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12-12961
Zephyrhills
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Building Department
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2012
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12-12961
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Last modified
2/12/2013 1:00:18 PM
Creation date
2/12/2013 1:00:17 PM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
12-12961
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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�NOTICE OF DEED RESTRICTIONS: The unde�sig�n�ed �he undersigned a'ss�umes�espons bilbry fort�mpl a�e w th any <br /> which may be more restrictive than County regulat <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND bONeRAe�T.o be E enOedSiBac'coEdance wth s ate and locale egulationrsc Ifrthe <br /> cont�actors to undertake work, they may q <br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem�an�oP vio ation <br /> under state law. If the owner or intended contract o Count cBu Idingslnspectionl Div s on feL cens'mgtS ction at 727-847- <br /> intended work, they are advised to contact the Pasc Y <br /> 8009. Furthermore, if the owner has hiredl'cationtfor which�theyrwill be esponsbleetlftyouaas the ownteasign asstge <br /> portions of the "contractor Block" of this app erl licensed and is not entitled to permitting privileges in Pasco <br /> contractor, that may be an indication that he is not prop y <br /> Counry. <br /> CONSTRUCTION LIEN LAW (Chapter 713 ovided wSh a tcopy of rthen�F o)ridla Clonstructio� L en L aw00Hom owne's <br /> certify that I, the applicant, have been p licant is someone <br /> Protection Guide" prepared by the Florida Depa�tment of Aof thetabove des�ribed documlent and prompse in good faith to <br /> other than the"owner", I certify <br /> that I have obtained a copy <br /> deliver it to the"owner" prior to commencement. that all the information in this application is accurate and <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I cettify �icable laws regulating construction, zoning and land <br /> that all work will be done in compliance with all app� <br /> development. Application is hereby eneed� �orto s uancle of a p t and'that lalltwork wiNdbe performed'to <br /> that no work or instaltation has comm P <br /> meet sfandards of all laws regulating' {o�nstr icaiis �°���thatdl ulnde saand that heeregulatonsaof oths I <br /> development regulations in the �unsd <br /> government agencies may apply to the intended work, and that it is my responsibility to identify what action <br /> must take to be in compliance. ood faith to inform the owner of the permitting conditions set forth in <br /> If I am the AGENT FOR THE OWNER, I promise in g <br /> this affidavit prior to commencing construction. I sn oerothe�r inst I�lat op sr not specifical�ly bnc�dedred he alppli ati eor�, <br /> plumbing, signs, wells, pools, ai� conditionmg, ga , <br /> permit issued shall be construed to be a liceeSenor shall is�sua'ncehof a pe mitprevent thehBu ding Offi eal from the eafter <br /> set aside any provisions of the technical cod , ermit issued shall become invalid <br /> requiring a correction of errors in plans, construction or violations of any codes. Every p <br /> such ermit is commf six 6Wmhonths after�the fimPe thetworkasCCOmmenced. Anhextension <br /> unless the work authorized by P <br /> the permit is suspe�ded or abandoned for a period o ( ) <br /> for ninet (90)consecutive days, the job is considered abandoned. <br /> ma be requested, in writing, from the Building Official fo ya period not to exceed ninety (90) days and will demonstra e <br /> Y <br /> justifiable cause for the extension. If work cease <br /> W <br /> ARNING TO OWNER: YOUR FAILURE TO RECOROPE TM TIF YOU INTOE DETO OBTA NnFI�NANCSNG,rCONSULT <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR P <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 me his bY <br /> by Who is p tsonally known to me or haslhave produced <br /> Who is%are personally known to mas dentificaU'oProduced <br /> as identfication. <br /> Notary Public <br /> Notary Public <br /> Commission No. <br /> Commission No. <br /> Name of Notary lyped,printed or stamped <br /> Name of Notary tyPed,printed or stamped <br />
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