i.'_ ; . / 1t-1J 0 J: 2 AI\1 ZEPHYRHILL S BUILDING FAX No. 813-780-0F1 __,._
<br /> ilIOT6C;lr OF:pEEp'RESTRICTIONS: The undersigned understands.that respons for a1n e� wwith any .
<br /> which may be more restrictive than County'regulations Yh e'•undersf 9 ned.a
<br /> applicable deed restrictions.
<br /> •UNLICENSED :CONTRACTORS .AND 'CONTRACTOR RESPONSIBILITIES: If the owner has 'hlred :a - contractor or •
<br /> contractors to undertake work, they may be required 'to be licensed 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 uncertain :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 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 .privileges in •Pasrc
<br /> County.
<br /> arCThtSTRUCTION (Chapter713,.Florida Statutes,.as.amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with. a copy 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 the above described document and promise in good faith to
<br /> deliver It to the owner prior to commencement.
<br /> CONTRACTOR'S /OWNER'S •AFFIDAVIT: 1 certify.that all the Information in this application Is accurate arid
<br /> that all work will be done in compliance with all applicable laws regulating construction, zoning and and
<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 tssuance 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
<br /> musttake to be in compliance. -
<br /> Ic I yarn the AGENT'FOR'THE OWNER, I promise in good faith to inform the owner of the permitting conditions oet'forth in
<br /> inn 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 specifit;ally included In the application: A
<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 /> sot 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 by such permit is commenced within six months of permit Issuance, or If work authorized by •
<br /> th : permit is suspended or abandoned for a period of six (6) months after the time the work is commenced, .An extension
<br /> rna;; 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,
<br /> the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD swum to (or A i,• ex* before • e this .N T iF YOU INTEND "TO OBTAIN N AYR N LT I UN OUR ULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY,. EC ' DING • R NOTICE OF OMM�NCEtYIENT'.
<br /> WI`IH YC�U 2LENDER OR AN ATTO: Y = F Ara
<br /> Ft.C�i .IOA JURAT (F.S. 117.1}3)
<br /> UWNR OR AGENT
<br /> CoNTRACTO 4 - A
<br /> —
<br /> y „scribed and swum to • (or affirmed) ) before me this Su bscribed and
<br /> by • Who islarre p'ursonalty known to me or has/have produced
<br /> vi i ;sure personally known to me or or ha6/ cati produced) as identification
<br /> as Identlficatiott. .
<br /> Notary
<br /> Public Notary Public;
<br /> _ commission No,,,
<br /> (.;;;)ri: 1 - kJ ivn No _ -- • ,
<br /> ---- -�-- Name of Notary typed, printed or stamped .
<br /> ;varn® off Note�ry typed; prinGad or stamped •
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