|
<br />__."'_...a.__..__....-~-----..~-"'...-.~..............,.-. ..--..---...-- . p
<br />
<br />HNOT,ICE.OF-',DEED"RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed" restrictions"
<br />-which may he 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 localregtllations. 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'LlE'N'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;'(
<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 aU the information in this application is accurate and
<br />,. ,'that. all ,work . will be-done in, compliance. with.. all..applicable-Iaws ,regulatiRg..construction,...zoniFlg..and..land....m...
<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. i~entify what actions I
<br />must.take to be in compliance.
<br />If I .am 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, electricalwork,
<br />plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically. included in the application, A
<br />permit:issuedsnall:be construed to be a license to proceed with the work and not as authority to violate, cancel. alter, or
<br />setaside any provisions of the technical codes. nor shall issuance of a permit prevent the Building Official from thereafter
<br />,requiring,acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid
<br />,unl~ss"iije:work;authorizedby such permit is commenced within six months.of permit. issuance, or if work authorized by
<br />. ttie:perrntt.js"susperided or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />ma~rbe requested, .tn writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate
<br />, j#~~ble cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />. ' '
<br />
<br />WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL. T IN YOUR
<br />PAYING TWICE FOR IMPROVENiENT~ ~~ yQLJ~..~~.ge!=~!Y~}~)'~'!!t1:rE;NP..IP,9~J~lf;I.glt.lANCJNG, CONSULT
<br />wmiI :y.OlUR~L:EtalDSR-"(!)R,,AN_A+rORN,~ISEP0RE-RECCJRD1NG.YOtJK'yroTlCE OF COMMENCEMENT.
<br />i~\~~'!1'l'l!",j"-.__.__...___...__ _ ..._.._..._..u_n_n_n_mn_mPJ..-n79Ymm.::r.;. - - - --
<br />":OWNERDRAGENT . . CONTRACTO ~
<br />Sub~cribed a~d sworn to {or affirmed) before me this Sub~cribed and sworn to (or affirmed) bete me this
<br />. by i\ 1'2(,10-; by Lf.\r..,i\D ~.. ~a.-~
<br />Who is/are personally known to me or has/have produced Whp is/are personally known to me or has/have produ~d
<br />. as identification. ~ ~..,,)a... L.J.. l!. as Identification.
<br />
<br />Notary Public
<br />
<br />~1.Cl......_
<br />
<br />~~!l~u~:
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />.commission No.
<br />
<br />,:o~~(f~ Karen L. Miller
<br />::~ "0: .
<br />-.. : -
<br />
<br />Name of Notary typed. ~ .... ~__. October 29, 2010
<br />,w.~ Ilondod TIOI' Fltn '1"""'0, 1M. 1004II-7018
<br />
<br />Name of Notary typed, printed or stamped
<br />
|