<br />'_~___".___"_""_"M_'''_'._''''_M'_ '''__y_ .._..... .. .
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<br />,:NOT04CE.SF::oeSD.RESTRICTIONS: The undersigned 'understands1hatthis permit maybe~l:Ibject to ~deed" restrictions".
<br />"Yihich may -be;m13re r:e~bictive .than County re,gulati13ns. The undersigned. assumes 'responsibility for ComPliance With any
<br />applicable deed restrictions. , .' . . . 0 '. .
<br />'UNUCENSEO CONTRACTORS AND .CONTRACTOR RESPONSIBll.:.mES: )f the owner has hired a contractororl
<br />: contractOrs to undertake work, they may be required to be licensed jn accordance with 'state andlocat reg1Jlations. If the
<br />con1;ractor is not licensed as required by law, both the owner and contractor may be.cited for s':mlsdemeanor violation
<br />under.state law. If-the owner or intended contractor are uncertain as to ,what licensing requirements may apply fo( the
<br />lntended wori<, they are advised to contact the Pasco.county Building Inspection D,ivlsion-licenslng Section at 727-847-
<br />. 8009. "Furti1e"!'are,1f the awner has hired a contractar otcontractars, he is advised to have the contractOr(s) sign
<br />portions.of the contractor Block" af-this-applicatian for which they will be respanslble. .If you, as the owner sign as the
<br />contractar,' that may be an indicatian that he Is nat properly licensed. and Is nat enUUedto' pennlttlng privileges in Pasco
<br />Caunty.. . . . .
<br />CONSTRUCTION'LlEN'LAW (Chapter713, Florida Statutes, as amended): Ifvaluatian of wark is. $2,500.00 ar mare;'1
<br />CertifY that I,the applicant, have been provided with a, copy af the -Florida Canstructian Lien Law-Hameawner's
<br />Protectian Guide. prepared by the 'FlaridaDepartment of Agriculture and Cansumer Affairs. If the appliCant is sameone
<br />other tharrthe .owner", I.certify that I have abtalned a copy of the abave described dacument and promise in good faith ta
<br />deliver It ta the .awnei"'" prlar' to .commencement. .
<br />_ . . . 'CONlRACTOR'S/OWNER'5 AFFIDAVIT: I certify that all. the information in this application is accurate and
<br />.. ,.... ... "that' all, work .will. be 1:Ione In.. oompliance ,with.. atl..applicable..laws ,regulatiRg.,constnJotiol'li':'Zl;JF1IF1g'.:al'ldc.landum om..
<br />develapment. Application is hereby made to abtain a penn.it ta do wark and installatian as indicated. I certify
<br />that na work, or installatlan has commenCed priar to Issuance af a pennlt and that all work will be perfQrmed to
<br />meet standards af all laws regulating .constructian, Caunty and City codes, zoning regulatlans, arid .Iand
<br />develapm~nt .regulatians in the jurisdiction. I alsa certify ,that I understand that the regulatians af ather
<br />gavernment agencies may apply ta the intended wark, and that ~ is my respanslblllty to. i~entlfy what actians I
<br />mustiake ta be in compliance. .
<br />If l.am the AGENT fOR. THE. OWNeR, I pramise in g~od faith to inform the awner of the permitting condltlons'set farth:in
<br />this affIdavit Priar '~P. coiTlIJ1~ncli1g constructian. I understand that a separate permit may .be required far, electrical' work,
<br />plumbing; signs; wells, :pools, air Condltianlng, gas, or ather installatlans nat l;'pecifically. included In the applicatian. A
<br />P.e.r.mlt jS$UE~d. Stjall:b~ cons.trued ta be a 'license to proceed with the wark and nat as auth~rity to vialate, cancel, alter, ar
<br />set..asldeaoy",prOvlslons of the technical codes, nar shall issuance of a penn It prevent the BuDding Official from ttlereatter
<br />'requiring,a .ccmectian of errors in pll:!ns, construction ar viqlatians af any codes. Every permit issued shan become invalid
<br />, iiri!~jfje:)Y.Qn<.i41i.itnqrlzed"by such .permlt is' commenced Within six manthl? D! penn.lt.issuance,ar if "!Ork authorized by
<br />.',t~e;:p~ilj~i@iiju$~rid.~d ar abandaned for a periad of six (6) mo~thsafter the time the work is commenced: An extension
<br />. maY:'be reqaested. -in ,writing, from the Butlding Official ,far a l'l9r1od nat to exceed ninety (90) ..days and',wJlI demanstrate
<br />. j#~~~ ~t..se for the extensian. If work ceases far ninety (90) cansecutive days, the job Is considered abandaned.
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<br />WARNiNG'T-O OWNER: YOUR fAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOU,R "RqP.~'q: .IF y. .1 ..m?;[f;?.tB'J4I~~CJNG~ CONSULT
<br />Wl+H . . ~. R"', . El)... coMNlE'NCEMENT. .
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<br />~=-~rmAiiM~;'~~~:'vr~.~......unn'.
<br />Subsatbed and sWorn to {or aftinned) before me this Subscribed and sworn to (or affirmed) before me this
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<br />...",.; IsIme ~ known to me or hasJhave produced WhO IsIare personally known to me or haslhave produced .
<br />. as Identificafion. as Iden1Ification.
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<br />Notary Public
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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 fNped, .printed or stamped
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<br />Name of Notary~. printed orstarnped
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