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<br /> `'; �hl(3:1`IC�:OF:d��bR�ST..1CT(ONa; 'The-undersigneduriderstan�is�#fiatiftispecmitm�y;6e�subJec�ito°"d�ed";�restrictibns" -
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<br /> wtiiGli may:lie rp'qre�tesf�IG e.'than.:Gral�nty r�gulations: 'Th��.u[idersigned.assumes:r�spo�sibility:for:�ampliar�e«nrith any .
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<br /> ,'::applicabla de�dtes�frictian ;,. .� ; ;.. :_._..,;��. . • ... , _o ,
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<br /> ' UNL:IGENS�D CDNTR�C OR� .�ND-GONTF�CTOs.�t��SF'.DIV�I�lLITp�S:. (�-fhe owner �has t�ired�a�contraetd�:or- '
<br /> Gohtractors�`to untlertak���iA't' i�; th�y may be:requirerl��to.:Ei�=l�cerised`i��accoi-danee�wifli.st�t��rid Iocai=regulafivns_.. If.tha
<br /> ' con#racCqr:;is:nof lieens�d.:` required,by,law,�fioth tf�e:ay�,r�et.�nd::cohtractor m.ay:b� ctted fior°a�.m�sdemeai�or violation
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<br /> ' Urider'sfat�1aw:' If the`-ouv i er ar intended. contractor ar.e uncertairi.as�to riviiaf lic�nsing'reqUfretiienYs. may:apply�for�,fhe
<br /> .:intended:work,,theyare�;ad sed�ttrco�ifact.:t,tie�=PascoGpu��i�BuildiMg:lnspectiott.�IDivision=t�icensing�S�eetion:at'727=.a.4�
<br /> '8008; Furth�rmore,,if #h �owner has,fiited a conftacta��oh cQntractors, ,he..'is �dvised:fo have�the cotitra�Co't(s)_sigq�
<br /> :.._portians of the�`con4raotar:�lack":,of:this.application#c�ruvHicfirthey-wilt'�t�e.responslble.:''If.you; as•tFie.owner�sigri as #fie
<br /> ' ao�traot��; that:inay�be an�ndi�afion thaf he:is�n�t:�rop��ly li�ensed aPtd is not�entitl:ecj�-to�pe�mif�ing�.privfieg�s ir� Pasco -
<br /> , COUflty: � .,;; _ :•: . _� .; _ - ;..:; : .;. •
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<br /> � ' CORISTRU.C`TION.:�I�N•.. ..:v. .(G6iapte�'7�I��..Floeid�5taf[�E�s�_�s::am�t�d�d)> .1fi�vafuaEion p.f..woF{�.is'$2;5Q[�;QO or iiiore, I
<br /> eertffy �fhat�1,.�the :applica� � �fiave����e� prnvitled with: a capy :nf�'tfie. "�Iorida:�":�Construction Lien Latnr:-=Hoii�eovuner's
<br /> '� PrbtectlQn :Guide°�:�re�a��: �. '
<br /> p p.. by�th� �lor�da De,partiilent::of�Agriculfur.e�and Consu►imer Affaifs; :if.ttie:.aqpli�ant:is:soir��one
<br /> oiher than.th�'�ovuner'�,_I:c' .i�y that I have.obtained�a copy ofthe above deseriaed document and�promise in gbod faith to
<br /> •deiiver:it fq tlie"owner".pri;,jto coinmencement.. � _ :
<br /> �� - CQNTRAGTQI,'SIOWNER'.S�AFFIUAI/IY`. l..cecflfy that alLfhe inform�tiorr in:this:application is.aecUrat�and
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<br /> , • thaE.alf��wor{c� :�I b,e �ion'e iri:.cotnpliance Vvith:all ap{ilicable IaUus regulating con$fructiort, zoriin�, ancl Iand
<br /> _ , � devefopme�if., ; pplicatioq.is i5ereby i-nad�;to obtairi a.pe�Xnit:to dd virork and:imstailation�as.indicated', ( certify
<br /> �thaL no wock b�;'ns�aUafioTi has�iitritiiettced prior.to Issu�ri�e o��a:pertr►it�and=ftiat aIC Work'wilt'be.performed:to
<br /> ; -ri���E stariaa'rd.� ofi .sil.:laws' regulati►ig cvnst�uCti.oti;. GcSunf�r':and CiEy cotles;..zbnirig. regulatians, and land �
<br /> de.vefopm�nt r i�ulaEions iti ttie-)u�isc�iction,. i ais.o ce}tify tliaf= I i�n�erstanc! that tlae r.egulatian� of otfier
