ,IF.'y,QIUJ~Il;~Q,:r~.H~J~lfll.,E.'~~"'CJ"'G, CONSULT
<br />W:t:1iI ~ 'RobE -!ERe (R,A ..AT,ti, " tiS .F-t!fR~'R"BC. , Jim'V i.! ICE OF COMMElilCI:MENT.
<br />i"-.l~~' 1~~,tt1"it05f'!"~';'" , I . . " " ",.;, .'
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<br />.OWNER OR AGENT ' , CONTRACT
<br />Subscribed and sWorn to {or aflirrned) before me this Subsprlbed
<br />, by
<br />Who is/are personally known to me Of haS/have produced Who lsJare
<br />, as Identification.
<br />
<br />
<br />Nomry Public
<br />
<br />Notary Public
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<br />Commission No.
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<br />,Commis6lDn No.
<br />
<br />Name of Notary typed, pnnted Dr 5ti\'tmped
<br />
<br />Name Df Nobary typed. printed orfitamped
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