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NO ICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> whi h may be more restrictive than County regulations. The undersigned assumes responsibiliry tor compliance with any
<br /> app icable deed restrictions.
<br /> UN CENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> con ractors to undertake work,they may be required to be licensed in accordance w+th state and local regulatians. If the
<br /> con ractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> und r state law_ If ihe owner or intended contractor are uncertain as to what licansing requirements may apply for the
<br /> inte�ded work,they are advised to contact the Pasco County Building Inspection Division—Licensing Secaon at 727-847-
<br /> 800�. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> port ons of the"contractor Block' of this application for which they will be responsible. If you, as the owner sign as the
<br /> con�ctor, that may be an indicatlon that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Cou ty.
<br /> CO STRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended�: If valuation of work is$2,500.00 or more, I
<br /> cert�fy that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
<br /> Prot�ection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> oth r than the'owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deli�er it to the°owne�'prior to commencement.
<br /> CONTRAC70R'SlOWNER'S AFFIDAVIT: I certify thffi 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 /> develapment. Application is hereby made to obtain a permit to do work and installation as indicated. I ce�tify
<br /> that no woric or installation has commenced prior to issuance of a permit and thet all work will be performed to
<br /> meet standards 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 m the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�idavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plur�bing, signs, wells, pools, air conditloning, gas, or oiher instaflations not specifically included in the application. A
<br /> pe it issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel, alter, or
<br /> set side any provisions of the technicai codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> req iring a correction of errors in plans, construction or violations of any codes. Every permit issued 5haf1 become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if vuork authorized by
<br /> the�►ermit is suspended or abandoned for a period of six(6)months after the time the work is commenced. M extension
<br /> ma be requested, in wrRing, from the Buitding Official for a period not to exceed ninety(90) days and will demonstrate
<br /> justi iable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. ,
<br /> WA NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PA ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTIf. IF_YOU I_NTEND TO OBTAIN FtNANCING,CON T
<br /> WIT 'YOUR LEND TT RNEY BEFORE�RECO OING:YOUR NOTICE OE:COMME CEMENT.
<br /> FLORIDA JURAT . . 17.03) " -- � - --- - ` - - -
<br /> OWt�ER OR AGE CONTRACTO ' '� � �5����
<br /> ub + bed and swo r o e Is Subs bed swo o(or affirmed)before e this
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<br /> �s/are pe o alty,known to me or hasThave produced � {Nhi Is/a perso ally known to me or haslhave produced
<br /> �/i�� C��as ldenUficallon. as tdentificatlon.
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<br /> Narti of Notary lyped,printed or a ped ' Name ot Nolary ty d;printed or stamped - - �%'r,.,.
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<br /> "P�••. LEASA K.GILLISPIE � �' �-
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<br /> � * �� Expires October 18,2019 '�`� � MY COMMISSION&EE 846�90 -_ -, ^- "�^
<br /> P '� EXPIRES:November 1�,2016
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