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<br />jl'.."S 1 't / LU,.I i : Y' l' J.! U L : ; J n,:, LoUt! 1 tt11 L_,;;:, ~;_! j L.~\ JI'll,~ <br /> <br />f r. /'. !'l O. ;~I ~ .~. - l :j '..; -1_! U :.. 1 <br /> <br />r ,," <br />. '..',_'i.... <br /> <br />~"____."",___",,,,_-__.,___~,,--_~"_~'4"----.~_.'-- "......-,.--- - '.' ......... ._-... <br />..' . <br /> <br />..NO--aG:E.QF:~DEBD,RE5TRlC110NS:The uoderstgned'undlSrstands that this permtt m~'he subje.ctto ~dead"rElStrdions' <br />:whlcA may 'be more restrlctive .than County ~~latioo6. The llnclersignad assumes 'responsibUityfur mlllIiliance W11h any <br />applicable deed restrictions. ' . . . . :. . . . '.' ' <br />'UNLlCENSED.CONTRACTORS AND .CONTRACTOR REiSPONSIBIUTIES:. If the owner' has hired '8 contractor or <br />contractors to undertake work,: they may b(iT~ulrod in'be'licensed .In :!looordance. with.~tate Bnd.local:i"egJ.llatlons. If:thEl <br />contraotor is nat licensed as requirBd by law, both the owner and .contractor Illay beoitedfor a.mlsdemeanof violation <br />unoor state law. If the C?wner or Intended contractor are ~naertain e:s to' what Ilcen31ng .requiraments may apply fOr the <br />intended work. they are advised to contact the Pasco pounty Buidlng InspecUon Dlvislon....-I.:.tcensing Section at 121.847~ . <br />. 8000. . Furihannore, tfthe owner has hired a cORtractor or contraolors, he Is advised to have the contraotor(s) sign <br />. 'portIons .of the "contractor Blool<" of t<1l~ ~pplicalion for whlOh they wlli be res~n.&ible. .lfyou, as the owner sign as the <br />. contractor, .that may be anlndicaUonfhat he Is' not pr6perly licensed. and is not entitled to per:mitting privileges in pasco <br />. County. . . . . '. <br />CONSTRUCll0N'USN'LAW (Chapt:ar713. 'Florida Statutss"as amended): If.valliation.ofworn is.$2,50D.OO or more;'1 <br />. CertIfY that I, 1I1e applicant. pave been provlded wit", a. copy of the . "fkJrldciCorwtructlon. Lien Law-:-Homeowner's <br />Protection 'Guide" prepaft'ldby the FlOrida Department of Agricull11re and CO:1sumer Affairij. If the appliC%nt i1$ :someone <br />other than'the .owner" I I.certify that I have obtained a copy of the above' descrIbed dOOOh1ent and prnmls'e in goOd faith to <br />delive~ It to the -owner" prior to .commencement. '. . <br />.. . CON1RAC1'OR'S/OWNr:!R'S AFFIDAVIT: I oertff'1 that all. ~e information In this application ,is accurate and .' <br />... ..... .._ -=that. all.'\~rk .wIlI. be 'done In oernl"liance.wiJ:h..'an.-appUoable,-~w5 .re$ll:llating-ootltmiot~GRr:.zonIAg'.:and..laRd'"'' ..... <br />development. ApplicatIOn Is hereby made to obtaIns pennitto do work and InstaUation as indicated. I certify <br />that no. work. or in!>iaIlatton has commenced prior to IssuanCe of tI permit and that all work wIt be perfQnm~d to <br />meet atandards of all laws regulating construction, County and City codes; mning regulations, and .Iand <br />. develOP,mftnt regulations In the jLlJisdiotion. I. al;o certify .that I understand that the regl.1lations of other <br />government agencies may apply to the Intendfld work, and that It Is my r:esponl;!bUlty to.I~9!ltlfy what actions I <br />. . must taka to be In compllanCfJ. ' .... <br />Iflam the A~ fO~ THE OWI-ISR, I promise in 9~ faIth to inform the owner of the permittirig. conditions set forth ,In <br />this.affLdallff prior46.corinnencinQ constructlon. I understand that a separate permit maybe required for.electrlcar'w9rk. <br />plumbing; Blgns; wells,:pools, aIr Conditioning, gas, or other InstaUations not !?peclfIcaUy.lncluded in t1l6 applicatioA. A <br />~tmlt;~$ua..d.~I1:~~ ootisjrued to be a 'liasnsa to proc8ed wtththe work and not aS2.u'thoritY to violate, canqel. alter, or <br />set.asi!ie ar.i)'pfoVlslons of the technical codes, nor 5h~1 issuance of a psrmltprevemt the BuDding Official from thereaftel . <br />. requjriAg.a'()(:JITection c1f ~ in plans. construction or violatlons of any codes. !::very pennlt issued shall become Invalid <br />'. ij9.~~!~~~i:f~_~~lpo.rized:'by BUch'.permit f$' ~mmen~d Within six monthfi of ~nn~.I$!iu~noe. or.if \~ork authorized by <br />. fue'~f..~.j$ f.tu$PCn~d or ~bandoned for a penod of SIX (6) months after ltte time the work IS commenced.. An exteru;ion <br />. '~$ ~eq,,!8lted, ~n writing, from th6 BUilding otlicI.a1.for a periOO not to exceed niMty (90) .daysand'.will d8lllOnstrate <br />,jOOUftahte Ci!use f~ the extension. If work cea~8$ fOf t:'l!nety (90) oonsacudve days, the job Is considered abandoned, <br />."'...\ -,_.; . '" " ... <br /> <br />wARNiNG TO OWNER: YOUR FAiLURE TO p..5CORO A NOTICE OF COMtJleNCEW:NT MAY RESULt IN YOUR <br />PAXlNG TW!CE FOR IMP~O~.'E"'~ Tq YPUR_f'~9P,",~l'(l'~.y'QUJ!!.tfi~D.,:rQF.1;r41~..~J~NCI~li.,. CONSULT <br />"WR= v.tn~.-. '.' : . 't;t'D'R ~lB ~1l:6.:R . Vtro~.TC ~ 0.- COIIIME CEMEN . .' <br /> <br />;:1'~;;k..;';;Hi ,:', ')::""::":"':"':'''--~~'llomn''Peiit'-Confrol "" ..,. .... .m"~ <br />__ """""..... ..{.......odj __ m<>'" _' ~od'OO ~~~ j""" <br />Who is/llIre personally ~ kI ~ ex- hil$Jhaw prodUC2!! ~ ~rlI0~iiY me ~ve prodlr..ecl <br />. M IdenIIfIoaliof\. .' . .. as iderltlflartigr. <br />. Y{~ x1.l;) . '. <br /> <br />.!'iathe<ine S. Daley ~ <br /> <br />.Comm4l$lon r.io.~D431368 <br /> <br />. Katherine S. Daley <br />Namlil ot NotaIY typed. ~r1ntBd or Sa:t:ped <br /> <br />NClfary Public - <br /> <br />Noblry PLtlliD <br /> <br />COmmlni;ln No. <br /> <br />Name. of Notary wed, prtnted t1l' cWnped <br /> <br />~. u .. KATHERINE S. DALEY. <br />NaIIIY PuIIIc . .... aI FIoIIdI <br />~ . . _ .., C4lmnllla.lnn ExpiIII Jul22. - <br />.~ . ,,- <br />~~;!'1' ?:"'~.~ COI'IlIIlisslon' DO 431. . <br />"",Jif,:.l"'- BoncIId B NlIIiooal No AIIn. <br /> <br />