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09-9030
Zephyrhills
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2009
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09-9030
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Last modified
1/12/2011 3:22:54 PM
Creation date
1/12/2011 3:22:54 PM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
09-9030
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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'NOTICE;DF:DEED RESTRICTIONS: The undersigned understands that this permit maybe • subjectfto - " deed° :restrictions" <br /> .which may more restrictive than County regulations. The.undersigned.assumes responsibility .for:compliarice'with any <br /> .applicable deed restrictions. <br /> UNLICENSED 'CONTRACTORS AND "CONTRACTOR RESP.ONSIBILmES: If the owner has - hired - :a- contractor or • - <br /> contractors - to undertake work, they may be required be licensed in accordance with state and local regulations. If the <br /> contractor is • not licensed as required by law, both ; the owner .and contractor may be cited - fora misdemeanor violation iolation for the <br /> under state law. if -the advised o t intended contractor sco County licensing <br /> Division—Licensing l Section:at 727-847 - <br /> 8 009. a F advis <br /> he is advised to have the contractor(s) sign <br /> 8009.: Furthermore, if the owner has hired .a contractor or contractors, <br /> portions ;pf the "contractor Block" of this:application"for which - they will be responsible. If you, as owner sign as the <br /> contractor, that may be an indication that he is not properly licensed and is not entitled -permitting .privileges in Pasco <br /> County. <br /> CONSTRUCTION -LIEN LAW e Florida Statutes, as amgndedj If valuation of work 'B12500.00 or more I <br /> ( ave .b pr <br /> certify that 1, - the applicant, have .been n provided -with a copy 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 1 have obtained a copy of the above described document and promise in good faith to <br /> deliver itlto the `owner" prior to commencement. <br /> CDNTRACTOR'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 obtain a permit to do work and installation as indicated. l certify <br /> met ee t no wrk or <br /> st annd a rd s ofa all la n has co ws regulating on��oissuance , ounty .and City codes, .zoning regulations, performed d land <br /> m at <br /> adrd of ll la g <br /> development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other <br /> . government agencies may apply to •intended work, and that it is my responsibility to identify what actions I <br /> must take to be in compliance. <br /> If 1 am the AGENT'FORTHE OWNER, I promise in -good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. 'trn understand <br /> or installations a separate to sspecifically may a req d <br /> uired n the electrical o , A <br /> pt m i t i signs welts on air conditioning, 9 a <br /> er, or <br /> permit issued shall be construed be a to be a � des shall proceed <br /> of a permit prevent the the ding i Offtcal c from thereafter <br /> set aside any provisions of the technical codes, etTriit issued shall become invalid <br /> requiring a correction of errors in plans, construction or violations of. any codes. Every p <br /> unless the work authorized by such permit is s9x (6 within onths aftenh e t me the�work issuance, <br /> 'IS commenced. An authorized <br /> extension <br /> the perriiit is suspended or abandoned for a p e riod of 90 days and will demonstrate <br /> may be requested, in writing, from the Building Official, for ag a consecutive a days, the job is considered abandoned. <br /> justifiable cause for the extension. if work ceases for ninety (90) MAY <br /> WARNING TO OWNER: YOUR FAILURE TO UR RECORD 'NOTICE PROPERTY. IF YOU INTEND TD OBT� FINANCING, T <br /> PAYING TWICE FOR IMPROVEMENTS TO YO + � M NCEMENT. <br /> WITH YOUR ENDER OR AN ATT = R EYBEFDRE RECORDING YOUR NOTICE OF <br /> FLDRIDAiJURAT (F.S. 117.0 / <br /> 411 CONTRA> DR (. a� ed) before me this <br /> Subscribed OR AGENT swum ' - ..before me this Subscribed <br /> and sworn to Subscribed and•swom to (or - � by <br /> --by isa personally known to me or has/have produced <br /> Who is/are personally known to me or ent f cats produced fre as identifcation . <br /> as idenUfrcation. <br /> Notary Public <br /> Notary Public <br /> ommission No. <br /> Commission No. c <br /> Name of Notary typed; printed or stamped <br /> Name of Notary typed, printed or stamped <br />
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