NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be sJbject to"deed" restrictions"
<br /> which may be more restrfcclve than l.ouncy regulations �he undersigneO assumes responsibility for compliance with any
<br /> a p p I i c a b l e d e e d r e s t r i c i i o n s
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ow„e� „a� „,�ed a cont�accor o�
<br /> conTractors co undertake work, 2hey may be required to be licensetl in accordance with sia[e and local regulations �f the
<br /> Cont�OCtor i5 not IlCensetl as required by law� both ihe oWne� and ContraCto� rrtay b@ CItOtl f0� e mistlemeanor violation
<br /> un�er state law �f the owner or in2ended contraccor are uncercain as to wnat licensing requirements may apply for the
<br /> intendetl work, chey are advised to contact che Pasco County Bu�lding �nspec2ion �ivision-Licensing Seccion aC 727-047-
<br /> 8009 Furchermore, if ihe owner has hired a contractor or contractors, he is advised co have [he concrac[or�s) sign
<br /> portions of the "contractor Block" of this application for which they w,�� be responsible If ,,o,,, <,s the owner sign a5 [he
<br /> contractor, chat may be an intlication [ha[ he Is no2 properly licensed antl is not en[�iled to permit[ing privileges In Pasco
<br /> County
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If„a,,,at,o„ of wo�k „ $2,500 00 0� m ore, 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 a p plic a„t ,= s o m e o n e
<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"owne�"prior to commencement.
<br /> - CONTRACTOR'S/OWNER'S AFFIDAVIT� I �e��,fY �„ar a„ t„e �nformauon �„ th,s ap����ar�o„ ,s accurace a�d
<br /> chat all work will be done in compliance wi2h all applicable laws �egulating cons[ruction, zoning and land
<br /> developmen[, AppllCatlOn IS heYehy made [o ob[ain a pe�mi[to do work and ins[alla[ion as intliCated I CerLify
<br /> cFiat no wprk or ins[alla[ion has CommenCed prior to iss nCe of a permlt and [ha[ all work Will be perfofined [o
<br /> meec scandards of all laws regulaung constr�ction, County and City code , zomn� regulauons, and land
<br /> deveiopmenc regulations in the �urisd�ction � also certify [hat � understansd [hac che regulations of ocher
<br /> government agencies may apply to the intendetl work, and that �t is my responsibility to iden[ify whac actions �
<br /> m u s t[a k e t o b e i n c o m p I�a n c e
<br /> If I am che AGENT FOR THE OWNER, I P�om,se ,,, 9ood fa,t„ to ,�fo�m �he owner o.ihe permixtirg �o„d,�,o„s =et,o�t,,
<br /> tFiis affidavii prlor lo commencing construcclon � underscand Lhat a separate permiC may be �eqUired for electrical work�,
<br /> plumbing, slgns, wells, pools, aIr contlit�on�ng, gas, or other installations not speciPically included in cF�e application !1
<br /> per'm I[ fssued 5 h all be Con STru ed 2o be a liCenSe [o proceed with Ch e work a nd not a s a uthOr�[y to violate, C a nC el, al[er, or
<br /> set aside any provisions of the [echnical codes, nor shall issuance of a permic prevent[he Uuiltlinq Official from [hereafter
<br /> requiring a correccion of errors in plans, cons[ruction or violations oP any codes Gvery permit issued shall become invalid
<br /> unless the work authorized by such permit IS commenced wifhin Six mon[Fis of r c or
<br /> pe m�[ issuan e, if work au[horized by
<br /> [h e p e r m i c i s s u s p e n d e d o r a b a n tl o n e tl f o r a p e r i o d o P s�x �6) m o n c h s a f2 e r t h e t i m e t h e w o r k � c o m m e n c e d A n e x c e n s
<br /> may be reques[ed, in wrlting, from [M1e Uullding Officlal for period no[ co ezceed ninecy (�O) y �on
<br /> d a s a n d w i I I d e m o n s 2 r a t e
<br /> �u s[i f�a b l e c a u s e f o r c h e e x t e n s i o n �f w o r k c e a s e s f o r n i n e t y �g O) c o n s e c u[i v e d a y s, c h e�o b i s c o n s i y e r e d a b a n tl o n e d
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F S 117 03)
<br /> OWNER OR AGENT CONTRACTOR � � —
<br /> Subscr�bed and swo�n to (or af/irmetl) e(or¢ me ihis bscr b tl ntl s —/ m \ •� �
<br /> b � o�� ffr tl/ O��
<br /> bY b a�Oh f rn
<br /> Wl�o is�a� personally known[� me or has�hav protlutetl Y `
<br /> e p aiiy k . na:�na�e a�oe��e
<br /> s �aenc�ncano.,
<br /> s �ee.,��r,c�o�on
<br /> No�b�Y P�e�,�
<br /> N�� �„P„e�,�
<br /> Comm,=. o., No Comm,=, o., No �
<br /> N a m e o.N o� �a =O�Y P`�L Notary publie State of Florida
<br /> ry[ypetl prinCetl o mpetl Name ofNo[ p �ntetl or st "' n
<br /> arycypetl ampetl ,�j f �
<br /> My Commiseion EE 140324
<br /> �a r�� Expires 1 t/12/2015
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