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which m ay be more restrictive than County ' RESTRICTIONS: The undersigned The .0 dersigned assumes responsibility fortcompliarrce w th any which may _applicable deed restrictions. or UNLICENSED 'CONTRACTORS AND . CONTRACTOR e licensed S IB IL I dance If the with ow te and local -hired-7a contr c con to undertake work, they may be required contractor is not licensed as required by law, both the owner .and contractor may be cited - for .a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing - requirements may :apply for the 80 909. F they are ermore, if the ow owner has hired e County a contractor Building o he is dvsed to Division—Licensing have the contractor(s) sign portions Furth co ntrac of tha co ay betar n indication that he is properly licensed will and is not entitled permitting privileges g in Pasco contractor, that may be a County. f work CONSTRUCTION .LIEN LAW (Chapter713, Fiorida Statutes, m nde) If valuation o on Lien is $ ;500.00 or more, ' I certify that 1, - the applicant, have been provided with a copy of h is someone Protection Guide" prepared by Florida Department of Agriculture above described document and prom Pse faith th to other than the "owner ", I certify that I have obtained a copy of the deliver itto the "owner" prior to commencement. CONTRACTOR'SIOWNER'S -AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a p rmit a des t allling work will l bepe performed d to meet standards of all laws regulating construction, County City development regulations in the jurisdiction. I also certify that I understand that the regulations of other . government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. t f am affidavit the AGENT F com me OWN ncing c o ER,� phi Wise iuderstand faith that a inform separat permit may required for conditions electri al work, t affidavit prior to commencing plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit a s a any sha i io be construed ch ical codes, nor shale issuance of a permitp not as event the Building violate, Official from thereafter requiring h i d e any correction of r the technical invlid unless the a correcti t h of errors in chnermit construction violations any cods. commenced within ssix monthseof permit ssuance, work auth rzed unless m e work it is suspended eended or a b ndc p d. An extension the permit r abandoned for a period of six (6) months after the time the work 0 da s and demonstrate may be ; requested, in writing, from the Building Official, for aperiod consecutive days, the job ( is considered abandoned. justifiable cause for the extension. If work ceases for ninety ( 9 ) WARNING OWNER: YOUR FAILS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN AIN FINANCING, NG CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER O' . ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0 .� > �� �/ . - OWNER OR AGENT / /S __ y 9b c� CONTRACT swum to (or afflrme• = - �� s 1 5 i u J cribed and to (or - -d) b ..: me th' • _ \ by . o- n i-c • •Y • ` uce Who is/are ersonaliy known to me or has /have produced Who is/ a personally known to me i has /have produced as identification. as identification. ♦ Notary Public - Notary Public 0.1.,:,...c.....- 9 / a Commission No. �> ' G ' �/ Commission No. '':\-> � „� S �r .Sv � t .. J S C (t - t s ..- �.�.Q,- _ (,- 1 , 29 Name of Notary typed, printed or stamped Naffie of Notary typed, printed or stamped ;Iv <►gir, Pa o 1 riA C?f Florida - � .. c a, t C.o(nrniss■oi 0D639910 Or t' E ;,; 02/13 /2011