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7i(I /I(117iTI,)N' 11 •','� P i L bItiYII - 11LL bUILU1NU PHA 1VU, 01. = - Q"J UULl i • ,„,,
<br /> 'NOTICE OF 'DEED RESTRICTIONS: 'The.underslgned underat8flds .that this permit may be•subjectito "dead "•:restrictions" --
<br /> which may be more restrictive than County regulations. The'•undersigned.assumes responsibility for:oompliance∎with any .
<br /> .applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND "CONTRACTOR RESPONSIBILITIES: if :the owner has •hired 'or - • -
<br /> contractors 'to undertake work, they may be required :to be licensed in accordance with state and local If the
<br /> contractor is not Licensed as required by law, both the owner and contractor maybe 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 contact the 'Pasco 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 contractors) sign
<br /> he
<br /> portions of the "contractor Block" of this application for which - they will be responsible. if you, as'the owner sign as t he
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled permitting p
<br /> County. .
<br /> CONSTRUCTION .LIEN .LAW (Chapter713, Fiorlda Statutes,aas- amended): If valuation of work is $2;500.00 or more, I
<br /> certify that 1, the applicant, have .been provided with ; a copy of the "Florida Construction Lien Law— Homeowner's
<br /> is 'someone
<br /> Protection Guide" prepared by Department of A of the above described document -and promPSe in faith to
<br /> other than the "owner", I certify that I have obtained a copy
<br /> deliver it to the "owner prior to commencement:
<br /> CONTRACTOR'S /OWNER'S -AFFIDAVIT: 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. l certify
<br /> o
<br /> that no work or Installation has commenced prior to issuance. of a permit and all work will be e performed d t o
<br /> meet standards of all laws regulating construction, County and City codes, .zoning regulations,
<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 1 .
<br /> must take:to be in compliance. .
<br /> If I am the AGENTFORTHE 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 or
<br /> plumbing, signs, wells, pools, -air. conditioning, gas, or other installations not specifically included in the application.
<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 byy 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 permeve days, d not to ni n job l 90) dad and
<br /> ed.abll dem
<br /> justifiable cause for the extension. If work ceases for ninety (90)
<br /> WARNING TO OWNER: 'YOUR FAILURE TO UR PROPERTY. IF YOU 1NTEND OBTAIN I �
<br /> PAYING TWICE FOR IMPROVEMENTS TO YQ FINANCING, CONSULT
<br /> WITH YOU - LEND R O' AN ' ORN . Y BEFORE • ECO • DING YOUR NOTICE OF CQMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGENT ._,__ g CON I•RACTOR . • .
<br /> $ubscritad sworn to �(or atrir before is �
<br /> $ub, ed and swo to (or affirmed) befior s r 1 4 _ ^ �=`
<br /> 10 o i& <- by A c` - Who is /are personal{y known to me or has/have produce
<br /> Who islets persona known to me i has/have prod cad. as identification.
<br /> as identification.
<br /> ' Notary Public
<br /> Notary Public'
<br /> •
<br /> J Commission No.
<br /> Commission No. Q 3
<br /> 4.c -A ..�.- ,SL,_, �
<br /> Name ofi No ry typed'. printed or stamped Name of No ped, printed or stamped
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<br /> ,,,,V1 FG ...,. r,, u 0 a e o ori.a •
<br /> 2 0 ( F ?th D- Jesus �J %9i l
<br /> " 3D639910• s
<br /> as uT aa
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