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CONTRACTOR <br /> RECONSTRUCTION/IMPR4VEMENT AFFIDAVIT <br /> (NOTE: If there is no contractor, the homeowner may complete this packet.) <br /> PARCEL ID NO.:_S � ( -TZ� - �Zl - s�n�i ooe�o -3�k�c�3oo - lo}- Ol�o <br /> PROPERTYADDRESS: 3� ��17 rlc�...e�l?- J�Gj �.��L�,�r�1�-�«S �Z- 3 3S�/ <br /> COIVTRACTOR NAME: .�H,�.�P S ���y`e"� 13'''"C� <br /> ADDRESS: �`�S� �.A,����eri�-� �z�( �Z� �G�T�.��— � 33��Z , <br /> LICENSE NO: �' CC L�32�e�e 3`� PASCO ID#: <br /> TELEPHONE: `�Z1 � ZZ�� ��`� � <br /> I hereby attest to the fact fhat I, or a member of my staff, personally inspected the above-mentioned <br /> p�opertq and produced the attached itemized fist of repairs, reconsfruction, and/or remodeling list which <br /> are hereby submitted for a Substantial Damage/lmprovement Review. These damages/improvements <br /> are ALL OF 7FIE DAMAGESIIMPROVEMENTS sustained by this structure, and that alI additions, <br /> improvements, or repairs proposed on the subject building are included in fhis estimate. <br /> l understand that I am subject to enforcement and penalties for violation action and/or fines if the <br /> inspector of the property reveals that f have made repairs or improvements NOT INCLUDED ON THE <br /> ATTAHCED LIST OF REPAIRS/IMPROVEMENTS TO THIS STRUCTURE or any nonconforming or <br /> illega! structures/additions or repairs is included to the existing structure without having presented plans <br /> for such additions. 1 understand that any permit issued by Pasco County pursuant to this affidavit does <br /> not authorize the reconstruction, repair, or maintenance of any illegal additions, fences, sheds, or <br /> nonconforming uses or structures on the subject property. <br /> SEE ATTAHCED ITEMfZED L1ST TOTAL LABOR AND MATERIALS $ 2�. �-�� <br /> OVERHFAD AND PROFIT $ l� � `v� <br /> TOTAL COST $ �� �, g�� <br /> /'� '�� � c' — <br /> � -��— � �—� <br /> � -RACTOR SIGNATURE DATE <br />