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813-628-0143 01:35:04 p.m. 02-18-2013 11 /15
<br /> NO'ftCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
<br /> whlch mey ba more ra�uletiva theh County regulatlona. I he undersigned assumas responslbillty for eompllenca wlti� eny
<br /> eppllCeble deed reetrlctlons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: I. the oW„.� „o, hlrsd o �o„t�e��o� o�
<br /> con[rqcCOre to untlertRks wo�k, thay mey 6e required to be Ileansed In accordance wlch stata entl loeal rsguletions. �Tthe
<br /> contructor I9 not Ilcensed ns requlratl by low, Doth th• owner end eontrnetor mny be clted for a misqemsenor vloln[1on
<br /> unqer steta lew. �f the owrter ar intentled co�tractar are unCartoln us to whe[ Ilcen�ing requlremente moy epply for t�e
<br /> Intentled work, chey are ptivlaaC to eoniae[the f aaco County Oulltll�g �napectlon Viviylon�lleansing Sectlon ei 727-847-
<br /> 80�J. Furthermora, IT the owner hes hired e eontrae[or or eontreetors, he is ativlsetl ia heve ths �ontroeior�s� sign
<br /> po�ti�ns of the "contractar Block" of this appllcation for which they w„� be respons�ble. If you, ee �ha oW„e� ,,8„ a, t,,e
<br /> contreetor, thai mey be an I�tlleeilon chat he Is not properly Ileensed and la not entltled to psrmltting prlvlleges In I�asco
<br /> Cou nty.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): I►„e�„a��a„ o(work is $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 p Ile e nt I s s o m a o n e
<br /> other than the°owner°, I ce�tify 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 commencement.
<br /> - CONTRACi'OR'SIQWNER'S AFFIDAVIT; I �.���.,, �„e� all the Informetlon �., �,,,, applicetlon ,g accurete e„�
<br /> that all work w11f bb done In eompllenee with all eppliepble lews regulaiing constructlonr =a���g end lanq
<br /> developmen[, flppiicetion ia hereby mede io obteln a pbrmitto do work anq Inatalle[lon os Intllcetsd. � certl�y
<br /> that no work or Ins[allatlon hes commencetl prlor to Issunnce of o permlt ond thot ell work wll/ ba performed to
<br /> meet stqntlartls o� nll lowa reguteting eonstructlon, County and Clty codes, zoning regulaclons, and land
<br /> developmen[ regulntiqns �n Lhs JuNStlic[ion. � also cortify Che[ � understend that the iaguletlons of other
<br /> government ogenclos may ppply to ths intantletl wark, entl the[If Ia my reaponsiCillty co Identlfy whet netlons �
<br /> mustCOke to be In compliance.
<br /> �f� em the AGENT FOR THE OWNER, � promise In gooC fal[h to �nform tne owner of the parmitcing conqltions sat forth cn
<br /> thls aTfidavlt prlor io commencing construcilon. � untleracantl that a separnto permic mey be requlred for electrlcol work,
<br /> plumOing, signa, wells, pools, uir contlltianing, gas, or oTher Inatellatlons not speclllcolly i�clutled In the appllcatlon. I'1
<br /> perTl[ISSUed sh011 De Cons[rued to he e Ilcense to praceed with the wark anA npt es nuthorlty t0 v1al0te, cancel, ulter� or
<br /> set oside eny provislons ot ehe teehnleel cotlea, nor shall isauenee oT e permic prevent tne pulltling Qflltlel from Chereefter
<br /> raqulring a correctlon of errars 1� plens, conatructlo� or vloletlons oI any eotlas, Lvery permlt Iasued xhall becoms Invelid
<br /> unlesa the work eutho�ize0 Oy auch parmit Is com me�cstl wlthin ala months o1 porml[ Issuenca, or If work suthorized by
<br /> the permli Is auspentled or ebendonotl for e perlod of sla �U� months after the tlme the work Is commenced. f1n ea[enslan
<br /> mny be requested, In wrlting, from ihe Bultding �fTlelal for e parlod not to excead ninety �9V� days end will tlsmonstrete
<br /> JusNflabla ceuse Torthe extenslon. �f work ceases far nlnecy `90) co�secutive tlqys,ihe JoL I5 conEldenad abantloned.
<br /> WARNING TO OWNER: YOUR FAILURE T� RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMEN7S TO YOUR PROPER7Y. IF YOU INTEND TO OBTAIN FINANCING,C�NSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Yf3UR NOTICE OF COMMENCEMENT.
<br /> FLQRIDA JURAT(F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR���c i'�--- �`""'�'`
<br /> SuC�crlbetl antl swarn to�or�Illrmed�before ms thls S b�eril d ntlf�A4o m�ehls
<br /> °y ��l�.b, �.�.��C�j�n�b i��c ir'n ti fr h�j
<br /> Wno i./... v..:se.uy k�o„,o�o m.a.n../n.�e o.oa�oRa 1�Vya„l.�e por�on�lly kn ��o m ,n../n�v.P.aauc.„
<br /> :�n.nnnc�uon, s ia.na�ne.uon
<br /> No...,.P�eu� No�..y P�en�
<br /> comm�,.,o�r�o. cemm .,o�rvo. � )t C� 'Lt
<br /> � r , � � . �c
<br /> Nam�efNet��y typx(f,p�IhtsG or�tempetl N�ms ofNo<e�y aN.printetl or staTpwtl
<br /> ��r+''�<y, Natary Pubiie State of Florkla
<br /> h Cheryl A Outltll
<br /> �� I`p• My(:ommisiwn EE1�0�24
<br /> aneP E�pltat 71t12120/6
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