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09-9165
Zephyrhills
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2009
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09-9165
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Last modified
1/13/2011 3:38:18 PM
Creation date
1/13/2011 3:38:17 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
09-9165
Building Department - Name
CITY OF ZEPHYRHILLS
Address
38430 A AVE
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'ND T ICE;,DF:DEEDRESTRICTIONS: The undersigned understands that this permit maybe'subject :t eed °restrictions" <br /> .which may more restrictive than County regulations. The:undersigned.assumes responsibility.for c ompliat�e'wtth an <br /> .applicable deed restrictions. <br /> UNLICENSED 'CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If - the owner has -hired-ra- contractor or - - <br /> contractors to undertake work, they may be required be licensed in accordance with state and local If the <br /> contractor is not licensed as required by taw, both; the owner and contractor may be cited - for a misdemeanor violation <br /> under state law. If - the owner or intended contractor are uncertain .as to what licensing - requirements may :apply for the <br /> intendedwork, they are advised to contact the:Pasco County Building Inspection Division— Licensing Section:at 727 -847- <br /> 8009. f=urthermore, if the owner has hired .a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions ;of the "contractor Block" of this ,application which 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 (Chapter713, Florida Statutes, .as: e nde d ): If Construction of <br /> on Len Law— Homeowmer's <br /> certify that 1, the applicant, have .been. provided -with -a copy and Consumer Affairs. If the applicant is someone <br /> Protection Guide" prepared by Florida Department of Agriculture e above described document and promise in good faith to <br /> other than the "owner", I certify that ,I have obtained a copy <br /> deliver itito the "owner" prior to commencement. CONTRACTOR'S/OWNER'S •AFFIDA1Rf: 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. I certify <br /> that no work or installation has commenced prior to issuance of a permit and all work will be performed to <br /> meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land <br /> development regulations in the jurisdiction. I also certify that I understand that the regulations of other <br /> . govemment agencies may apply tothe .intended work, and that it is my responsibility to identify what actions I <br /> must take to be in compliance. <br /> If I 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. lash or other installations not of specifically hn ludedrei required the electrical <br /> n� <br /> plumbing, signs, welts, pools, air conditioning, 9 <br /> se a any p construed i io license , nor shall suance of a permit prevent the Building violate, <br /> Official from thereafter the work and not as authority to <br /> requiring aside any provi o the technical <br /> requiring a correction of emer in such permit s violations <br /> cmmencedwithin. six months of permit issuance, u or d if work authorized by <br /> unless m <br /> the work p authorized r b ndo p period of six (6) months after the time. the work is commenced. An extension <br /> the permit is suspended or abandoned for a p <br /> may be requested, in writing, from the Building Official. for a period o not o ve days, the job i90) ddays a nd nd wll demon <br /> justifiable cause for the extension. If work ceases for ninety (90) <br /> WARNING OWNER: YOUR ENTSTO 'YOUR PROPERTY. IF YOU INTE ND TO OBTAIN F IN IN <br /> PAYING TWICE IC E FOR IMPROVEM IC <br /> WITH YOUR LENDER OR AN ATTORNEY.BEFDRE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDAi;JURA7 (F .S. 117.03) G 0 `-� �3- <br /> � -q'-�_ CONTRACTOR �} +!� / <br /> OWNER DR AGENT before me 3hisglD "' ))A�C <br /> Subscribed sworn to (or before me this .)c> � /3i/ <br /> 3�hsMibedand.swot- orafitrm � a1 6-h - <br /> o i4 h ✓ ed)• W h o � fly ken me or has/have produced <br /> yy ,._ au. rso I ma i dehas cats on. produced as identification. <br /> as irt tlficati <br /> / i # 1 � . , �_ • , „t, Notary Public <br /> N, . • ea 4 / N o tary Public - ` <br /> �� Co isslon No. D ` J / <br /> Co �ission No. 1 " t <br /> , D A <br /> I'L i J <br /> N ame of N= , .,_:. � ab ell <br /> Name Y j y a ' . Campbell Commission # DD452619 <br /> Commission # DD452619 Expires: JULY 19, 2009 <br /> • <br /> Expires: JULY 19, 2009 <br /> B onded `Piro Atlantic Bonding Co., tee, <br /> B onded Thru Atlantic Bonding Co., Inc. . <br />
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