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11-11642
Zephyrhills
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Building Department
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Permits
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2011
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11-11642
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Last modified
12/15/2011 9:28:20 AM
Creation date
12/15/2011 9:28:20 AM
Metadata
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Building Department
Company Name
FLORIDA HOPITAL OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
11-11642
Building Department - Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Address
37834 MEDICAL ARTS CT
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�i6T(CE �F-€�EEQ FZESTREGTIO(�S: � he.undersigned unders�ands.fhat this permit may_6e subj�cc �o °reszric���r�s' <br /> wF�ic�t may be more restr�ctive than Couny regula�ions. l h°_undersigned assumes responsibii�y for:compfi�r:t�e 4�ith any <br /> _appl�cab(e deed resfrictions. _ <br /> UNL(C�PISED �CQNTRACT�E�S AE�D CONTRACTOR FZ�SPOC�SIB[LfT[ES: if the owner has �hired or - <br /> coniracfors to under�ake work, fhey may be required io be [[censed in accordance wit{� sfate and local If �ne <br /> confracfor is not licensed as required by (aw, both tf�e owner .and contractor may be elted �for .a misdemeanor v�ofa�ion <br /> under sfafe law. (f fhe owner ar infended con�ractar are uncer�ain.as co what ficensing requirements may�apply for �he <br /> infended �vorfc, they are advised fo contact fhe Pasco County Buifding fnspection Division—Licens[ng Secfion_at Z27-847- <br /> 8Q09. Furfherrnbre� ifi ff�e owner has hired -a confracfor or confractars, E�e �s advised fo I�ave the confracEor(s) sign <br /> porEions of fhe "confracfor B[ocK' of fhis appticafion�for which they wi[[ be responsible. ff you, as the a�vner sign as the <br /> contracfor, that may be an indicatian thaf he is nof properfy [icensed and is nof enfif(ed�to permit�ing privileges in Pasca <br /> Counfy. <br /> CONSTRUCT�OH-L[EN LAW (Chapter713, Florida S�af�Ees,_as.amended}: (f vafuaEion of �vork is $2;500.00 or mare, I <br /> cerEify tf�at f, �Ehe appficant, have been provided w[th a copy of the "Florida Construction Lien Law—Homeowner's <br /> Profecfion Guide" prepared by�fhe Florida Department of /Agricu(ture and Consumer Affairs. (f the appfiean� is someone <br /> other than the "owner', [ certify that f have obtained a copy of the above described document and promise in good faith to <br /> defiver [t to fhe "owne�' prior to commencement. <br /> COt�Tf2ACTOR'S/OWi�tER'S-A�FtDAVfT: I ce�fify fhat a[I tFte informafion in fhis application is accurate and <br /> that a!i work will be done in compliance with aff applicab(e I.aws regufa�ing construcfion, zoning an� land <br /> devefopment. Applicatian is here6}� made to obtain a permit to do work and insfallation as indicated. d cer�ify <br /> fhat no work or �nstallation has commenced prior to issuance of a perPnit and�tha� al( work wi(I be performed fo <br /> meet sfandards of al( (aws regulating construction, County and Gify codes, zoning regulafions, and fand <br /> development regulations in the jurisdiction. I also cerEify that I understand thaf the regulations of other <br /> _ government agencies may applyfo fhe intended work, and that it is my respansibifify fo idenfify what actions [ <br /> must fake to be in comp(iance. <br /> ff ('am the AGENT FQRTHE OWNER, I promise in good faith Eo inform Ehe owner of the perm[f�ing.conditions sef forEh in <br /> _ � _ . .; . ... <br /> -- this-affrdavit-prior-to comme�cing--construction_.._.Cunders.fand_�ha�.a.separate_permit.may.be._reguired for elecfrical wor ,___ _ <br /> plumbing, signs, welis, pools, air condifioning, gas, .or ofher instal[ations not specifica(ly included in the appfication. A <br /> permit issued shall be�construed to be a license fo proceed wiffi the work and nof as authority to violafe, cancel, alfer, or <br /> set aside any p�ovisions of fhe technical codes, nor shall issuance of a permif prevenf fhe Building Official from fhereafEer <br /> requiring a correctian of errors in plans, cbnsfruction or violafions of any codes. Every pe.rmit issued shal.�,becorne inva[id <br /> unless the work authorized by such permit is commenced within six montf�s of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six (6) months afEer the time fhe work is commencec{. An extension <br /> may be requested, in writing, from ti�e Building Official for a period not fa exceed ninefy (90) days and will demonstrate <br /> justifiab(e cause for the extension. ff work ceases for ninety (90) consecutive days, the job is considered a6andoned. <br /> - WARN[NG'TO.OWNER: YOUR FAILURE TD RECORD A'NQ'T[CE`OF COMMENCEMENT' M�4Y F2ESULT I�I YOUR ' <br /> PAYtNG TWIC� FOR [MPROVEMENl"S T� YOUR PROPERTY. [� YDU lNTE�ID TO OBT N F(HANC[HG, CCINSULT <br /> WITH YOUk2 LENDER �R AN ATtO BEFORE R�CORDWG YOUR NOTICE C ENCEMENl'. . <br /> FLORIDA JURAT (F.S: 117. <br /> OWf�[ER OR AGENl' l CONTRACTOR <br /> Subscribed and s om to or irmed) before me th�s <br /> Subscribed arid swom (or �f � ed) before me fhis bY <br /> b y Who is/are ersonaliy known to me o� haslhave produced <br /> Who is(are personaffy known fo rrre or has(have produced P as iden6ficafion. <br /> as idenfifica6on. <br /> Notary Pub[ic Nafary Pub[ic <br /> Commission No. <br /> Commission i�io_ . ' <br /> ed; rinted or stam ed I�fame of [�Iatary typed, prinfed or sfamPed <br /> Name of Notary fyp p P , <br />
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