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<br />.NOT,ICE-OFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe 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 .clted 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 />CONSTRUCTIONUEW.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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
<br />.. -that. all.work -will be {ione in. compliance.with..aU.-applicable.-laws. regulatiRg.-construction,...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. i~entify what actions I
<br />musttake 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 maybe required for electricalwork,
<br />plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />~rmit:issuedst!all:b~ construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />setaside' anYprovisions 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,ess:-ttie:jiI(ork'authorized.by such permit is commenced within six months ~f permit issuance, or if work authorized by
<br />tfie:p:erITifi,js..sus.piarided or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />maY7pe requested, .tn writing, from the Building Official for a period not t~ exceed nin~ty (90)da~s and will demonstrate
<br />, j#~~le Ca.iJse 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 ~CE FOR IMPRO . NT~ -':9 YQLJ.~r.~q,~~!;X'~,--I~,:V.a'!,~r,I. ...;1;.9! ...,_ ,~I~",:f:I...ANC.ING, CONSULT
<br />_ WR1;Pf..Q.UR~L-EN:DS7AN. . lORNEv.ISEPCDRE-REOORlil1N'G.YOtJR' E . MNlENCEMENT.
<br />'..;;...._..:..._....1_::.~....:...;:.:....:. .,.,Fi...._.~_, ....~__\..ttl_.l!J_..._~....__...._:,:.. .:...._..1!1: .
<br />. -. .- - . - -. . .~_.' . .--_. .-. -~. _.- ._--_._------------~-_.-- -----.---. ----. ---~_.-
<br />
<br />.OWNER OR AGENT
<br />~~.;tJ~ and swo r affi efore me this
<br />. by
<br />Who is/are personally known to me or has/have produced
<br />o ~.j a__ L\ (l as identification.
<br />
<br />
<br />CONTRACTOR
<br />~b~ and ed) ~efore me this
<br />t\ ~ol oy .10
<br />Who is/are -brsonal y known t6 me or hasJh~ve produ~d
<br />c='L , ~ va L\. <!- as Identification.
<br />
<br />
<br />~
<br />
<br />~ c~ NotaryPublic
<br />
<br />Commission No_ ~
<br />...... . ~ Karen L. nfliher
<br />i~ \~ . .
<br />Name of Nota . " ..' Sfi""~ 29, 2010 .
<br />',.fR __ r..., P"",' _.. Inc. 1004II-7018
<br />
<br />~~.. - ---
<br />
<br />A~
<br />
<br />Notary Public
<br />
<br />
<br />l,';J'-J'''f~~ Karen I Miller
<br />;:Qi -..;~ CommI . # DnanoQAA
<br />:t{ ;*= SSIOn UQV~
<br />
<br />Commission No_
<br />
<br />,
<br />r..., Forn -I.....",.., lne 800-385-7019
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