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<br /> - �Na`PiCE:OF:DEEDREST ��CTIONS: �The_unciersigr�ed understands.ffiatttris permit m�ybe�su6jectita'�da�d"�restrictions"�• .�
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<br /> - �vtiich�rr►ay be i►�ure�resfilc e�tf�ar�.Caunty.r�gulations. The�.�ndersigned.assumes:r�spons[b�lity:fiQr:cbmpli�r�e=u�ritEi:ar�y. • •
<br /> �.appifaabl�_d��d;,r`es��icfi�r� � ; ` � . . � . .� " .
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<br /> `UNL;IGENSED�GQNTRiAC ORS..AND-CQNTRAG'i'QR R�SF',OI�SIBiLiTIES:. [f-the owner �I�as't�iied-�a�aontracMi�.or•� •,=
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<br /> �pnt�acfars�`ko unilertake vv' k, they may be:requii-ed=to.:be iicensed-f�i`accordance'wifli.state arid iocat�regutafians.. If:the ,
<br /> - cbntractqr,is not.licensed '� r�quired;by law,.b.oth�the,qYutaet._and;:contraetor may Ea� cited�or�:m�sder�eanor viola�ion
<br /> ' tiride�state"1auv: tf the`:6w s'er or mtended contractor ar.e'uncertain.as�to whaf[icensing�requfrements.tziay�ppty fo.r. ths
<br /> ..:iniended work,.they are<ad'sed;,to confact:ttie=Rasco Gounty Building Inspeetlon.l7tvi�ion=Licensing Sec6on.at?27=847: -�
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<br /> � 8009, Furtf�ermore,__if.;th qwner has hired.,a aontractor.or co�fracto�s, ,Me..is advised;to have-the 'contractoi(:s).sigri'�
<br /> ,..�portions.t�f the acontractor:�lock" of:this.application;for wHichrthey-wtlf°be.respon�lbfe.:''tf you; as�the.owner�sign as:fhe
<br /> cot�tractot, that inay:be an ndiEafion thaf tre:is�n�t prope�ly lieensed�nd is not�enGtleii•-to�pe[mit�ing.privileges.in #��sCa -
<br /> -County: , ., _.;,., _ .. . _�� ; _ - - � - �. -
<br /> ' CONSTRUCTION.:C:tEN.. ��111.(Ghapter713,.F.larlda Stafutes,:as.:amended): :if�vafaatior�of v�tack.is�2;�00,q0 or ajioie;I '
<br /> cet�tify that�t; �the �appiica have heen provlded with a copy of�tfie. "Florida:�-ConstructiQn Lien Lav�—Hotneoitiner's
<br /> Protection Guide° prepafe: ,by�the Florida De,partr�tent:qf Agricuftur.e:and Consumer AffaiFs; if#he:applicant is��soineone
<br /> other than the°owner",:�I c ify that I have obtained a coPy of'the above described docament and prflmise:in.good faitfi to
<br /> �leliver.itfo the"owner"pri,„ito commencement. � _ �
<br /> - CONTRACT�. �'.S/.OWNER'S'A�FIDAVIT: t certify that alt.the ir�formatian in this::application is.a.ccut'a�e and
<br /> .that.ali work '�I be done in:,coinpliance Vvith :afl_applicabl�.iaVus r.egulatlhg. constructiDn, zoning and tand
<br /> � developmepf., . ppiication..is tiereby inade;to abtain a.pe�rf»t#o do d,ro�k and:instatiation�as indicated. l,ceitify
<br /> that no workoritisfailafiori has�orrirnerteed prior to issuance of a:per�rtit�and=tfiati alt inror[c wilt'be:performed:to `
<br /> �rneeE standard,:, o#.afl..laws' regu{ating construction;. CoUnfy'a�d Ci�y codes;.zonirig regulatians, ancl land �
<br /> cievefopinent r'gulations iri tlie-ju�is�iction.. I also ce)-tifiy that_ 1 understand that ttie regulations ofi otfier
<br /> ;.governm�ent ag t�ncies may apply fo�#tie intended work, ahd#hat.it is my r�spansibilifyr�to.idenfify what actior�s( "
<br /> must faks�.to..b. t n compl'iar�ce.. ' •
<br /> {f 1 am fhe AGENT:�OR"�'.���OWNER, f.prprtiise;in gaod fiaith#o.inform ihe owner of the pe�mitting:conditions set:forth in
<br /> this affidavit pri�ir tci comm �ncing construction. t under.sfi�and that.a;separate permit may be required.for ele�tric2il:work;
<br /> ptumbing, s%gns, wells; po '�s, air.conditioning, gas,�ac,pther fnsfallat►ons nof �pecffically included in`#he applicatiori.� A
<br /> permit.issued.shalt.be.con trued.to be.a licerise to pr�ceed wfth tha�+v�rk and not as autho�lty fa vioiate, c�neet,atfer, or
<br /> set aside any provisiiins of �ie fechnical codes,��or shall:issu�nce of a permit pievent#�te.Building CJfficiai from thereafte�
<br /> requicing a carreetion of e '.rs i�.plans,consfri.ic#ion.or viofatior�s af any:ccades, Every permit:issued shalt 6ecome invatid .
<br /> unless the work aufhQr.ized; y sucli perinit is comrrierlceci vuithln.siz monfiis of permit 9ssuance, or.:if yvork aUthoi'l�ed 6y
<br /> . the°.permit Is�susp�rided oi- ;t�andoned for a perind of.sfx(B)mqnths:after fli�:fime.the vuotk is cammenced. An extension
<br /> m�y:be reyuested,:iri'writi ' ; frsim the Building Qfficial for a period nof to�e�c�ed hinefy (90.)days and.°w'i(i.demonstrate
<br /> jus�ffi�ble cause for fhe eX� �,sion. If wqrk ceases for ninety(90j cons�cutnie ciays;.the)ab is aoti'sidered abandoried; '
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<br /> WARNING TO pWNER: �QUR fA1LUR�.T� RECORD A`NQTiCE"OF COMM�N�EMENT IVIAY`Ft�SULT IN'YOUR. `
<br /> PAYING'`MfICE.FOR:IMP �i .VEM�NTS'"�'C1 YOUR PF�OP�RTY.. :IF,YOU 1NTENG'TQ:OBTAtN FINANCIN:G;GONSULT
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<br /> WfTH YOUFt LENDER OR tJ A ORN�Y BEFORE RECORDING DUR N�TICE OF:C E CEMEN .
<br /> FLt7R,1DA::ltJ,ft�r't`�(F:..1�'T.03) �� �
<br /> Cl ER dR AQEN F� CC1NTl4q'CT R � `� .
<br /> y scr'i �d svirorn (or tv�'` e e th�s ' $u �d d suiom to a r ) r me#his
<br /> � ;by . � ( , . .r :�✓ 3 / tly,: �- . o�..i.So.✓
<br /> oislareper�:k[iown_.¢m. orhas/Y►atieproduced VVho.is/ar persorial : own'to eprtias/have,°p�oduceti. , •
<br /> ictentiftcatlon. as:id�,tr��ason.
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<br /> _ _ ,_ ��� o�Y'' PATRICK D.COOK
<br /> z� `�e�"� Commission#E�162220 �Y o�e PATRI�;K D.COOK
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<br /> ` �Cor�misslon tyo, p ~'!i pi�°`��, ��dedThtu7royFai�Insurance300-385-7019
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<br /> , Narrig of Notaryly�ied;pr"uit'etl or mped iJame:pfNqtarytyped,pririfed otstamped ,
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