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<br />I <br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br />applicable deed restrictions. I . , <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 Iic,nsed in accordance 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 unc~rtain 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, if the owner has hired a contractor ori contractors, he is advised to have the contractor(s) sign <br />portions of ,the "contractor Block" of this application for whichl they will be responsible. If you, as the owner sign as the <br />contractor, .that may be an indication that he is not properly libensed and is not entitled to permitting privileges in Pasco <br />County. : <br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute!l' as amended): If valuation of work is $2,500.00 or more, I <br />certify that I, the applicant, have been provided with a cdpy 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 ~he above described document and promise in good faith to <br />deliver it to the "owner" prior to commencement. 1 <br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi~ that all the information in this application is accurate and <br />that all work will be done in compliance with al! 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 tb issuance of a permit and that all work will be performed to <br />meet standards of all laws regulating constructipn, 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 />I 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. I <br />If I am the AGENT FOR THE OWNER, I promise in good fait~ 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 vJith the work and not as authority to violate, cancel, alter, or <br />set aside ary provisions of the technical codes, nor shall issu~nce of a permit prevent the Building Official from thereafter <br />requiring a correction of errors in plans, construction or violati~ns 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 AINOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERiTY. .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. 117.03) . II 0 1J ! <br /> <br />OWNER OR AGENT C-J'~"" CONTRACTOR Qh 0 Q SL.-9 <br />Subscribed,{ind s~11ft to (or affirmed)J;1efore m~ tbis :::JAY--- SubsC\;bed and sworn toJ~rtflffirmed) before:..me this~~ <br />d-,~~ by~~o.... ~ ~cicvg- by ['L........<{l....:a.. ~.. <br />~o is/are personally known to me or has/have produced wtW is/are personally ~nQ.v.p;1 to m~ or has/have produced <br />f2:1QD\ 0' 105 '(-'-/U as identification. ~D" 01 /~ <.....> as identification. <br /> <br />I <br /> <br />I \. <br /> <br />C I.. N <br />oml'ss'on o. _ . <br /> <br />, ~, <br />Namelof Notary typed, printed' ,. <br /> <br />~. ~, <br /> <br />-\ J J"-_'--~ - <br /> <br />Notary Public <br /> <br />. -. <br /> <br />Notary Public <br /> <br />Commission No. L Miller <br />&.~~~ Karen. . <br />- .~ <br />Name of No - 1W&~ 29, 20 <br />...... TIIIV '11II' _,.'"" "-7019 <br /> <br /> <br />, <br />r....'..... ........., ,.. --"'0" <br /> <br />