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<br />NOTICE> OF 'DEED. RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br />which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County.
<br />CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than-the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
<br />that all work will be <lone in compliance with all applicable laws regulatingdconstruction, zoning and land
<br />development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
<br />that no work or installation has commenced prior to issuance of a permit and that 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 />government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
<br />musttake to be in compliance.
<br />If lam the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />maybe requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR 'FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERrv.IFYOU It,lTl;tjDTOOi:STAlf1lFINANCING, CONSULT
<br />WITH Y-()UR;L.eNDER_OR,AN'AtTORNEVIBEFORE~REdORDIN(;;YOUR' .." -riCE OF OMMEN CEMENT .
<br />. ,. UEttc)RIBAilBRA-T!(E;-SJ'117t03) ;
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<br />. - - __ - ._u _____+ __ _ -- ---- --. --" ~-,... -- - .
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<br />...~.
<br />CONTRACTOR ;::::....-c.... .....
<br />su~cribed and sworn to (or affirmed) before this
<br />~ r../c;17 by
<br />o is/~~l!rCll'c1l1y kn~to me or haslhave produced
<br />. . as identification.
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affirmed) before me this
<br />, by
<br />Who is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />Notary Public
<br />
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />.
<br />Comm# 000728322 5
<br />Name of Notary or ~ 111912011 :
<br />. ~'~.P florida Notary Assn.. Inc 5
<br />................. ................... ..... .... ..;
<br />
<br />Name of Notary typed, printed or stamped
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