<br />lIJ'1 j '! i -SUi_I! 1-' tv U i. ::<! !l\', i.t.l"hl J\t11 LJ::' ~',_! j LI J1'~I._:
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<br />r~~ NO. b~j-f'~0-IJU~i
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<br />.,NO-llCs.SF:',PEBD.RESTRlCllONS:The' underslgned-undsrstands .that this .permit may.be subje.ct 10 ~dead. 'restrictions'
<br />:whlCR may be 'more restrlctive.than County I"f!gulaticms. The undersigned assumes 'responsibitityfor eomplianceWlth any
<br />applicable deed restrlctiaoo. ' ' , ' ' :, ' ' ' ',' .
<br />'UNLICENSED CONTRACTORS AND CONTRACTOR RaSPONSIBIUTIES:. If the owner' has hired '8 contractor or
<br />contractors 'to undertake work,: they may b(il T~ulmd to 'be 'licensed .In ~ooordan'ee. with 'state and, local.~i'egUlatlons. If:the
<br />contraotor is not licensed as requirEld by law, bOth the owner and ,contractor may becite.dfor a,rulsdemeanor vlol,atlon
<br />unoor state law. tf the owner or Intended contractor are um~rtain e1~ to what Jlcen:3lng .requirements may apply for the
<br />intended work, they are advised to oontact the Pasco pounty Buiding Inspection Dlvislon-,I.xensing Secllon at 1Z1.847~ ,
<br />, 8000. 'Furthermore, tfthe owner has h!reda contractor or contraulors, he is ad"'sed to have the contractor(s) sign
<br />. 'portIons, of the "cont1i!ctor Stool<" of t'1l~ ~pplication for whlOh theywl1l be res!JQosible. ,lfycu, as 1M owner sign as th8
<br />,contraotor,.that may be anlndicat10nfhat he Is 'not pr6perly lI~nsedand is not entitled to per:mitting prlvllcgea in pasco
<br />county. . . . ' "
<br />'CONSTRUCTION'USN'LAW (ChapfBl'713,'Florida Statull!l$"as amended): If ,valliation. of work ilS_$2,50n.OO or more; 'I
<br />, eertItY that I, 'the applicant, have been provided wlti:l a r;cpyofthe 'Ai=lorldaConstTuctlon Wen Ll':Iw-:-Homeowner's
<br />Protection 'GuideR pr-eparedby the Flonda Department of AlJicull11re and "Co:1SUmer Affair~. If the applicznt is :someone
<br />other than' the .oWner", I ,certify that I have obtained a copy of t'lB aboVE! described doooment and promise In goOd faith to
<br />delive~ It to the .owner" prior to ,commencement. " ' '
<br />'. . CONmACTOR'S/OWNeR'S AFFIDAVIT: I oertff'1 that all, the information In this application is accurate and "
<br />d, ..... .._ "that. all-'\~rk .d. he 'Clone In cern~iance. wim-.aU--appnoabie,'~w5 .reffll:llatif\g-oohttni~Of\.-:-ionIAg'.;anc:Haflc,1..... ,.:..
<br />development. Application Is hereby made to obtains perrnitto do work. and InstaDation as indicated. I certify
<br />that no. work- or installation has commenced prior. to Issuance of i!I permit and that all work wll be perfqnn8,d to
<br />meet standards of all laws regulatin~ construction. County and city codes; mning regulations, and .land
<br />, develOP,mttnt regulations tnthe jurisdiotion. 1.91;0 certify .that I understand that the regl1lations of other
<br />govemment agencies may apply to the Intended worn, and- that It Is my ~$pooslblllty 1O.1~!lntlfy what actions I
<br />. must taka to be in compliance. " ' "- '
<br />Ifl am the A~ FO~ THE cwlER. I promise in g~ faith to inform the owner of the permittl1lg. conditions set forth ,In
<br />this,affidalltt prior4P,cojjnn~ncii1g construction. I understand that a separate pennlt may-be required for.electrlcal"wprk,
<br />plumbing; SIgns; weJls,:paols, air Conditioning, gas, or other InstaUations not l?pecIf1calLy.lncluded in the applicatioA, A
<br />~,r.IT.I~~s.~i1a_d,S:t-#lII.'b~ oonmrued to bE; a 'Iioense to proc&ed wfth tht; work and not aSalithorit}' to violate,. can~i, alter, or
<br />Set-aside: ar.i{pfoitl$lons Gf the technical codes, nor 5h~1 issuance of a parmitprevemt the BuDding Off1cIal from tnereaftel '
<br />, reqUjri,Rg- a' oarrectlon at emXs in p~ns. construet!On or viqlatlons of any codes. ~el')' pettr'llt issued shall become Invalid
<br />'. i:iQW~!'~~~I!~.~~lpo.rized:'by such ,permit l~ ~mmem?ed WithIn six months: of ~ann~.I~u~nce, Or ,if work authorized by
<br />,the~l~.j$ ~u$PCn~d or ~andoned for a penod of SIX (6) months after ltte time the WOrY.IS commenced., An extension
<br />. ' ~e ~eq""8sted. ~n writing, from th8 8ullding OfftcIaI.10i a periad not to exoeed nin~ty (90) .daysand-.will demonstrate
<br />,jiiStlfiatife ~use far the extension. If work cea!;i~ for t:'Ilnew (90) consecutive days, thejob Is considered aiJandoned.
<br />....., __., . I' . .'
<br />
<br />WARNING TO OWNER: YOURFAlLURE TO PJSCORD A NOTICE of COM,..CNCErJlt:!NT MAY RESULi IN YOUR
<br />PAXlNG TW!CE FOR IMP~OV~EN~!2 Yg[~f'~qP'~1).'l'IF.YQ,l,l.lt([r;NP..:rQ~;r~1tJl..~'~ClI'Ui.. CONSUI.:oT
<br />..W _, ' , ,'R"O' "'.~s =wrd5":K ' 'vm!I.k.m 'ffeE 01"" COMME CEMEN '
<br />l::.~_;;:;:oa.r .:~:.j.:~:':..:.,:.,,~.._.~-~ ~.~--;;-":ci;~F~ ,.....- . ... -.-
<br />
<br />Subscribed and ~ 10 {or Bffin'tIod) before me tis Subscilbed ilnd 6WXt1.1n (or afIioned~f\>fl: InO tlis
<br />" by S-I-Q~~:Jn""'" "
<br />Who iSlare ~ knov.n kJ ~ or hiltiltl8w prodtlce'1 ~ IsI8le . iiin'nCl'Mi to m~ ~ve produ::ed
<br />M lder!l'fIoalioI'\.' " . .. u Iden\lfla!ligr.
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<br />NCltal)' Public .
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<br />5f'L1-ft Ih.J;"''') ../. )) t1 ~~
<br />.commil!$lon NO._D.1LL\ ~\ 310 ~ .' ,
<br />.~hp~V'\i'\~ S .~\t~
<br />Name of NotarY typed, prlnl8d or ~
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<br />Nobtry PLtlIic
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<br />COmmlslli;.1n No.
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<br />N1ornf> of Notary tnled, printed or ~tlmped
<br />
<br />
<br />. I<ATHERI~IE "DALEY .
<br />. . NatIrY P"oli( SPite of Florida
<br />i. . MJ CommisSllll' Fxc.Jlfp.s ,ul 22. ~
<br />ComITllSS~.l1l IJ uO 431:l68 '
<br />, ' Illnd8d By Nauonal Notary AIIn.
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