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10-10635
Zephyrhills
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10-10635
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Last modified
2/3/2011 10:14:13 AM
Creation date
2/3/2011 10:14:13 AM
Metadata
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Template:
Building Department
Company Name
WESTWINDS ACLF
Building Department - Doc Type
Permit
Permit #
10-10635
Building Department - Name
GOLDEN HEALTH SERVICES INC
Address
37411 EILAND BLVD
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'NOTICE OFDEED RESTRICTIONS 1''1 EihdersIgned `understands =that this permit may .be sutdgcs dasid ";xraadrictions" <br /> which .may be . more •rester Ictive than'Ooirtftrregulations. The:underslpnsd .assumes responsibilityleircpmpliaacwwfth any <br /> applk lbia.cNeed reetetctions. <br /> ' • 'UNLICENSED 1:014 CT'ORS' D£OH1 1CTOR :RESPONSIBILITIES: - •if -the owner - hmohtrad actor nr . • <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 •contrector are uncertain alto what licensing - requirements may apply for the <br /> intended work, they are advised to contact the •Pasco County Building inspection Sec tion.at 727 -847- <br /> 8009. Fudhernaor~e, If the owner has hired :a contractor or contractors, he is advised to have the .contractor(s) sign <br /> pons of the- ' or Block' of this application for which they wtil be responsible. If you, as the owner `sign as the <br /> contractor, that may be an indication'ihathe is not properly licensed and is not.entltied•to permitting :privileges in 'Pasco <br /> County. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida. Statutes,.asaimen d d): tf valuation of work is $2,500.00 or more, l <br /> certify' that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law- Homeowner's <br /> Protection Guide' prepared bythe Fk>rida Department of Agriculerre 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 goodlalth 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. Appiicartion is hereby made to obtain a permlt to do work and installation as indicated. I certify <br /> that no work or installation has commenced prix to issuance of a permit and that all work will be performed to <br /> meet standards of all laws rogue 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 /> tills affidavit prior to commencing construction. I understand that a separate permit may be requlred for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other Installations not sped rlty Included in the application. A <br /> pemtlt issued shall be construed 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 permlt prevent the Building Official from thereafter <br /> requiring a correction of errors In plans, construction or violations of any codes. Every permit Issued shall became 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 sus ((I) months after the time the work is commenced. An extension <br /> me6! be rid, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> Cause-'Ibr'the extension. 'If work ceases for ninety ) consecutive days, the job is considered abandoned. <br /> WARNING TO Nl : ' YOUR 14U‘URE 10 RECORD A NOTICE OF CQMIONCEMENT MAY RESULT IN YOUR <br /> PAY' p T O YOUR PR Il` a TO F 4 t ., CONSULT <br /> , + d <br /> A.'. ..' S• a.v.,�:r .., � ... .. �a.a :'1 ®MIP <br /> -: � � • v r' ''tip'. • Y'F aif�y <br /> Vi7 <br /> Edirit <br /> SUWeetit (0104g. Rte- <br /> ... <br /> as rd . —• as Identification. <br /> Gabon. <br /> Notify P c -, ®' ,f 40 ..„,thirdwictrim Notary Public: <br /> 0011111 11111110f440 Commission No., - <br /> , a or limped Ne o1 Notary' sd °ptirard or saariip.d <br /> Name of No��• <br /> rot.. <br /> as Qty r r' <br /> op <br /> mosa.,cQ?ARY FItid10340o*.41db■FA " - . <br />
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