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813-628-0143
<br /> . - 01:33:36 p.m. 02-18-2013 5/15
<br /> NOTlCE OF DEED RESTRICTIONS: The undersigned understands that this pennit may be subject to"deed"restrictions"
<br /> wh7ch mey be mora reatrictive [han County ragulatione, I he untlerslgnad assumas reeponslbll�ty /or compllence with eny
<br /> applicable aastl rastNCilons.
<br /> UNLICENSED CONTRACTORS AND CONTRqCT�R RESPONSIBILITIES: If �„e owner hes hirstl e contractor o�
<br /> contractors to untlortoke work, they may he requlraq to ba 1lcanaed In aceordence wlth etata antl Ioce1 rsgulations. �f iha
<br /> eontractor Is not Ileansetl es requlretl by tow, both the owner end eonuector mey be eited /or a misdameenor �iolatlon
<br /> untlsr stete lew. �t the ow�er or 1n[entlstl contraetor ere u�cportaln aa to w�at Ilcsnsing rsqulroments mey epply for tAe
<br /> 8009�^�enCaq work, they are 8d�leed to contact the Paaco County {,7ullding �nspectlon �lvlakon��Canaing S�Ctlon aC� o �7
<br /> . Furthsrmore, If [he owner hea hlrad e con[�ector or contrectora, he Is advieed ta have ths eontreetor�)_�y g'n
<br /> portions of the "contractor Blxk" af this application for which they W,,, be reaponslble. I. ,,o,,, ea �he oW,,,� „a„ ,5 �,,a
<br /> Ccontractor, the[ mey be en Indlcation that M1e 1s not proparly Ilcansstl end Ia no[ enUtleti to permltting prlvll�ges iti Paaeo
<br /> ou nty.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): I...e,,,,�,o„ „W„k ,s
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—H meowner's
<br /> Protection Guide° prepared by the Flo�ida Department af Agriculture and Consumer Affairs. If the �P,,,�,„� ,s s o m ep,,6
<br /> ather than the°owne�', I certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> detiver It to the"owne�'prior to commencement.
<br /> - CQNTRACTOR'S/OWNER'S AFFIDAVIT; I
<br /> cerpfy that all the Intormetlon In this epp���stlon Is accurece and
<br /> that afl work w111 be do�1e in campllance witA q11 epplicqble lews regulating construction, zoning ond tand
<br /> tlavelopmsnt. /-1pp11cocion le AereCy made to obteln a permltto tlo work and InstallaUnn as intllceCeq, � certlfy
<br /> thet no work or lnsielletlon hes com meneed prlor to lasuance of e psrmit end tha� all work w111 Ge performotl to
<br /> maet atenCarda o1 all laws rsguleiing canstructlon, County entl City codea, zoning �eguletlona, end lenq
<br /> tlevalopmen[ regulotlona I� the Jurfadletion. � elso cer[Ify thet � unders[and that the reg�la[ions af oiher
<br /> governm ent egenelea may epply to the Intended work, and chet IC Is my responslblllty to {aencify wha2 aetlons �
<br /> muatteke to ba In cpmplienca.
<br /> I.I a m t„e AGENT FOR THE OWNER, I
<br /> promlae In goad faf[n to {n(orm [he ownur of the permittlne condltlone sst/orth !n
<br /> [hla affldaWt prlor to commsndng eonsCruc[lon, � uncferstend thoc n aeparate parml[ may ba raqulred for elecerlaal work,
<br /> plumbing, algns, wella, pools, pir aondltioning, gna, or other Inscnilatlona not speef/lcelly Ineluaed In the appllcetlon, A
<br /> parmlt lesued ahall be canntrueq to pe a Ilcensa [o proceod wlth ths work and no[ aa euthorliy to vlpinte, cencel, atter, „
<br /> set es�de nny provlslana of che technlcal codes, nor shell Issuance of a parmlt prevent the B�iltling Officlal from thereefter
<br /> requlring a eorreetion af errors In pfans, conatrueclon or vlolatlons of any eotles. Lvery parmlt laaued e:hall beeoma invelld
<br /> unleas ihe work authorl=ed 6y aueh permit Is com menced within alx monlhs oT psrmlt Issuence, or 1f work authorizetl dy
<br /> the parmli Is suapended or ebar��foned for e perlop of aIx �6� months ef[sf the time iAe work Is CommanGap. /1n sxtenslon
<br /> may he reques[etl, in wrlting, from the Oullding Officinl fnr a period no[2o exeeed nlnecy �9v) deys antl w111 demonetrete
<br /> )uatllleble ceuse Ior tha aYtenalon, �f work eeesqa �or nineiy �9�) eonaecutive deys,tha�o� Is consldered ebendonad,
<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 FlNANCING�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�¢" ./�c.---
<br /> Sue.e.m.a ana.worn io�ar.m.mea� eeto.e m ��'
<br /> a nnia e.S a.�a : or �r ee�ee r
<br /> by }J���+/���+/�� ef [�( m�thl• / �
<br /> Whe If��f• =—�jOy � � �m�'1 l.s�lI hLI I.nf//�I
<br /> parson�Ny known to me or iras�h�ve protluestl Wh_=-������
<br /> P�f�ehwll�nown t •hss�h� •p�ntlue�q
<br /> •s�ean:incsnon. "
<br /> .�aennn�.eion
<br /> Nee.ry Pueu<
<br /> Cj ._.No�.�,.P.,e���
<br /> Cemm�„�o„No Comm�..�o.,No, �CiI�'_l��s"=t
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<br /> N.m. er Noe.�y crv�a, n.�.,c�n o.,�..�,Pee N " . , 1
<br /> •m.o os�rye p y, printatl or seemp�d
<br /> :o� Nofary Pubtic State W Fionda
<br /> � Cheryl A q�el!
<br /> ���' MY Cammission EEt40324
<br /> �orn Ezpxes tiry2r2015
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