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813-628-0143
<br /> _,.._ 01:33:05 p.m. 02-18-2013 3/15
<br /> NOi10E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
<br /> whlch mey ye more reaerlctive then l.ouniy regulatlona, 1 ha undwralgnstl essumes responslbllliy 7or eompllanca with any
<br /> eppllceble tlaetl rastrlctfons.
<br /> UNLICENSED CONTRqCTORS AND CONTRACTOR RESPONSIBILlTIES: I. t„� a W„e� h e s ���a d e �o„ue�to, or
<br /> contrpetors to untlerteke work, thsy mey be requirad [a be IicenseO In eccortlance wlch scei• anA f[�eel regulatlona, I}�he
<br /> cantrector is not Ileanaed na requlrad by I�w, both the owner and contractor muy be citetl for q miatlemeanor vlalailon
<br /> under eta[e Iew. �f the owner or Intended contrector ere uneerteln aa co what licensing req�Iremente may apply for tne
<br /> 8���In[ended work, they ure etivisetl to cantnetthe Pasco County pulitlfng �nspeetlon �lvlslon�Llceng�ng Sac[lon a[ 7 a �
<br /> . Furthermore, If the owner hea hlrecf o contractor or contrae[ors, he Is aOvfyeq [o hevs tho contraetor�}_0 9'^
<br /> portions of the "contractor Block" of this application for which they W,,, ba �eE e,,,,,,..
<br /> Ccontractor, thot may Ce a� In[fleeClon that he Is not properly I�cenaed q�a �y not entltleq �oYou, ua [he awner sign as tha
<br /> ounty, parmltcing privllegas In Paseo
<br /> CONSTRUCTtON LIEN L.AW(Chapter743, Florlda Statutes,as amended): !.„a,,,at,,,, of work 19
<br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law�H meowner's
<br /> Protection Guide"prepared by the Florida Depa�tment of Agriculture and ConsumerAffalrs. If t he ePP„�,,,� ,, s,mao�e
<br /> other than the"owne�', I certify that I have obtained a copy of the above described document and pramise in good fafth to
<br /> detiver it to the`owne�'prior to commencement.
<br /> - CQNTRACTOR'S/OWNER'S AFFIDAViT: I
<br /> certlfy ihet all the I�formn[lon in th�s oPP���nt�a� �$ eccurate end
<br /> thet all work w111 be done In campllpnce w1�h ell app��cabla Iqws regulating construCtlon� toning entl (ATd
<br /> development. App��cetlon Is hereby made to obtain e permlcto do work and Ins[alletlon ps InEl�ated. � certlfy
<br /> that no work or Installotlon has com maneed prlor to Issunnce of a permlt and that sll work w111 As psrformetl�p
<br /> moec atanderds of ell Ipws rsgulnting constructlan, County sntl i..ity codea, zanlny reguletlons, anq lend
<br /> �avelopment regulatlons In the Jurlsdic[ion. � nfsa certlfy that � understend tAat the raquleClons of othsr
<br /> govornment agencies mey qpp�y�o tha incendad work, end that Ic Is my responsi�illty Co IOentlly whnt actlons �
<br /> musctake to Las In compllenca.
<br /> I�I a m t„o AGENT FOR THE OWNER, I
<br /> prOmise In gootl fal[A to Intorm the pWner of the permltting c.onaltlona aet forth In
<br /> this oftitlavit prlor to eom msneing construetlon, � u�dar�tentl that a se orate
<br /> plumbin P permit may be requlred for �lectrlcol work,
<br /> 9� 5�9ns� wells, pD013� eir eontlit{oning, gey, or other installatlons not spscifleally Ineluded In the applleotlon. A
<br /> parmlt Isaued shall �e eonstrueC to be o Ilcense to proeeed wlth tha work ond not as au[horley to vlolete, �oncel, elter, o
<br /> ae[ aslOe any provislons ofthe technl�el corles, nor ahall lasuance of a parmlt pravenc the f,uilCing �ff1e{el from therea![ar
<br /> requlring a corroctlon oi errors In p�ans, conziructlon or vfolnilons of any coden, Lvory permit Isaued shn11 be�ome Inva��cf
<br /> unle¢s the work quthOr7zod by such permic Is eommenced wlChl� s1x months ef psrmlt Isauance, or If work nuthorl2ed by
<br /> the permlt Is suapendee or ppenponed /or e period ot aiz ��7� A
<br /> p mon[hs eReriha time the work Is commeneed. f1n e�tenslon
<br /> mey be requastsd, In wrlting, from the Uulltling �fflcinl for a perlad not to axeea[! ninaty �90� days and w�1� tlemonetrata
<br /> Justiflable causa for the erte�sion. If work cen�os for nlne[y 9Q
<br /> � � eonseeutive dayq, thsJob Is Cons{dered abanqonad.
<br /> WARNlNG 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 FINANClNG,CONSULT
<br /> W1TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR� ti�" -�_,
<br /> Subiq��b�tl wne aworn to�or sntrmeu�unfore mo tms S
<br /> by vsise 1 tl A�ern io f/lrmetl}h�j) m�thls
<br /> 7 p
<br /> WhD I��oYe � b 7�7 '����� �I�i7�
<br /> no.so�any woow�io me o�n.��n.o.P.on�c.n -�,i
<br /> Wn�;.,�����•� persan�ltr tnwwn to
<br /> s Idantlfle�tlen - h���h�vn prDqYCSd
<br /> .�aeneu�e.e�on
<br /> No�,.,,P�e��� �
<br /> Co�., Np j ��Noe.�y P,.en�
<br /> m�..�a„ C ��i��
<br /> =mm�n No 2
<br /> / � �--
<br /> N.me orNa[ary�ypoa,princ.d or N�m�/ �
<br /> st�mp�q
<br /> of Npt��y�yp� �p����stl or�tsTpntl
<br /> =o'�"� Nolary Puaic state of Florida
<br /> . Cheryl A buffell
<br /> � ' � MY��mnissbn EE740324
<br /> ��orn� Exairas 71/t2/pOtS
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