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'NG 'CE OF:DEE?' °� :�`� ""�`�1;';�"�"';�rr�det�stpned underatands.that thispermit may.besubJe�t�.�eeid;sre: ictiqns"
<br /> wh�� � rnay be mor� "•�•� z�n u ';^regulat(ons. The.undersi�ned.assumes responsfbllity��r,aa�mpliarac� .Y�th any
<br /> appl.�at�le deed res_� . �
<br /> ... 'UNL. uEN$ED ��CO'� "':TC'�'^a1��'O?r1?R74CTOR :R�SP.ON31BlL•ITIE8: • •It owner tir . .
<br /> con� �,�tors to und�� , �ork, :. ,�y r� jj :.� requlred to be ilcensed in accordance with state and .lacai r�gulatior� . tf the
<br /> cont, actor (s not (ic ° as �'-ulre� '°, law, bpth the owner and contr8c.tor fnay be cfted �or.a �mis��meanor -�lolatior�
<br /> undJr state law. ,f; ��nc �r (nt�° ^��contractor are uncertaln.as'to what licensing�requirements may�ppe (or the
<br /> intended work� the}� � ' �;: �� to co"' - �n the Pasco County Building Inspectlon Division--Llcens!ng Sectlon.at ��7-847-
<br /> 8009. Furthermo�-, ° �•�^�r h�� hired .a contractor o� co�trac�ors, he is advised to .have #he .contractor(s) si�n
<br /> portions of the 'ccr:. :� '�IF -'." ot t'�'- �ppficatlon�for which wql be rosponsible. tf you, as th� owner�sl�,� as the
<br /> contractor, that m^y ' , '^�"�aHon �"-�4 �he is not properly Ilo9nsed and (s not �entiUed�to permfttir44 fn Pasco
<br /> County.
<br /> CONSTRUCTION L1::' "1W ;:hapt-� �13, Flo�ida 8tatutes�.as:amend�d�: If valuation of work is $2;500.00 cr more� I
<br /> c�ttfy�that I, the ap� - �t, , b�en provided with a copy of �the 'Florida Construction Lien Lav��—Home�wne�'s
<br /> Protect(on Guide' Fr� -�� b}� 'he Fic;'�a Depa�tment of Agriculture and Consumer AfFairs. if the appiicant is someone
<br /> othe� than the'ownar', '��rt�r,� that � ha:�e obtained a copy of the above described document and promfse in gooc� faith to
<br /> deliver it to the'own^' �'^r to rommencement.
<br /> - CONTR„t". �'?'d'^WNER'S �AFFlDAV1T: 1 certify that all the infortnation in this appllcation is accurate and
<br /> that all v�� ��a�! �e done In compUance with all appiicable laws regulating construction, zoning and land
<br /> developr. ° P; p'!:atton fa hereby made to obtain a pennit to do woric and installation as indicated. i certify
<br /> that no w�� - r i��;ailat(on has commenced p�lor to Issuanc:s of a permit and ai! work w(II be pe�formed to
<br /> meet star�' '� cf ali la��� reguls�ng oonstrt�ctlon� County and Clty codes� .zoning regulations� and land
<br /> developmc '-c��.;atlons in the Jurisdiction. I slso certlfy that i understand that the regulatio�s of other
<br /> govemme; ,��encies may apply to the intended work, and that It is my responsiblltty to (dentify what actions I
<br /> must take t�� ±� in compflance.
<br /> If I am the AGENT FQ' ; 3�t� �?WNER, I promise in good falth to IrYhirtn the owner of the permttting condi�ons set forth in
<br /> thfs affidavit prior to cc constructlon. 1 unden�tand that e sepsrate pertnit may be requlred for electrical work,
<br /> plumb(ng, signs, wefl�, - ools, air conditioning, yas, or other installatbns not specffic�Nly included in the appik;adon. A
<br /> permit issued shall be r nstruad to b� a Ifcense to pro4eed with the worlc and not as authority to violate, cancel, atter, or
<br /> set aside any provis(on -' th� technf�l codes, nor ahatl Is3uance of a permit prevent the Buiiding Officiai from thereafter
<br /> requlring a correction c' ��TOrs in ptans, construcaon or violaUons of any codes. Every permit issued shall become invalid
<br /> unless the work author�ed by such permlt is commenced vicithin sbc months of permit is�suance� or ff work authorized by
<br /> ths. pecmit Is t,u�p�nded or abandoned for a perlod of sbi (6) months aRsr tha time the work is commenced. An extenslon
<br /> may be requested, in v�rtting, from the Buildfna CKficiat for a perbd not to sxceed ninety (90) days and wtll demonstrate
<br /> �.
<br /> �tlf�� t�u�ii'for the extension. 'ff work ceases for ni�asty (�1) oo�aeo�itMe days� the Job is considered abandoned.
<br /> . � � . . � .
<br /> WARNfN�3'�0'�OWNER: YOUR FAILURE TO RECOI�D A'NOTi�.'Q�'�Cp11AM,�IC�IAENT MAY RESULT IN YOUR
<br /> ' PAYIN` .; .;. , . � �1MPROV�lENTS TO YOUR P�QP��f� I ' . � °: TQ.� .:.. N. FINAN�ING, CONSIlLT
<br /> � � i . . ��.03)
<br /> �iWNER t�R ,: G
<br /> g�; ''•" `(or afirmed) befors ms tt�s � m
<br /> � ' i . ,,: . .
<br /> VY1��t+� krawn s.� me or haa/lt�vs produced 1Mto ar� � .
<br /> aa IdenfMcatlon. as identllicatlon.
<br /> ' ►Jo�ry pc�bllc Notary P�
<br /> . �om�nl�ton=i�� �. .. Comml�ton No.
<br /> Mams at' " � prk�#ed or stamped Nan� of Nof��► . ptk�d or stamp�d
<br /> n�n� :
<br /> �FItA�TL"�3 �E�ZA
<br /> MY COMMIS$i0N-k'D1•�L14T82
<br /> � PJ(4(R�:�Dtlii[ti�eE'��2,2012
<br /> i,aoa a+o�r�nv �. rte�.y nbo'�-e.m. ca. •
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