|
<br />~,~,.r:1f...,__....,. -,
<br />',J'H" , ",:; :;:-'7';:.J"~';~"" ".. .;-:;,"'l~i;';~ ,
<br />)piicati,)r, ""~7:?;:~DilCol" --'"'~n';'--,
<br />=-J: ,', 'NOTICE OF:DEED RESTRICTIONS: The undersigneaTmder.standsthat this permit may ,besubject'to'''deed''n-~stricti~~S'k"t,-:
<br />"""",:uwhich 'maybe more restrictive than County regulations. The,undersigned ,assumes responsibility for :compliance:mith ar:lY iH h.
<br />,~ppljcable deed restrictions. _. , .
<br />"~-'~UNLlCENSEDCONTRA:CTORSANDCONTRA-CTbR1~ESRONSISlkITII:S:If'the owner has -hired.a ''COntractor-or'.-
<br />contractors to undertake worj<, th~y, m~y be reqllirecJ.to be Iicenseq in accordance wi~h state arid local Fegulations. If the
<br />contractor is not licensed as required by" law,66th the owner and 'contractor may be'cited 'for 'amisdemeanor 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, jf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions of the "contractor ,Block" ?f this..applicationfor which "they will be responsible. If you, as the owner sign as the
<br />. contractor, that may be an ihdication that he is not properly licensed and. fs. not entitled 'to <permitting privileges in Pasco
<br />'County. " ,
<br />CONSTRUCTION UENLAW (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'S/OWNER'SAFFIDA VIT: 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 regulating 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 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 commencing 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 issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />set aside 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 plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 1 7.D3)
<br />.
<br />
<br />
<br />CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />as identification.
<br />
<br />OWNER OR AGEN
<br />Subscribed and sworn (or affirmed)
<br />,:) . ~. .., by \.AI .. . "'-
<br />Who is/are personally known to me or has/have produced
<br />1(.. -"\L. as identification.
<br />
<br />fP'Jt.Jt~ /&11 -~
<br />1
<br />Commission No~ nt; ~ ~t-
<br />
<br />c., '" ~ IF' ~ I- i!.1ll~A t9
<br />Name of Notary typed. printed or stamped
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />~..,. CONNIE BELKNAP
<br />~ MY COMMISSION #D0669446
<br />...""'1 EXPIRES:-.02,20lI
<br />"'cr' Pl NoIaIy fJlscount Aaoo. Co.
<br />
|