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05/16/2013 8:18 AM FAX Sia6620080 UNIVERSAL � 0005/0005
<br /> N0�'ICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'
<br /> which may be more restricctive than Cou�ty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabfe deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI�.ITIES: If the ovmer has hired a contractor or
<br /> contractors ta undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contr�ctor is not (icensed as required by law, both the owner and contractor may be cited for a misdemeanor viol2�tion
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requlrements may apply for tl'ie
<br /> intended work,they are advised to coritact the Pasco County Buiiding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the `COntractor 91ock" of this application far which they will be responsible. lf you, as the owner sign �s the
<br /> contractor, �'►at may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> CONSTRUC710N LIEN LAW(Chapter 713, Florida Ststutes,as amended): If valuation of viro�C is$2,500.00 or more, I
<br /> certify that I, the applicant, ha�e been provided with a copy of the °Florida Cons#ruction Lien l.aw—l-lomeowner's
<br /> Protection Guide" prepared by the �lorida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�', 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 cammencement,
<br /> - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the information in trtis application is accur8te and
<br /> that all work will be done in compliance with ap applicable laws regulating construction, zoning and land
<br /> development. Appfication is hereby made to abtain a permit to do work and inst�llation as indicated. I certify
<br /> that no work or installation has commenced prior to issuance of a pertnit and that all woric will be perFormed to
<br /> meet standards of af! laws regulating construction, County and City codes, zoning regulations, and land
<br /> d�velopment regulaaons in the jurisdiction. i also certify that I understand that the regulations of other
<br /> government agencies may apply to the intended work,and that it is my responsibility to identify whet actions I
<br /> must take to be in compliance.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting cond'ttions set forth in
<br /> this aff'idavit prior to commencing construcction. i underst�nd that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pvols, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed ta be a license to proceed with the work and not as authority to violate, cance{, alter, or
<br /> set aside any provisions of the technicaf codes, nor shall issuance of a permit prevent the euiiding Official from thereafter
<br /> reguiring a con'ectian of errors in plans,construction or viofations of any codes. Every permit issued shall become invalid
<br /> unless ihe work authorized by such permit is commertr,ed within six months of permit issuance, or if worlc authorized by
<br /> the permit is suspended or abandoned for a period of six(6)mo�ths after the time the work is commenced. An extensian
<br /> may be requested, in writing, from !he Building Official for a period not to exceed ninety{90) days and wi11 t[emanstrate
<br /> jusC�iable cause for the extension, If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAtLURE 70 RECORD A NOTICE OF COMM�NCEMEN'i' MAY RESLlLT 1N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEMD TO OBT N FINANCING,GONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y d710E CQ MENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AG�NT CONTRACTQR
<br /> Subsaibed and swom to(or aifirmed)befarg me this Sui�ri and swom to �irtnod) me is
<br /> by ,�1�by � •
<br /> Who isJare personally known m me or haslhave produced Who is/are pensOnally known to me or Maslhave p uoed
<br /> as IdeMificaGon. as ident,'ficatlon.
<br /> ��. �
<br /> Notary Public Notary Public
<br /> Commission No. Commission No. a���"�+4. r
<br /> 0. �� , A � Notary PuDIiC•State of Florida
<br /> Name of Notsry typed,printed or stamped rlame of Notary typed,prir�led or s � - • 2016
<br /> Commission�M EE f8eZ7y
<br /> �4��°������,^8onded TnroupA Nadonal Nof�ry Assn,
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