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<br />..NO"tlc:E'GF;[lIiED:RESTRlCJlONS: The undersIgned understands <hat this permttm~be subject to '<leed" restrlcti9ns" <br />-which may be- more restrictive than County regulations. Theundersignedassumes'responslbillty 'for compliance With any <br />applicable deedrestrictiGns. . " .' <br />'UNLlCENSED CONTRACTORS AND .CONTRACTORRESPONSIBILmES: If the owner has hired a contractor or <br />contractors. to und.ertake work,the~ may be required to be licensed in accordance with 'stateand 10calregUlatlons, If the <br />con1;ractor IS 'not licensed as required by law, both the owner and contractor may be .cited fora.misdemeanor violation <br />un<ler s_ law. If the owner or Intended contractor are uncertain as In what licensing .,equlremenls may apply for the <br />intended work,they are advised to contact the Pasco .County Building Inspection Division-Licensing Section at 727-847- <br />800~. 'Furthe'"'!'ore,if the owo;r has. hired. a ~ontractor .orcontra~tors, he is a?vised to have the contractor(s) sign <br />portions ,of the contractor Block of thiS 'appllcation 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 priviiegesin Pasco <br />County . <br />CONSTRUCTION'LIEtrLAW (Chapter713, Florida Statutes, as amended): If.valuation of work is $2,500.00 or more"l <br />certIfY that t, the appllcan~ bave bean provided with a copy of the "FIo<idaConstructlon Uen Lew-Homeownees <br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br />other than" the "owner", I,certify that I have obtained a copy of the above described document and promise in good faith to <br />deliver it to the "owner" prior to .commencement. . <br />, CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all. the information in this application is accurate and <br />... ..... .. _ "that. all ,work . will. be-done in' compliance.with..all--applicable--Iaws ,regulatiRg"coAstruction,-'zoniAg':and--land-------'--- <br />development. Applic~tion is hereby made to obtain a permit to do work and installation as indicated. I certify <br />that no work- or installation has commenced prior to issuance of a permit and that all work will be performed to <br />meet standards of all laws regulating .construction, County and City codes, zoning regulations. and .land <br />developm~nt regulations in' the jurisdiction. I also certify .that I understand that the regulations of other <br />government agencies may apply to the intended work. and that it is my responsibility to, i~entify what actions I <br />mustiake to be in compliance. . <br />If I ,am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth:in <br />this affidavit prior .~ci, corill:n~ncing construction. I understand that a separate permit may be required for, electrical work, <br />plumbtng, signs; wellS, ..pools, arr Conditioning, gas, or other Inslallations nol spaciflcatly includad in the application. A <br />Pl'imttis$ued.SIi.II:1>!> construed In ba a.license In proceed with the work and not as authority In vtolate, cancei, alter, or <br />setaside any"prOvisions of the technical codes, nor shall issuance of a permit prevent the Building .official from tnereafter <br />. requiririg.aamection of errors in pl.ns, construction or violations of any codes. Every !",rmtt Issued shell become invalid <br />. iinl,,",ii'ltie~iiioil<'.Ulhorized 'by suchpen11l1ls commenced within SIX monlh$ of Pl'rmtt Issuance, or if work authorized by <br />. ffiii:pemm..iS'U$~rided or abandoned for a period ~ six (6) mo~ths after tha ~me th~ work IS commenced: An extension <br />,maY!><> reqoesled, in wrtting, from the Bulldmg Officll3Uor a penod not In exceed ",n~ty (90).days and..WlII damonstrate <br />, J#Slifi'!'i1e cause for the extension. If work ceases for nmety (go) consecutiVe days, the Job IS conSidered abandoned. <br /> <br />wARNiNG TO OWNER: YOUR fAILURE TO Rl!CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING "IWICE FOR IMPROVEMENT~ T? YOLl~r~9P~!X'.IF.raI!!fmiI!Il!,;J;9,R!l.TI\I,,-!,lt!l'!ICING, CONSULT <br />WR=H ~.o.uR.iL.EiUQER"'(!)R,AN,..A:I;IaRN~SS~RS:'RE~Y.O~WTlCE' OMMEN CEMENT. <br /> <br />~~~DRZ'~j'::.'.:.:._.__m_u_.~-.-~;;,;;;;:muu- . ..... ..... ...um' <br /> <br />Subscribed and sworn to {or affirmed) before me this Subscribed and sworn to (or , .ed) before.methlS' , <br />. by , 12 (c:) fey.., by ~1"'.ralr\ (.( ~.L ,>.)t.........::~. <br />Wh~ is/are personally known to me or has/have prodUced W!Jg isJare personally known to me or h~ve produ~d <br />, as identification. n., \"') 0 u () \..- \ L ' as Identification. <br /> <br />-_...-_....__..__....._...._.~_.._.._...- .-....... .--." <br />.. . <br /> <br /> <br />Notary Public <br /> <br />~...al)- <br /> <br />..~"~llil~ <br /> <br />Notary Public <br /> <br />Name of Notary typed. printed or stamped <br /> <br />Name of Notary typed. <br /> <br /> <br />.IMIIIIIIII, lllli MolIIrllll ' <br /> <br />.Commission No. <br /> <br />COmmission No. <br />