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11-11770
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2011
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11-11770
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Last modified
2/8/2012 2:08:48 PM
Creation date
2/8/2012 2:08:47 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-11770
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 subjecYto�"deed"Testrictions" <br /> which may be more restrictive than County regulations. The-undersigned assumes responsibility for:�omplianre with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESP.ONSIBILITIES: If the owner has hired contractor 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 misdem�an�opyiolation <br /> under state law. If the owner or intended contractor are uncertain .as to what licensing �requirements ma a I for the <br /> intended work, they are advised to contact the �Pasco County Building Inspection Divisian—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 /> Counry. <br /> CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,-as�fm�endF orid�a C L en $awO owner's <br /> certrfy that I, the applicant, have been provided with a copy <br /> P�otection Guide" prepared by the 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'S10WNER'S AFFIDAVIT: I ce�tify 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 ce�tify <br /> that no work or installation has commenced prior to issuance of a permit and that all work will be performed to <br /> meet sfandards of all laws regulating construction, County and City codes, zoning regulations, and land <br /> development regulations in the jurisdiction. I also ce�tify 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 FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, poo �uec3 be a license t S p oceed with the work and not a authorty to �violateecanP o <br /> permit issued shall be const <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent th erm t iss ed shall become inval d <br /> requiring a correction of errors in plans, construction or violations of any codes. Every p <br /> unless the work authorized bY �doned for d of sCx (6) m after�the time kas commenced. An nsion <br /> the permit is suspended or aba <br /> may be requested, in writing, from the Building O�Ficial 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: YOU �EN TO YOUR PROPERTY. r IF YOU INT OBTAIN NG, <br /> PAYING TWICE FOR IMPROVE <br /> WITH YOUR LENDER OR AN TT RNEY BEFORE RECORDING YOUR NOTICE OF MENCEMENT. <br /> FLORIDA JURAT (F.S. 117.0 <br /> CONTRACTOR <br /> OWNER OR AGENT Subscribed and swom to ( affirmed) before me this <br /> Subscribed and swom to (or a ed) before m his --by <br /> bY Who is/are personally known to me or has/have produced <br /> Who islare personally known to me or has/have produced as identifica6on. <br /> as identifiption. <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 /> �,_. ..�....._�...._.,.�...��...� - _.m..__ �.�.�.J.�..._.__., <br />
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