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09-9237
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2009
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09-9237
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Last modified
1/14/2011 9:54:25 AM
Creation date
1/14/2011 9:54:24 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
09-9237
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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NOTICE OF DEED RESTRICTIONS: The undersigned understands <br /> he undersigned as u assumes responsibility for:compl a e e with any <br /> which may be more restrictive than County regulations <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR 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 regulations. If the <br /> contractor is not licensed as required by law, 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 -a p ply for the <br /> intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing 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 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 permitting privileges in Pasco <br /> County. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a s a d: I work is $2O 00 or more, I <br /> certify that I, the applicant, have been provided with a copy "Florida Construction Lien Law—Ho is so <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the app <br /> other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the "owner" prior to commencement. <br /> CONTRACTOR'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. I certify <br /> that no work or installation has commenced prior to issuance of a permit and that 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 /> government agencies 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 /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing consdi{ on I asn oe installations a r not may bncluded the application. n� A <br /> plumbing, signs, wells, pools, air co 9 9 <br /> se a s a any shall <br /> provisions constrd to be a license to proceed with technical codes, nor shall ss ance of a pe mitt prevent the Bu ding Official from thereafter <br /> r e q tr i n e any rectoof r the shall become invalid <br /> unless the a correction of errors in clan permit construction t <br /> commenced within six a months of permit permit <br /> ssuance, or work authorized by <br /> unless m e work suspended o b such p he wok is commenced. An extension <br /> m a pbe requested, is es ed, in d or g, from th period <br /> e Build ngOff cial forr a period not to exc ed nety days and will demonstrate <br /> may be requested, in writing, from <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY. NOTICE <br /> IF YOU INTEND TO OBT N CONSULT <br /> PAYING TWICE FOR IMPROVEMENTS <br /> WITH YOUR LENDER OR AN ATTO - - BEFORE RECORDING YOUR NOTICE • C � ENCEMENT. <br /> FLORIDA JURAT (F.S. 117. � � � <br /> / CONTRACTOR ; <br /> OWNER OR AGENT Subscribed and s om to or -" firmed) before me this <br /> Subscribed and sworn • (or - � ed) before me this <br /> by is/are personally known to me or has /have produced <br /> Who is /are personally known to me i 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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