<br /> ` ,•.goyernrrlent.ag, hcies may app[y fo•ttie in�entled wor.lc,,a�d that.it is myresppnsibiliky°tv idetifify what actions I '
<br /> r tnust talce�.to..6. �n Gorn.pliance.. '
<br /> ' If I arp.fF��:i4G�NT:�QR"f ;�;UVIINER, (.prprriise:,tn,gaod�faith to.itifotm:the owner of the�p��rt�ittir�g:eonditibns set:'forfti in
<br /> . thfs:aff'idavit prior to.comm a�ncing�eonstruciion. I uncfer5tand th�t:a�separate permit may be �equired�foc electrical:worlc;
<br /> plumbing, .signs; wells; po '�s, air'�onditidnfng, gas,-Qr,ott�er fnstallations.nat_speeff c,ally iricfuded�in�fhe applicatiori. A
<br /> ` permit.issue�i.slaalf.be..con �rtieii.fo be.��tie��se to pi'c�ceed witt�.tHe u'vr5rlc�ntl tiot�as autharity fc�violat�,.cancel,alter, or
<br /> ; set aside any provisiqns�f t�lie�fechnical cotles, �or shall:�issu�rice�.of a perrri'it}icevetit..tf�e.Building�Officiai from thei-eafter
<br /> ; cequicing a.correetiori.�af�er 'rs i�.plahs,cbnsfrucfion.cir vialafia�is bf�any cqdes, �very' perrriit�issu.ei3 shall 6�et;me invalicl
<br /> �2 . unless the woiic awfhor.ize:d_,y.such�periniE is•�omrri�rlcetl within•siX itiiontfi�:of perrriit 9ssuance_T or..f�work:authorized hy
<br /> the.pe[1YifX is susp�ended�nr;b�nddned for: a period Qf.s{x(Bj rpqrifhs�:afte��tkie firtie.tha vuotk is cdri�menced. An extension
<br /> riiay�:��.reque5ted,:in':wrlti ��.f��in�the;�uildirjg:C3fficiali for a pe�iod nofi�o-e�cee��hlnefy (90.) days and°�ni'ill.dem:onstrate
<br /> just�i�lile.c�uSe.for fhe e�t{ �is►on. ��1f w4r.k,Geas�s for rimefy�(9b}��con$��ufive days;.the�jati[s cor�'siderec�abaniiori�d�.
<br /> WAF2NIN�Cti:TQ QjfV'NE�: .�FifJUR FAILL1Ft�.TCS::iZECiJ�D��'NC'1'6'IC�:'�F-_�tJlI1JIIVI�NCEIVIEN'T M�Y�F.�S�lL.T IN`YOU6Z
<br /> PA1fIN�:`['Y111C�FOR:IMP.�; ,V�M�NTS:��CJ�O.vR�'R1DE�ERT1f..?IF 1((J07.1i�17EtVL,1 TQ�OBTAIh1:�INANCIN:Gi CUNSUL.T
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<br /> lA[iT 1(_OlJ6�L:FAIDEit.OiZ' �J.RTTORN�Y:��F�RE RECC3.RbSNG: OUR�NC)TICE OiF:GCdMM�h[CEM�NT:
<br /> �LOF�IDA::IUR:%i(F;_.1�7.03}..:F! . .. ., . . ,--- . ` . . . .
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<br /> I OW .ER C1R AGEN .�.�. �—�� CUN7'RA:GT 12 l.i r- 'Y�
<br /> $r scri �d�tidswo�ii �or. tfi�' e atlt�s � $u s eii:�,ridswornto: a1�� d) ' or:.meft,is
<br /> . l :by . �� �.' �.�_S�e--! . ��� by L�� . ��...rSc�"�
<br /> o islare per'sop�lly known, •m.:ot�haslhaye produced Vllha:isfai :pe�sonalf. : oVim`to e'brfia57haiie(p�odUced. .
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<br /> � . �idenfificatioil. � � �8s:filentifi�alior�
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<br /> ;„Y; I�AT�,ICK D.C001C ;' ��,�v,s,.�R����,,���.R.,��
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<br /> . �.. .� ��� .,,:` .*-.Commission#E� 7 ,�,�, .��� �y�(P�'•ri PATfZ1C3C D.COOf< �
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<br /> _�� = r i'res���r�dElt�(i� _ _���':«= Commission#E��,'¢�1�t� �Pu 'tic
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<br /> �� .w�� ':;oF�°T, [to4ied Thn�7roy Faln I%uranw a00-S�G-70ty �
<br /> Commisslon No, .. � . �1����. ¢ammission No, .. °
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<br /> Nairja of Not;�r}r.typed;printei�or ;�mped� Nairte:p�Kfqlary typed,pririfed ot:sfamped ' ,
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