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<br /> MAR/28/2007/WED 07:20 AM ZEPHYAHILLS BUILDING FAX No,813 P.002
<br /> . 'PIOTIC� c�F:DEEU�RESTRICTIONS: 'fhe.underslgned und'erstands•thatthis permit ma�.be�subJect:to'"de�d"�restrfctlans"'
<br /> which may be more resfrict'sve than County�regulations. 'The�.undersigned.assumes responsibility for:compliara�e+anrith any ..
<br /> .appiicable deed rastrfotions. - ' ' _
<br /> UNLiCENSED �CONTRi4CTOR5 �AND •CONTRACTOR.RESP•9NSIBILiTtES: If fhe owner has �hired�:aY��nfractor �or -
<br /> conttaotors�o undertake work, they may be required be licensed in accordance with state and local�regulations. If the
<br /> contraotor ls not lica�sed as required by law, both the owner and •contracior may be cited'for � misdemeanvr v►olation
<br /> .under st�te law. If �the owner or tntanded �cantracfor are uncertain •.as to whaf licensing �requirements may app(y for the
<br /> intended work, they are advlsed�to oontact the•PasBo County Bullding Inspection Division—l.icensing 5ection,at727-847-
<br /> 8009. Furthermore, ff the owner has hired -a cantractor or eontl'aetors, he is advised �to •have �the cordractor(s) sign
<br /> portions of the "cvntractor Block" o# this appllCation�fot which�they wlll be responslbte. If you, a's�the owner�sign �as the
<br /> corrtractor, that may be an indication'ihat he is'not properly licensed and is not enEitled'to•permitting.privlleges in Pasco
<br /> County. •
<br /> CoNSTRUC'fION•L.IEN.LAW (Chap#er713,•Florida Ststutes,.as.amended): lf valuation of work is'$2;500,00 or more, I
<br /> certify'that I, 'the appticant, have .been provided wlth a copy af'the °Florida. Consfivction .Lien. Law—Homeowner's
<br /> Protection Gufde" prepared by�the Florida Depar.tme�t of A of the above d s� ibed docum nt nd promps�e�ln aith to
<br /> other than the� owner", I certify that ! have obtained a copy
<br /> deliver it to the "awner" prior to commencement. •
<br /> � CONTRACTOR'S/OWNER'•S •AFFIDAVIT: I certify that all the information !n� thls appiicatlon is accurate and
<br /> fhat all work will�be�dbne In compllance with all appl"�cabte laws regulating construction zoning and land
<br /> deveiopment. Application Is hereby made to�obtain a permlt to do work and instal�ation as Indicafed_ 1 certify
<br /> that ho Work or installation has commenced prior to issuance of a per•mit and�that alt work w1U be performed to
<br /> rneet standa�ds of all laws regutatfng oonstruction, Cpunty and City codes..zoning regulatlons, and land
<br /> development regulations in the jurisdiction. l also �ertfiy that I understand that tt►e regulatlons of other
<br /> . government agencies lnay apply to the intended work, and that it is my responslblllty to identify what actlons I
<br /> mustfake�to be in comp�lance.
<br /> tf I am the AGEN7 fOR"THE oWiJER, t promise iri good faith to Inform the owner of the permitting conditions set forth in
<br /> thts affidavit priar to commencing construction. �I understand that a separate permit may bs required for electrical work,
<br /> piumbing, signs, wells, pools, air conditianing, gas, •or oiher lnstallatlons not specific�lly Included in the application. A
<br /> permlt [ssued shall be construed to be a Iicense to proceed with the wQrk and nof as authot'ity to violate, cancel, alfer, or
<br /> set aside any provisions of the technical codes, nor shalf issuance of a permit prevant the �uildtng. dfficiat from thereafter
<br /> requiring a correction o# errors in plans, construction or violatlons of any codes. Ev�ry permlt Issued shall becoms invalid
<br /> unless the work authorized by such permit is commenaed within slx months of permit Issuanre, or If work authorized by
<br /> the permft Is suspended or abandoned for a period oF slx�(6) months after the tlme the work Is cammenced, An extension
<br /> may be requested, in writing, from tha B�illding Offlcial for a period not to exceed ninety (90) days and will demonstrate
<br /> ' )ustifiabte cause for the extenslon. lf work ceases fior niriety (so) consecut�ve days, the Job is considered abandoned.
<br /> 'WARNING TO OYVNER: YOUR �AIL'URE TO RECORD A'NOrTICE'OF ;COt1AM�NGEM�NT Mi41(�R�SULT IN'YC1UR ''
<br /> PAYING'iWIC� FOR IMPROVEMENTS�TO YOUR PROF'ERTY. IP YOU INTEIVD TO OBTAlN �INANCING, GONSULT
<br /> WITH UR LE ER 0 N ATT RNEY EFOR� RECO ING dUR NO ICE OF COMMENC�MENT.
<br /> FLORIDA,JURAT(F.5.1 � ' : ,
<br /> OWN�R �RAGENT CpNTRAG70
<br /> s �sc�t bed and swom (or , ihis S�sy (or afflrtne�� ihis
<br /> 51 b I Zo� t Jyy `�nc'QCl f •
<br /> Who Is/are ersona known to me or has ave produced Who Is/are peYSOnall �� to me or hasltlave roduced
<br /> • as Identification. y N 1 Ft as idenUflcaqon.,
<br /> �
<br /> Nvtary Public �"�----� NoOAry Public
<br /> Comm(sslon o. .� ( Commissfon No. l.�� �� �
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<br /> Name of Notary aped; printed o� stamped Name of No�ry q�ped, prinled�or stamped
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<br /> MI"fZl VANCE - HI�'ZI VANCE
<br /> co�oH � ooq�aoeo ra�w,r. oo�v�,sa�oH �r ooq»aeo
<br /> n�ieuc E�O�IES OCT 09 2013 � �(KT��� t!
<br /> ��� � � � /f1 NlNIMICt 1�GAMMN
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