<br />",/~t;./ ii!r'7 ,''!'J.:U n9' ,,~, All
<br />..' _..1,/,,, ~ ,LI. IV.
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<br />ZEPHYR~ILLS ~JILDING
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<br />FAX No. 813-780-0021
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<br />f', UUl
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<br />'NOTICE OF:OSEO'RESTRICTlONS: The undersigned understands ,that this permit may.be!811bjeetfto'"de.e:d~'tTestriction$'''
<br />which may be more restrictive than CountYTegulalions. ihe~undersigned.assumes responslbillty:for:comp!isr:lc6'with any,
<br />,elpplicable deed restrictions. .
<br />'UNLICENSED :CONTRACTORS ,AND "CONTRACTOR RESPQNSIBILoITIES: If the owner has 'hlred'~a 'contractor or
<br />contractors to undertake work. they may be required 'to be licensed in ,accordanoe with state and local'regulations. If the
<br />'contractor Is not licensed as required by law, both the owner :and 'contraotor may be oited 'for a :mlsdemeanor vioiatior,
<br />under state law. If the. owner or Intended contracton1re uncertain ,as .to what Iioenslng'requirements may 18pply for the
<br />Intended work, they are advised.to contact the.pasco County Building Inspeotlon Division-LicensinG Sectlon,at "2.7~847-
<br />8009. Furthermore, if the owner has hired ,8 contractor or contractors, he Is advised 'to have 'the contractor(s) sign
<br />portions of the Hcontractor Block" of this application'for whlch"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 end Is not entitled 'to 'permitting ,privileges in 'Pasco
<br />County. .
<br />CONSTRUCTION .L.tEN .LAW (Chapteri13. 'Florlda Statutes, ,at :amended): If valuation of work is '$2:500.00 or more. I
<br />certify that I, .the' applicant, halle been provided with. a copy of ' the "Florida Construction .Lien Law-Homeowner's
<br />Protection Guide", prepared ,by.the Florida.Department 9f Agrioulture and, Consumer Affairs. If the $ppllcant Is 'someone
<br />other than the Aownerft, I certify that I have obtained a' oopy bfthe above descrfbl!Jd dooument and promise in good faith,to
<br />deliver It to the "owner" prior to commencement. " '
<br />CONTRACTOR'SJOWNER'S,AFFIDAVJT: I oertlfy.that all thelnformatlon In this applicatiorl'l~ accurate and
<br />'that all work will be done In eompllance WIth all applicable lews regulEtting construotion, %oning and land
<br />development. Application Is hereby made to o,btain a permit to do work and lJ:lstallatlon as Indicated. I certIfy
<br />that no work or installation has.commenoed prior to Issuance,of e permit and' that all work will be performed to
<br />meet standards of all laws'reguhitlng construction, County and City codes. .zoning regulations, and land
<br />development regulations in tije Jurisdiction.. I also certify that I understand that the regulations of other
<br />" government agenoies may apply to the Intended work. and that it is my responsibility to identify what actions I
<br />must'take to be In compliance" '
<br />Ii lnm'the AGENT'FORiHE OWNER. I promise ili good faith to Inform the owner of the permitting conditions set'forth In
<br />thlg affidavit prior'to oommencing construction. : ,I understand that a separate permit may be required ~or electrical work,
<br />pllJlnbing. signs. wells,' pools, air conditioning, gas, .or other Installations not lpeolfiQslly Included In the appllca~ion. A
<br />permii issued shall be oonstrued to be a license to proceed with the work and not as authority to violate, canoel, alter, or
<br />sat aside any provisions of the technical codes. nor shilll$suanee of a permit prevent the Building Offjolal 'from thereafter
<br />requiring a currectlon of errors In plans. oonstruc:tlon or violatioos of any codes. Every permit Issued shall become Ihvalid
<br />unless the work authorized by such permit is col'l1menced within sIX months of permit Issuanoe. or If work authorized by'
<br />th~ permIt is suspended or abandoned for a period of six (8) months after the time the work Is commenced. .An extension
<br />rnl'3}' be requested. in writing. from the Building Official for a 'perlod not to exceed ninety (90) days and will demonstrate
<br />jtlstiflable cause for the extension. .If work cea~es, for ninety (90) oonseoutive days, the Job is considered abandoned.
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<br />. . . .
<br />WARNING TO OWNER: YOUR FAILURE TO RECORO A"NOTlce "OF 'COMMENCEMENT MI\Y.'RESULT IN YOUR "
<br />?A YING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 08TAIN FINANCING, CONSULT
<br />Wl.TILYQUR LENDER OR A.tlATTOflNEY BEFORI: RECORDING Y9UR NOTICE OF COMMENCEM~L ,
<br />FLORIDA JURAT (F,S, 117.0S) : ',' .,;/' ,
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<br />OWNER OR AGENT lX CONTRACTOR L-J ~L:'~4-
<br />$iJbscribed and sworn to.(oi affirmed) before me thi6 . Subscribed and sworn to (o~ rmed) be me this
<br />__._..--:.-by _ . ' by
<br />Wiw is/are personally known to me or haelhav8 produced ' Who lsJare p,rsonallY known to me or hlI6Ihave produc.o
<br />85 Identification. _as idetltmcatlon.
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<br />..----
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<br />Notary Public
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<br />Notary Public ,
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<br />CommilJ,iDn No,
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<br />Commlealon No.
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<br />NomeOTiiiOtary typed; prtnted ur llttmped
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<br />. .'
<br />
<br />Name of Notary tYped, printed or stamped
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