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11-12417
Zephyrhills
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2011
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11-12417
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Last modified
6/11/2012 1:37:41 PM
Creation date
6/11/2012 1:37:39 PM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
11-12417
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 subject'to�"deed"��stri.tir�ns" <br /> which may be more restrictive than County regulations. The.undersigned assumes responsibilityfor:complian�e with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESP.ONSIBILITIES: ff the owner has hired :a 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 misdemeanor violation <br /> under state law. If the owner or intended contractor are uncertain .as to what licensing �requirements may :apply for the <br /> intended work, they are advised to contact the Pasco County Building Inspection Division—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 /> po�tions 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 /> County. <br /> CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.as amended): If valuation of work is $2;500.00 or more, <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection 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'S/OWNER'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 certify <br /> that no work or installation has commenced prior to iss�ance 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 certify that I understand that the regulations of other <br /> govemment 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 FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> fhis affidavit prior to commencing construction. I understand that a separate pe�mit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifica�ly included in the application. A <br /> permit issued shall be construecl to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work author'¢ed by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension <br /> may be requested, in writing, ftom the Building Official 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: YOUR FAILURE TO RECORD A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN TT RNEY BEFORE RECORDING YOUR NOTICE OF MENCEMEAIT. <br /> FLORIDA JURAT (F.S. 117.0 <br /> � <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 ersonall known to me or has/have produced <br /> Who i s/are personally known to me or has/have produced P y as identification. <br /> as identffication. <br /> Notary Public Notary Public <br /> Commission No. <br /> Commission No. <br /> ed, rinted or stamped Name of Notary typed, printed or stamped <br /> Name of Notary typ P <br />
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