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<br />HNOT,lce.OFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subject to "deed" restrictions"
<br />.which may be-more restrictive than CO\lnty regulations. The undersigned assumes responsibility ,for compliance with any
<br />applicable deed restrictions. " 0
<br />'UNLICENSED CONTRACTORS AND 'CONTRAC"f;OR RESPONSIBILmeS: 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;'J
<br />certify that I. the applicant. have been provided with a copy of the .FloridaConstruction 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 />..thal' all..work . will be-done in, compliance..with..all..applicable,.laws, regulatiRg..constructioll;.,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 />developm~nt 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 fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit prior -to, corin:nEmcing 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 l?pecifically included in the application. A
<br />per:mit'is~ued,shcdl:b~ construed to be a 'license to proceed with the work and not as authority to violate, cancel, alter.,or
<br />setasioe anY'provislons of the technical codes, nor shall issuance of a permit prevent the Building Official from tnereafter
<br />,requirirng,acorrection of errors in pl~ns. construction or violations of any codes. Every permit issued shall become invalid
<br />. ounle~soihe~~or'k'authorized''by such permit is commenced Within six months of permit. issuance. or if work authorized by
<br />,.ttie;:permH.js"$u~,p~rided or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may:pe requested. .tn writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate
<br />o j~s.~ii!~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 TW~CE FOR I,MPR,OVEM,'ENT~ -r:~ y~LJ~.,r!~9,~E~!X:}~.!BI'L!t.J:rr;['<IR,IP,9~;r~lf'tI~INANCJNG. CONSULT
<br />"Wf+H :y.:ClUJR~L.EIllDER-(!)R,.AN-A:r;rORN~ISSJimRE':"'R Cf~1N'G,YOtJl~,;\ft)T1C 'F COMM CEMENT.
<br />i ;;:o;;1:f~timJ~t:l:1fJ~: tl:'J'tt03)" i i .. :,' " :. ,
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<br />.OWNER OR AGENT
<br />Subscribed and sworn to {or affirmed) before me this
<br />o by
<br />Who is/are personally known to me or has/have produced
<br />, as identification.
<br />
<br />CONTRACTOR
<br />Subf.cribet;land swom.to (or affi~ed) before this
<br />I r Lie": > ' by ," 0'" >0, ,~.. \ LOt ''':
<br />Who is/are personally known to me or'ks/have produced
<br />~ \ [) to" ,_,' I l (:.- as Identification.
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<br />Notary Public
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<br />.0 .. \ ~''')'; -:... '-_ ,-,
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<br />Notary Public
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<br />Commission No.
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<br />,Commission No.
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<br />Name of Notary typed. printed or stamped
<br />
<br />Name of Notary typed.
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