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<br />..._....._....____..~_..__....._.,..._~N..._'~._ ,.__..__~.._~
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<br />NOT,ICE-OFDEED.RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" restrictions"
<br />-which may be. more restrictive than County regulations. The undersigned assumesresponsibility'for compliance with Bny
<br />applicable deed restrictions. .
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or
<br />contractors. to und.ertake 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 />CONSTRUCTIONLlE'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 all the information in this application is accurate and
<br />.'that. all.work . will be-done in. compliance.with..all..applicable..laws .regulatiflg.-construction,-..zoniAg..and..land..... ._'h_
<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 />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 coimnencing 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':issueds:hall:b~ 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.a.correction of errors in plClns, construction or violations of any codes. Every permit issued shall become invalid
<br />,unle~s"1he~j.iVork;authCJrizedby such permit is commenced within six months of permit issuance, or if work authorized by
<br />tlie:pe!TiiJt.is"susperid~d or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may:l)e requested, .tn writing, from the Building Official.for a period not to exceed ninety (90) days and will demonstrate
<br />, j~~~ifi.~le 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 IMPROVENiENT~ ~~ yQlJ~..~~,9~~rr~)f;ral}J~TE".p.19,9~J~ltlI-glt'llA"'C.ING, CONSULT
<br />.Wl+h1 :y.o.UR:~L-EIllD6R"(!)R"AN' DRN. 0RE_REOOR.1il1NG~Y.OUR,1IrOTICE OF COMMENCEMENT.
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<br />;~~~:r.~,~~~~l.~~.:.i '," :....'.' , ...... ."
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<br />.OWNER OR AGEN'f . CONTRACTOR
<br />Subscribed and sworn to {or . ~efore rne thjL ~ ('1 Subscribed and sworn to (or affirmed) before me this
<br />/2-.-{(.-o7 by ~c-7b T-J't J/ by
<br />Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br />n/~4 as identification. as identification.
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<br />CommissO
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<br />
<br />Notary Public
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<br />.Commission No.
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<br />Name of Notary typed, printed or stamped
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