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09-9344
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09-9344
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Last modified
1/24/2011 8:54:56 AM
Creation date
1/24/2011 8:54:55 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
09-9344
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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NOTICE OF =DEED RESTRICTIONS: The undersigned understands tat assumes pe rmit m be ibilby for an pe e with any <br /> which may be more restrictive than County regulations. T undersigned <br /> _applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired :a or - <br /> contractors to undertake work, they may be required to be licensed in accordance with state and local If the <br /> u nder t is not lic t h e o owner re or me intended both <br /> uncertain as to what licensing te cited misdemeanor violation <br /> may applyfothe <br /> under state law. If the owner <br /> intended 009. Furthwore, they are rmore, if the oow ner to contact <br /> as hired -a contractor County heois Division—Licensing <br /> dvi ed to have he contractor(s) sign <br /> 8009. ehe w <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 (Chapter713, Florida Statutes, - a a e de ): I Construction of <br /> on r i $2;500.00 or more, I <br /> certify that I, the applicant, have been provided with a copy of <br /> other th an h ei o er", I onsumer Department <br /> deliver it to the "owner" prior to commencement. <br /> CONTRACTOR'S/OWNER'S 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 /> developme Application ihasecommen made <br /> ced prior to issuance of a permit ad that installation <br /> work will be performed certify <br /> to <br /> m no <br /> standards rd s installation fa l laws h and City codes, zoning regulations, and land <br /> mt adrd of all aws regulating construction, County tY <br /> development regulations in the jurisdiction. I also certify that 1 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 construction. I understand that a separate pemt may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> , cancel, alter, or <br /> permit issued shall be to be a license to <br /> shall ssualncehof e work a permitlprevent the ding Official from thereafter <br /> set aside any provisions of the technical codes, nor <br /> unless the work a a correcti t h of errors o s d such permit isrc violations of <br /> six a months of permit issuance, uordif shall become work authorized by <br /> the s erm ended or abandoned nch <br /> m a pbe a is es ed, in d or g, from e Build ng OfF Official (6) months after the time the work is commenced. An extension <br /> al for a period not to exceed days and will demonstrate <br /> may be requested, in writing, from 9 <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 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR BEFORE RECORDING YOUR NOTICE O O , : E N I , CONSULT <br /> WITH YOUR LENDER OR AN ATTO' <br /> FLORIDA JURAT (F.S. 117.1 • - <br /> �� <br /> OWNER OR AGENT CONTRACTOR Subscribed and s om to or -. imed) before me this <br /> Subscribed and sworn • (or - • ed) before me this by <br /> so Who is nally 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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