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, . <br /> owNER <br />, RECONSTRUCTIDN/IMPROVEMENT AFFIDAVIT <br /> PARCELIDNO.: S3 -T'2'�-�- Swbd(70D-�3I�� �?19�(�D- o ���� <br /> PROPERTYADDRESS: �.j�-1 J 4tw�cLt�Y-i IZ� `�Q-i�l'�-irY��"<<S �L 3 3 -�L`l <br /> CONTRACTOR NAME: �h'��� I3oSc��� <br /> LlCENSE NO: C \ 3Z�P Ce � `'1 _PASCO ID# <br /> OWNER NAME: r,��^ K- Y'(,�� �r-�o�,?e- ��`� — <br /> ADDRESS, ��17U4' I c��� ��� �� CC-�� _ <br /> TELEPHONE: ��� - 2 Z�v � � ��� <br /> I hereby attest to the fact that the repairs/reconstruction and/or remodeling list submitted from the Substantial <br /> Damage/lmprovement Review by my Contractor are ALL OF THE DAMAGE/IMPROVEMENTS sustained by <br /> this structure and will be done to the existing building, and that all additions, improvements, or repairs on the <br />' subject building are included in this estimated construction herewith. No other contractor has made any <br />' repairs or reconstruction or additions or remodel9ng not included in the attached list. <br /> I understand that 1 am subject to enforcement action and/or fines if inspection of the property reveals that I have <br /> made repairs or improvements NOT INCLUDED ON THE ATTAHCED LIST OF REPAIRS TO MY HOME , or <br /> that i have included nonconforming or illegal structures/additions to the existing structure without having <br /> presented plans for such additions. I understand that any permit issued by Pasco County pursuant to this <br />, affidavit does not authorize the reconstruction, repair or maintenance of any illegal additions, fences, sheds, or <br /> nonconforming uses or structures on the subject property <br />� Signature Owner"* Co-Owner*'` <br />' **A Contractor for the owner may sign this form for the owner. <br /> i —� <br /> ,� <br /> .J-��'. - <br /> _. � <br /> � <br /> I <br />