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10-10324
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2010
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10-10324
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Last modified
1/28/2011 10:59:09 AM
Creation date
1/28/2011 10:59:09 AM
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
10-10324
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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NOTICE OF DEED RESTRICTIONS: The undersigned The undersigned this perm <br /> resp osibilbty for: mplan esw tn <br /> which may be more restrictive than County regulations. <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired 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 apply I 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 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 sa amended): "Florida ): t valuation of Lien is $ 5 00.00 or more, w— Homeowner's <br /> certify that I, the applicant, have been provided with a copy <br /> is someone <br /> Protection Guide" prepared by the Florida Department of Agriculture above described document and prompsean 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 /> 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 affidavit the AGENT FOR THE OWNo construction. I understand that a I promise in good faith to permit may be required for conditions <br /> this electrical work, <br /> this affidavit prior to commencing <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit a s a an y p i io be consth technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring aside any correction of errors t shall become invalid <br /> unle iring a correcti t h ri ed by inplans, ermit is construction <br /> violations of <br /> six a months of permit issuance, or work authorized by <br /> unless m the t is sus pended _work pended s or g b nu p <br /> may permit pended ing, , from the Building l Off Official for G a period not the time <br /> ninety days and will demonstrate <br /> may be requested, in writing, <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 YOUR PROPERTY. NOTICE <br /> IF YOU OECOMMENCEMENT <br /> TO OBTAIN <br /> PAYING TWICE FOR IMPROVEMENTS TO <br /> WITH YOUR LENDER OR AN • TT a RNEY BEFORE RECORDING YOUR NOTICE OF • MENCEMENT. <br /> FLORIDA JURAT (F.S. 117.0 / / 1117,_ <br /> CONTRACTOR <br /> OWNER OR AGENT Subscribed and sworn to (� affirmed) before me this <br /> Subscribed and sworn to (or a ed) before m his by <br /> ----Who Who is/are personally known to me or has/have produced <br /> is/are personally by known to me o has/have produced as identi fication. <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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