<br />_~__...._....__.._-~~-~-_.~-"'...-......_....- ,._..___.. .__M ._
<br />
<br />,NOT,ICE.OFDEED.,RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" re~trictioris"
<br />-which may be, more restrictive than County regulations. The undersigned assumes responsibility for compUance with any
<br />applicable deed restrictiQns. .
<br />. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed in accordanc~ with 'state and local regUlations. If the
<br />contractor is not licensed as required by law, both the owner and contractor may be .cited for a.misdemeanor 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 Pasc~ .county Building Inspection Division-licensing Section at 727-847-
<br />8009. . Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) sign
<br />portions ,of the "contractor Block" of this application 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 privileges in Pasco
<br />County.
<br />CONSTRUCTION LIEN 'LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more'l
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne;'s
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than' the "owner", \.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'SIOWNER'.s AFFIDAVIT: I certify that all the information in this application is accurate and
<br />.,'that' all.work ,will be <ione in' compliance,with"all,-applicable"laws . regulatiRg.-construction.".zonin9"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,tocommElncing construction. I understand that a separate permit may be required for,electricalwork,
<br />plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />plarmit"issuedsn;al1:be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />setasidei anyproVisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />,requirh'Jg,acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid
<br />. ,unless"1tie~~ork.authorjzed'by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the:pe"friilt.is"sus,pi;lrided or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may:pe requested, -in writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate
<br />. j#s.~~ble c8.i.rse 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 IMPROVENiENT~"t:~ yQLJ~r.~q,~E~!X~,.c.lr,?'9u..~~n;~p..~.P,9~J~If\l"RI"'ANCJNG, CONSULT
<br />Wl+hI ~CllUR . 6R.,.(!)R"AN_A+TORN&v.'fB6pGlRE-RE~CJRD1N'G'Y.01!iR,troTlCE OF COMMENCEMENT,
<br />i =-,.,::,-,:.:,l":.IE"""3i8,t_;.""',.,,fi,,,,,' .~_'..' ,',..:.\:.~_...B....'..,", .',..'. ." :,',~,.:-J'._7.t,O,,3,,),'.i,'.'.'-':,',",".' '..' ,
<br />__' _ ".".."" ,___...___...,__....,.._m________.m....-.n.-.--...---'....---....-___.........m'_..".._......,,_m ,. ,
<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or affinned) before me this
<br />by
<br />Who is/are personally known to me or haslhave produced
<br />as identification.
<br />
<br />,OWNER OR AGENT
<br />Subscribed and swom to (or affinned) before me this
<br />. by
<br />Who is/are personally known to me or has/have produced
<br />, as identification.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />.Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed. printed or stamped
<br />
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