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11-12107
Zephyrhills
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2011
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11-12107
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Last modified
5/10/2012 9:19:20 AM
Creation date
5/10/2012 9:19:20 AM
Metadata
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Building Department
Company Name
CITY OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
11-12107
Building Department - Name
GALL BOULEVARD LAND TRUST
Address
6020 GALL BLVD
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VOTI:.c O� D�=D R�STP.IC + 10�lS Tne undersig unders,ands iha: Clll� R °���i� n'��:� �° �ub�ec; 'to °d°ed"�restrlc'tions <br /> nihicr may be more restric'tive than County regulations The unde�signed assumes respor,sibility ror compiianc� with �rr, <br /> �pplicable deed restrictions <br /> �n w r.�n r�r. n n r�-^nO PCGJ`Q�r�. i� ti12 G'vvi i2' Ii2S i�ii 8v u CO i�� aCiO" G� <br /> vi�lLli.�i�1j D COIJ I ��H�+TGr.J r1i�v �.vidTr�r�.. 1 v�. ..- � � r r � �` p Y �i ' rp�i_11.�ltiO�ls 1 !he <br /> �ontractors to u^da':a"° 4Vnr}c thYy rT�ay b° (ZC�LIIf2G io be licensed in a..co� uanc„ r�ith s:a't., n� loca, <br /> �onvac'.or is rot li v P vRSA� �s re ����PJ by I��ni, botn the owner and contr��.kor may be ci'ted f�r � misciemeanor violaiinn <br /> ander s'tate law If tne o�rrner or intended contractor are uncertain as to wrai licensing requirem�nts may apoly for tne <br /> ntendeC work, th°y are advised to contact the Pasco County Building Inspection Division—LicensinG Section at 727-84 �- <br /> �009 Furthermore ir the own°r has hired a contractor or contractors he is advised to have the contrac'cor(s) sigr <br /> �ortiors of tne "con�ractor Slock" of this app�ication ror whi�h they vviil be responsible If you as the o+,vner si�n as ±n� <br /> �ontractor. tha: may be an indication tha`. he is nct properly licensed and '+s no� entiJe� tc permittir�G privileges �� Pasce <br /> : ounty <br /> CO�lS i RUCTION LIEN LAW (Chapter 713, Fiori�a S.atutes, as amended) If valuation o` work is S2.500 00 or more <br /> ��rtiTy tha: I, the applicant. have been provided with a copy of the "Florida Construction Lier, Law—Homeown°r's <br /> ?rotect,on Guide" prepared 'by the rlorida Departm°nt o` Aariculture and Consumer Af�airs It the applicant is someone <br /> �ther than tne "owner", I certiiy that I have obtaine� a copy o: the above dsscribed document and promise in good faitn io <br /> �elive- i; to the `owner" prior to commencement. <br /> CONTP.ACTOR'SIOWNER'S ArFIDAV(T I certi"ry tr�ai all the information in this a�plication is accurat° anc <br /> tha: all work will be done in complian�� wit'r� ali applicable lativs regulating construction, zoning and lanu <br /> deveiopmen!. Application is here�y made to o5tain a permi� to do work and instaAatior� as indicated I certiry <br /> that no work or installation has commenced prior to issuance of a permii and that alf work will be peROrmed to <br /> mee! standards o` •ail laws regulating construction, County and City codes, zoning regulations and land <br /> developmen+, regulations in the jurisdiction. I also certiry tha! I understand that the regulafions o` other <br /> government agencies may apply to the intended work, and tha; it is my resporsibility to identify wha`. actions I <br /> must take to be in compliance <br /> �- � Qm �ti� ��c�.i F(�R 'j"NG O1�lNFR, 1 promise in aood raith to inform the owner o� the permitting conditions set rorth in <br /> this afri�avit �rior to commencina construction I understand that a separate permit may be required for electrical work. <br /> plumbing. signs wells, pools. air conditioning, gas or other instailations not specificalfy included in the application A <br /> permi? issued sr�ali be construed to be a license to proceed with the work and not as authority to violate, cancel, alter or <br /> se; aside any provisions of the technical codes, nor shali issuance o; a permit prevent th� Building Ofticial from therearter <br /> requiring a correction o` errors in plans, construction or violations of any codes Every permi; issued shall become invalid <br /> unless the work authorzed by such p°rmit is commenced within six months or permit issuance, or i� work authorized by <br /> the permit is suspended o� abandoned ror a period of six (6) months after the time the work is commenced An extension <br /> may be requested, in writing irom the Building Oniciai for a period not to exceed ninety (90j days and �vill demonstrate <br /> justiTiable cause r`o; the ext°nsion If work ceases Tor ninety (9J) consecutive days, the job is considered abandone� <br /> WARNING TO OWN�R: YOUR FAI�UR� TO R�C�RD A NOTICC O� COMM�NCcN1cNT MAY RESULT IN YOU� <br /> Pl�YING TWICE FOR IMPROVEM�NTS TO YOUr. PRrJPERTY. Ir YOU INTcND TO OSTAIN rINANCING, COhSJ! T <br /> WiTH YOUR LEND�R OR AN ATTORNCY BCr=OR= F,=CORDING YO"JR NOTIC� OF COMM`.NCEM�NT. <br /> �! 'J�1 �A JU?AT (= = i 1' 03 <br /> ONyN=R OR AG�NT CONTP.ACTOP. <br /> Subscrioec ard s�:cm to (or affirnedi oeiore m= tn:s <br /> Subscr�e� and swom to �o' afiirmed� oeiore m� this bv <br /> �N�c ��-ar� p°rsanali� knoevn t� m:; or ha�'hav� pro�uceC V'rho is;are personaily K��wr [c m� or ^zs/nave proCuc°C <br /> _ - ' a, i�entificatior <br /> as iaentiri�aiior <br /> I��G;O� ='��.il <br /> N ��z', ?Uti � - - - ----- — -- - - - - -- - <br /> , :1."� i � � :I'J � ��'. _'--_-__ .-" <br /> .,�mm��s�r �io --- - - ------------ - ----- <br /> —_—`— !�;."iE G ivGi3`. �;/�✓°-'= ,`�� ii �ic"�' O" S�aTDci-' '--- <br /> , � ., '•j(:13 I �ifl^:=.. .." S.col'1D3.. ' <br />
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