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10-10097
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10-10097
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Last modified
1/27/2011 9:19:18 AM
Creation date
1/27/2011 9:19:17 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
10-10097
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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`NOTICE OF =DEED RESTRICTIONS: The undersigned understands that this permit may_be-subjecttto "deed ":restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliance any <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 if the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited 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 /> intended work, they are advised to contact the Pasco County Building inspection Division — Licensing Section_at 727 -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 which 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 (Chapter713, Florida Statutes,.as- amended): If valuation of work is $2;500.00 or more, I <br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's <br /> Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <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 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-1'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 .._1 understand_ that:.asepa rate permit may_ be_required for electnca work <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit issued shall be to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit .issued shall become invalid <br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension <br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <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 PROPERTY. iF YOU INTEND TO OBT N FINANCING, CONSULT <br /> WiTH YOUR LENDER OR AN ATTO - BEFORE RECORDING YOUR NOTICE e' C % ENCEMENT. <br /> FLORIDA JURAT (F S _ 117.0 • <br /> OWNER OR AGENT A/ CONTRACTOR Aft., <br /> Subscribed and sworn • (or - r ed) before me this Subscribed and s om to or - rmed) before me this <br /> by by <br /> Who is /are personally known to rile dr has /have produced Who is /are personally known to me or has /have produced <br /> as identification. as identification. <br /> Notary Public Notary Public <br /> Commission No._ Commission No. <br /> Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped <br />
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