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<br /> �NC7TICE OF'DEEd RESTRtCTiOAlS: The undersigned undsrstands that this permit may be su��ject°to'"deed".�restrictions"
<br /> �vhich m�y be more restricfive than County regulations. �"he undersigned assumes responsibilii.y"for�compliance=with any
<br /> applicable deed restrictions. a
<br /> UNUCE�tSED CONTRi4CT{?RS AND COIVTRACTOR RESP�tVSfBtLITiES: If the owner has hired:a°contractor or -
<br /> contractors to undertake work, they may be required ta be (icensed in accordance with state and Eocal�regulations. If the
<br /> contractor is not licensed as required by law, both the owner.and contractar may be cited far a misdemeanor violation
<br /> under state lavu. If fhe awner or intended contrac#or are uncertain.as to what licensing�requirE�menfs may_apply far the
<br /> intended work, they are ad+�ised to contact the Rasca County $uilding Inspection division—Licensing Section.at 7.27-847-
<br /> 8049. Furthermore, 'rf the awner has hired a confractor or contractors, he is advised to have the contsactor(s} sign
<br /> portions of the "contractar Block" afi this appfication for wt�ich�they wil( be responsibls. If you, as the ourner sign as the
<br /> contractor, that may be an indicatian fhat he is not propar{y licensed and is not entitled to perrnitting privileges in Pasco
<br /> CQUnty.
<br /> CONSTFZUCTlON.LIEN L.AW(Chapter713, Fiarida Statutes,_as amended): If valuation of wark is$2;500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Gonstrucfion Lien Law—Homeawner's
<br /> Protectian Guide" prepared�by the Fiorida Department of Agriculture and Consumer Affairs. Ifi the appficant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and pramise in goad faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> - CONTRACTOR'S/GIWNER'S AFFtDAViT: I certify that al( the information in this appfication is accurate and
<br /> that all work will be done in compliance with all applicable laws regulating construction, zoning and land
<br /> • development. �ipplicatian is hereby made to obtain a permit to do work and installation as indicated. I certify
<br /> that no work or�installation has commenced priar to issuance of a permit and that afl work wil( be performed to
<br /> meet standards of aA laws regulating construction, County and City codes, zoning regulations, and land
<br /> development regulatians in the jurisdiction. I also certify that 1 under5tand that the regulations of other
<br /> government agencies may apply to the intended work, and fhat it is my responsibilit±l to identify what acfions f
<br /> must take to be in compfiance.
<br /> lf[ am the AGENT Ft3R THE OWNER, I pramise in good faith ta infarm the owner of the permiring conditians sef forth in
<br /> ihis a�davit prior to commencing canstruction. E unders#and that a separata permit may be required for electrical work,
<br /> plumt�ing, signs, wel4s, pooks, air conditioning, gas; or Qther instalEations not specifically included in the application. A
<br /> permit issued shaH be canstrued to be a ficense to proceed with the work and not as authority to violate, cancel, aifer, or
<br /> set aside any provisions ofi;the technical codes, nar shall issuance of a permi#prevent the Building Official from thereaftes
<br /> requiring a carrection of esrprs in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> un3ess the work authosizad by such permit is commencsd within six months of permif issuanee, or if work authorized by
<br /> the permit is suspended ar bandaned for a period of six {6) months after fhe fime the work is cc�mmencad. An extension
<br /> may be requested, in writi g, from the Building OfFcial for a psriod not to exceed ninety (90) days and wi11 demonstrate
<br /> justifiable cause for the extension. If work ceases fior ninety(90)consecufive days,the job is considered abandoned.
<br /> WARNiNG TO OWNER; YUUR FAILURE TD RECORQ A NOTiCE OF C�MMENCEMENT MAY RESULT iN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, Ct�NSULT
<br /> WITH YOUR LENDER�R AN AlTORFJEY BEFORE RECORDING YOUR NOTIGE OF Ct3MMENCEMENT.
<br /> FLORIDA JURAT(F 117.03)
<br /> OWNER�R AGENT ,L.�!Y- _ CONTRACTOR `J� '���
<br /> Su nbe and swo to( i e )pefore me this Sub c}�e and swo r a rmed)be re e this
<br /> g� � Z- by �C < </ � 4.-.!o— J /�z L by C� � o -.�
<br /> Who is/are perso��llv kno,wn�to me or has/have produced Who islare pers�nally known t me or has/have produced
<br /> �s idenfifiCation. as identification.
<br /> Nota Public /' �.' �
<br /> �Y _ - / Notary Public
<br /> Commission N .,••'ti�"•,�•,•,, PATRICK D,COOK ' ,,;.�,,, ,�,i..� ,.. �
<br /> Cammission No n c. •
<br /> .•; '' Ir �+,,, F: Comm�se�on UU i4�i20
<br /> Name af EVota ; nte�Dndea�rFqll�lf InwronceA�o�3es��ois Name of Notary , ti �n i;,W,��p,�ga7o�g
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