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11-11644
Zephyrhills
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2011
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11-11644
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Last modified
12/15/2011 9:29:55 AM
Creation date
12/15/2011 9:29:54 AM
Metadata
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Template:
Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
11-11644
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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`�iC3T[CE aF-DEED RESTRECT[OI�S: I he.undersigned understands-that this permit may_be subject:�o <br /> wF�ich may be mare restricuve than Couny regulations. - Che=unc4ersigned assumes responsibiliy for:�amPlian�ce=vvi�f� any . <br /> _appf�cabfe deed resfrictions. <br /> U(�LICENSE�'CO�lTRACTgRS A[�D �COi�lTRACTOR RESPO�lSGBILfT[ES: [f�the ov�rner has - [�ired -, a �c�n�racfor or - <br /> confracfors �to undertake work, they may be required �fo be [icensed in accordance with sfate and locaf�regulations ff fhe <br /> contracfor is naf [icensed as required by [aw, both the awner .and contractor may be cited�for :a �misd�meanor�vio�[a�ih� <br /> under stafe faw. [f the owner or intended contracfor are uncerEain.as fo what licensing may:appy <br /> intended �vork, tliey are advised�fo confact the�Pasco County Building Inspection D'[vision—Licensing Section.at 727-847- <br /> 8Q09. Fur�hermbre� if fhe owner has hired _a contractor ar confractars, (�e is advised �fo have the confractor(s) sign <br /> por�ions of fhe "corttractor Bfock" af fhis appfica�ion�for wh�ch'they wi[[ be responsib(e. [f you, as�the owner sign as the <br /> contractor, fhaf may be an indicatian'thaf he is nof properfy [icensed and is not enfiffed permit�ing pr[vileges in Pasco <br /> Counfy. <br /> GOt�STFZUCT[ON-L[EN Ll�W (Ghapfer71 Flaricia Sfafufes,_as.amended): !f valuafion of v�rork is $2;500.00 or more, <br /> cer�ify thaf (, �the appticant, have been provided w[th a copy of �the °Florida Canstruction Lien Law—Homeowner's <br /> Protecfion Guide prepared by�the Fforida Department of Agricuiture and Consumer Affairs. (f the app[ieanf is �someone <br /> ofher than fhe "ownar", f cerEify that I have obtained a copy of the above described document and promise in good faith to <br /> deEiver [t to fhe "owne�' prior to commencemenf. <br /> COhlTRACTOR'S/OWNER'S-AFFlDAV[T: 1 cerEify fhat a[i fhe informafion in fhis appficatian is accurate and <br /> J fhat a[( u�ork wil( be done in complianc.e wifh afi applicab[e I,aws regu[ating construction, zoning and (and <br /> devefopment. App(icafian is hereb� made to obfain a permit to do work and installation as indicated. �f certify <br /> fhat no work or instalfatiQn has commenced prior to issuance of a per�n�t and�thaf al( work will be performed fo <br /> meet standards of ali (aws' regufating construction, County and Cify codes, .zoning regulafions, and fand <br /> devefopment regulafions in the jurisdiction. [ als.o cerEify fhat I understand thaf fhe regulations of ofher <br /> _ government agencies may appiy�fo fhe intended work, and �hat it is my responsibi[ify to identify whaf acfions i <br /> must take to be �n compfiance. <br /> '_(f l;am �he AGENT FQRTNE OWNER; proCnise--in good faith Eo inform the owner. of the perrrtiEEing._conditions sef for�h,in_ i'_- Y <br /> .. - - - - _�,__..;...: ._,.:..._. <br /> .. __. . _ ..P P _ � _q . __.._ _ <br /> - <br /> - -� �_ <br /> ---tF�is-aff'rdavit-Prior-to comme�ci�g--con5�rucfion_-.Cunderstand_�h�t..�:;.se arate___�rm�t may__be re uired_for_electrica_wor , <br /> pfumbing, signs, wells, pools, air conditioning, gas, .or other instal(afions not specifically mcluded in fhe app[icafion. A <br /> permit issued shafl be�construed to be a license to proceed wiffi �fhe work and not as authority fo violafe, cancel, a[ter, or <br /> set aside any provisions of fhe technical codes, nor shall issuance of a permit prevent �he Building OfFicia[ from fihereafEer <br /> . re�u�ring a correction� of errors� in p(ans, construcfion or violation� of any codes. Every. .pe.rmif issue.d. sha[t..beco.r�e inva[id <br /> unfess flie work authorized by such permit is commenced w�thin six monfhs of permif issuance, or if work aufhor�zed by <br /> fhe permit is suspended or abandonad for a period of six (6) montf�s af�er the time the work is cQmmenced. An ex�ension <br /> may be requested, [n writing, fram fhe Building Official far a period not fo exceed ninety (90) days and wi([ demons�rate <br /> justrfiab(e cause for the extension. ff wo�k ceases for ninefy (90) consecutive days, fhe job is considered abandoned_ <br /> WARH[�iG:'TO. OWNER: 'YOUFt �FA[LURE TO RECORD A'N�'TICE'O�-�CON(MEHCEtVIEN�': t�[AY RES[1LT [H YOUR " <br /> PAYfNG,TW[C� FOF�. [MPROVEMEf�I7STQ YOUR PROPEEZTY. EF YOU INTEhID T0 OBT N FINANG[HG, CONSULT� i-,=�: "-, <br /> 1IVITHYOUR LENDER Ot�AN ATTO � �BEFORE RECORD[NG YDUR�NOTfCE C ENCEMEH7. _.- <br /> FL�R(DA .JLJRAT�(F.S: 117� , <br /> .� _'.'-- -� .' - COhITRACTOR . ` <br /> OWNEFt OR AGEN7 Subscribed and s om to or raned) before me this -:, <br /> SubscribedTarid swom (o� � ed) before me fhis bY <br /> bY Vl�ho is/are psrsonally Ecnown to me or hasfhave produced <br /> Who is/are personally knawn to me or has/have produced as idenfificafion•: <br /> . as idanfificafiori. - <br /> Natary Public <br /> ' Notary Public <br /> � Commission No. , <br /> Commission I�o_ . <br /> ed; rinted or sYamped t�tame of t�tofary typed, printed or sfamPed <br /> t�taine of NoEary fyp R - <br />
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