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813-628-0143
<br /> 01:34:35 p.m. 02-18-2013 g/15
<br /> NOTICE OF DEED RESTRIC'rIONS: The unde�signed understands that this permit may be subject to"deed"restrictions"
<br /> whlch mpy be more reatric[Ive than County r¢guletlona, I he �nderaigneG eSSUmei �espOl�slblllty�or complipnee with any
<br /> eppilceble deeC rsscrleilons.
<br /> UNI.ICENSED CONTRACTORS AlVD CONTRACTOR RESPONSIBILITIES: I. t„e oW,,.� ,,a, hired a contraetor o�
<br /> eon[raetors [o u�deriake work, they mey De requlred [a be Ileeneed in aceortlane• wlth eiete end loeal regula[lons, �f the
<br /> cnn[rector Is not licsnaed on roqulred by law, both the ownsr and con[ractar may Ee citetl for e mi�tlsmsanor vloletlon
<br /> under state Iaw. �f the owner ar IntanOOtl contrector ara uncercain as to what Ilcenaing requlrementa may apply for the
<br /> 80InCSntlatl work, they are acfvised to eontectthe rasco t,.oun[y puliding (nspecCfon �IVlslon�leensing Jactlon at 7L7-8Q7-
<br /> 09. Furthermoro, If the owner haa hiretl e cantrector or contrec[ors� he 15 pdvlseG [o have the con[raetor�s� sign
<br /> portions of the "contractor Block" of this applicetion for which they w,,, ba rasponsible. If ,.o,,, a, �,,e ow„a, s,e„ eS t�a
<br /> Cconeraccor, [het may be nn Indlcatlon thec he Is not proparly Ilcensad and Is not e�tltletl to parmltCing prlvilegee In Pasco
<br /> ouncy,
<br /> CONSTRUCTION LIEN LAW(Chapter T13, Florida Statutes�as amended ; I.�a,,,at,o„ o,work ,H
<br /> certify that I, the appticant, have been provided with a copy of the "Flonda Construction lien LawQ H meowner's
<br /> Protection Guide°prepared by the Fforida Department of Agricutture and Censumer Affairs. If the a P P„�o„t,, s o m e o n e
<br /> other than the°owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner°prior to cammencemenf.
<br /> - CQNTRACTOR'SIOWNER'S AFFIDAVtT: I
<br /> cerflfy that all Lhe Informaclon In thls appllceiipn 1� accura[e an0
<br /> tY�st ell Work wlll be done in compliance w{th ell epp11ca6fe lews regyleiing Conetruetlan, zoning ontl IanC
<br /> tlavsloprtlent. /1pp11ee[lon Is herehy made tn oCLain o permlt to tlo wprk antl ins[Allptlon qs Intlleeted � eartHy
<br /> ihat na work or Insiellatlon hes commenced prtor to isauenea o1 e permit end thet efl work w111 be performed to
<br /> meet standords of oll lawa reguiating construction, County qnq City codes, son{ng �eguletlons, and lantl
<br /> devalopmeni reguloilona in the Juristlle[ion. � oiso cerYlfy thai � understand thet [ha regulatio�s of other
<br /> governms�t agencles m oy apply to tne Intended work, and thnt It Is my responsitillty to Idenclfy whnt actlona 1
<br /> musttake to �e I� eompllanee.
<br /> If I em t,,, AGEWT FOR THE OWNER. I promise ,,, yood foiCh �o Intorm t,,a ow�e� of[he
<br /> tnis affidavlt prlor to commenoing oonstruetlon. � untlarscontl chet e se erote Permltting contlltlan� saiforth In
<br /> P permit may be requlred for electrlepl work,
<br /> plLmbing, signs, walls, pools, air eontlitloning, gas, or oiher Instollntlona not apecl(Ically Incluqeq �n the applleatlon. A
<br /> permlt lasued shall be cons[rueA tp be e Ilcense to proceeO wlth the wprk end nat as authorlty co vloNO[e, cancel, olter, ry
<br /> sot aalqo eny provlsiona of the technicol codes, nor sho111asuence of a permlt prevent ths Oulltling �flletal from iheraef[er
<br /> requlring e corroctlon o/ errora In plona, �onstru�t/on or vlolatlons of eny eodes. Every permit issueq shall become Involid
<br /> unlese the work authorizstl by such permit 1a com meneetl withln slx mo�ths of permit lesuance, or IY work authorlsed 6y
<br /> tha permlt Is a�spended or abantloneq for a pertod of sl: �6� A
<br /> montha attertha tlme [ha wo�k Is commeneod. P1n ea[ension
<br /> mey ee requestsd, In Wrlting, Trom the Bullding �fffclal /or a parlod notto exceeq ni�e[y ��Q� d�ys end wlll ifemonstrete
<br /> Juatifla6le cause tnrihe eatenalon. �f work eoeses (or nlnaty {g0� eongeeu[Ive daye, the,Job Is conaideretl ebanqonatl.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT!N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULi'
<br /> WITH YDUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO710E OF COMMENCEMENT.
<br /> FL(�RIDA JURAT{F,S. 117.03j
<br /> OWNER OR AGENT CONTRACTOR� /L-- r--`._—
<br /> Sue�ermra .na .wo.�io�o.am�,,,ee�ea�ora me an�s S
<br /> ° .mrm a) e.�.�`eni.
<br /> °y ..E�DY o.�,��Pn h '►� �2f�17�1
<br /> Who Is���e p�raon�lly known to me or 1�a��hava p�otluceA W���
<br /> � e Pa •II�Mnown to T� or h���h�ro produceq
<br /> s�nennnc.uon.
<br /> .ia•ne�ne.aen
<br /> No�..,P�e��� � _ J�(/// , ft
<br /> �—�Y%.��Not�ry ruhlic
<br /> Commis.lon No omml 1on IYe ��)NO
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<br /> N.�,.orNo:.�y cycea,v.i�:.a o..i.,.,P.e �I.m.or rloa..y�y a, � ` � � I
<br /> P.�tad or t�t�Tpa4
<br /> =o�"� Motery Pubtk Stnte of Florba
<br /> f �hM�t A Duflell
<br /> �O�n� F A►es 11/12/�DE5140324
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