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09-9114
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09-9114
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Last modified
1/13/2011 10:35:59 AM
Creation date
1/13/2011 10:35:59 AM
Metadata
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Building Department
Company Name
ARBY'S
Building Department - Doc Type
Permit
Permit #
09-9114
Building Department - Name
ARBY'S
Address
7446 GALL BLVD
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NOTICE may .DEED "RESTRICTIONS: The undersigned ula <br /> g d ons. The undersigned assumes responsibility for:c mpl ace with any <br /> which any <br /> which may y be more restrictive than County <br /> applicable deed restrictions. <br /> UNLICENSED CONTRA`C CONTRACTOR ged to be E ce nO sed S!B ac i co E dance with state and local regulationsc If <br /> contractors to of li en s they <br /> co <br /> der t is not lic the owner n r or intended contractor are uncertain contractor may be cited - for a <br /> what licensing r qui misdemeanor <br /> may violaion <br /> under state law. If the owner o they intended <br /> 0 0 9. k, m o r are e, if t he oow t ne r has hi edea contractor County <br /> or o tors, hel�s Division—Licensing <br /> dvsed to ha e he cost actor(s) sign <br /> 809. emrhe wr <br /> portions of the "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 privileges in Pasco <br /> County. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, ,a a a d If Const on r i $ ,500.00 or more, I <br /> certify that I, the applicant, have been provided with a copy o <br /> is someone <br /> Protection Guide" prepared by the Florida Department of Agriculture above described document and prompse faith th to <br /> other than the "owner", I certify that I have obtained a copy of the <br /> deliver it to the "owner" prior to commencement. <br /> and <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the iinformation <br /> regulating this ap r pl cti d o is rag u aa t l and <br /> that all work will be done in compliance with all applicable <br /> that o no work or installation t ha e commenced pr issuance of a permit and' that t all t work will indicated. <br /> be performed certify <br /> to <br /> that wok instio <br /> meet standards of all laws regulating construction, County and City codes, zoning regulations, and land <br /> developmen a g e e n c ie tions i s may a tppp i jurisdiction. othe tended work, and that it is my understand <br /> responsibility to ident <br /> ify t what actions I <br /> government gnie Y <br /> must take to be in compliance. <br /> If i AGENT FOR THE OWNER, ru l inform <br /> separat permit may be requiired for conditions <br /> t a electr cal work, <br /> this affidaida vit prior to commencing construction. I understand that a <br /> plumbing, ed shall sis, wells, on air o b ' e a lice se to p other <br /> the work and not as authority to d violatee cancel, alter, or <br /> se a s i a a any rov is io construed to <br /> fter <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the <br /> t issued shall become loyal d <br /> requiring a correction of errors in plans, construction or violations of any codes. Every p <br /> unless m it work it is suspended o or authorid <br /> a b such <br /> andone d f f ais period od of six (6) within six months of <br /> after the time e the t work is commenced. An authorized <br /> xtension <br /> the permpended r bd <br /> may be requested, in writing, from the Building <br /> eOfo (90) days, thejob is deed ab will <br /> andoned demonstrate <br /> justifiable cause for the extension. If work RESULT <br /> WARNING OWNER: FAILURE TY.TIF ICE OF COMMENCEMENT YOU INTEND D TO OBTA N NANC NG CONSULT <br /> PAYING TWICE FOR IMPROVE TO YOUR PROPER <br /> MENTS • MENCEMENT. <br /> WITH YOUR LENDER OR AN ' TT 01 RNEY BEFORE RECORDING YOUR NOTICE OF <br /> FLORIDA JURAT (F.S. 117.0 ' / Alle . <br /> ,'� CONTRACTOR <br /> OWNER OR AGENT Subscribed and swom to (� affirmed) before me this <br /> Subscribed and swom to (or a " ed) before m his by <br /> by Who is/are personally known to me or has/have produced <br /> Who is /are personally known to me or has/have produced as identification. <br /> as identification. <br /> Notary Public <br /> Notary Public <br /> Commission No. <br /> Commission No. <br /> Name of Notary typed, printed or stamped <br /> Name of Notary typed, printed or stamped <br />
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