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11-11795
Zephyrhills
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2011
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11-11795
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Last modified
2/9/2012 9:07:40 AM
Creation date
2/9/2012 9:07:39 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11795
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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=E�l�TICE OF=€3EED F��ST€ZEC [ IOi�IS: I he.undersigned understands.that this permit maybe subject:to <br /> v�thich rriay be more restr�ctive than Couny regulations. The_undersigned assumes responsibiliy for:�omPlian�e��rvith any <br /> _app[�cabfe deed restrictions. _ <br /> UNL[CE�ISED `CO�ITRACTOf�S AhfD �COI�ITRACTOR RESP.OI�S[B[LiT[ES: [f �the owner has - hired - :a°coniracfor or <br /> contracfors �to under�ake work, fhey rnay be required io be Iicensed in accordance with sfate and foca( If fhe <br /> confracfor is not ficensed as required by [aw, bofh tf�e owner .and contractor may be cited �for _a �misdemeanor vio[a�ion <br /> under sfafe law. If the owner or intended contracfor are �ncer�ain .as �fo what licensing �requirements may �apply ior the <br /> intended r�vork, tfiey are advised�fo contact fhe-Pasca County Bui[ding [nspection D'[vision—Licens[ng Section_at 7_27-847- <br /> 8QQ9. F�tr�hermbre, if fhe owner� has hired _a contracfor or contractors, F�e is adviser� �to have �the confractor(s} sign <br /> portions of fhe "contractor Bfoc[c" af fhis appfica�ion�for which�they wi[[ be responsible. [f you, as�the owner sign as fhe <br /> contrac�or, that may be an indicatian'that he is nof properly ficensed and is not enEiffed�to permit�ing privileges in Pasco <br /> Counfy. <br /> COHSTRUCT[ON_L[EN LAW (GE�apfar713, Florida S�afufes,_as.atr�endeci}: ff vafuafion ofvdork is $2;500.00 or more, ( <br /> cerEify tha� [, �the appiicant, ha�re been provided w�th a copy of �the "Florida Construcfion Lien Law—Homeowner's <br /> ProtecEion Guide" prepared by�fhe Fforida Department af Agriculture and Consumer Affafrs. If the app[icanf is �someone <br /> off�er fhan fhe "owner ( certify that I have obtained a copy of the above described document and pr6mise in good faifh to <br /> de(iver it �o ff�e "oirvne�' prior ta commencemenf. <br /> CONTf2aCTOR'SIOWNER'S-AFF[DAVIT: ( cerEify fhat aif fhe informaEion in this applicafiQn is accurate and <br /> � fhat all work wi(I be done in cornp(ianc.e wifh a(f applicabfe I,aws regu(ating construcfion, zoning and land <br /> deve(oprr�ent. App(icafian is hereb� made to obfain a permit to do wor[c and installation as indicated_ -f certify <br /> fhat no work or instalfation has commenced prior to issuance of a perinit and�thaf aIf work wi(I be performed fo <br /> meet standards of af( laws� regulating construction, Counfy and Gity codes, .zoning regulafions, and [and <br /> de�e[opment regulafions in the jurisdiction. f als.o certify tk�at I understand that fhe regulations of ofher <br /> _ government agencies may apply�fo fF�e intended wor[c, and that it is my respons�bifity to idenfify what acfions l <br /> must take to be in compfiance. ' <br /> If t°am the ACENT FORT'HE OW[VER; I prornise--in good faith to inform fhe owner. of the perrrtitfing._conditi.ons sef for�h. in ,_... <br /> ... _. .. .. .. __ _ - - - _m._.._�.. ._,.,_..__- __ . _ �_ . - -- - - <br /> ---tE�is-�affidavit--prior-to comme�c«g-consfrucfion:..__.Gunde'"r."stac�cl�ha�:.a:.se,�arate_p�rmif may__be reguired_for electricaf ,wor[c, __ _ _ _ <br /> pfumbing, signs, wel(s, pools, air conditioning,� gas, .or ofher instal[ations not specifica(ly included in fihe app[ication. A <br /> perm�f issued sha[I be construed to be a license to proceed witfi �the work and nof as aufhorify to vio{ate, cancel, after, or <br /> sef aside any piovisions of fhe technical codes, nor shall issuance of a permif prevent ffie Buifding Official from ffiereaf�er <br /> . re�urring a correction of errors in p[ans, construction or violations of any codes. Every.permit.issued. shatl.,becorne.inva(id <br /> unless tfie work authorized by sucE� permit is commenced w�thin s�x mont[�s of permit issuance, or if work aufhorized by <br /> fhe perm�t is suspended or abandoned for a period of six (6) months afEer the time fhe work is commenced. An ex�ension <br /> may be requested, in wrifing, fram fhe Build�ng Official for a period not fo exceed nineiy (90) days and wil[ demonstrate <br /> justifiab(e cause for the exfension. ff wo�k ceases for ninety (90) consecutive days, fhe job is considered abandoned. <br /> {�1/qRN(NG "TO. OWNER: 'YOUF2 FAILURE TO RECORD A`NOTtCE OF��COMMEHGEiVIENT M7AY°REStlLT IC� YOUR '' <br /> PAY(NG�TW[C� FOR�_[MPROVEMENTSTQ YOUR PROPEfRTY. IF YOU WTEHD Ta OBT N F[I�ANCI[�G, COIVSULT� -=:;''-, <br /> WITHYOUR LENDER OEz'AN ATTO BEFORE RECORQWG YOUR HOTICE C ' ENCEMEHT. <br /> FLDRIDAJURAT (F.S: 1'(7. <br /> OWNER ORMAC3ENT ___ CO�F�CTOR � - - ` <br /> Subscribed and s om to or �crned) before me th�s <br /> Subscribed�arid Swom . (dr �. ed) befnre me fhis bY <br /> b y � Who islare srsonall known to me or haslhave produced <br /> WF�o is/are persoRaf[y known fo me or has/have produced p y as idenfification. <br /> - as idenfificaUori. <br /> ' Notary Pubiic Nqfary Pubfic <br /> Commission t�to_ . Commission Na. � , <br /> ed; rinted or sYamped Name af Nofary typed, printed ot sfamped <br /> f�fame of Notary fyp R . <br />
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