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<br /> 'NOTIGE O�:D�FD RESTR�CTlONB: 'The.undersigned understands,that this ' �
<br /> .which may�be more restrictive than Cou P�rmit maybe;subject;to`"deed;';�estrictfons"�
<br /> -applicable deed restrictions. �'regulations. Th�:undersfgned,assume5 tesponsibility:for;compliara�e�uufth arry
<br /> 'UNLICENSED 'CONTRAC�'OR�..AND iCONTRqCTOR RESP.ONSI�BEL•1TIES:
<br /> contractors�to undertake work, fhey,may be r�qtrired•to bE ficensed in accordance with stateea,r't'd ocalereguiations,�the
<br /> contracter is not Ilcensed as required by taw, both the owner�nd contractor may be c�ted•fo�a•misdemeanor viplation
<br /> under state law. If�the owner or intended contractor are uncertain.as•to what (icensing•requirem�nts ma � 1 for the
<br /> intended work, they are adviseci�to�onta�t me�Pssco Caunty Building iRSpectinn Division--Lfoensin�$��{�on.�t 727-847�
<br /> Y• PPY
<br /> $dog• Furthermore, �f the owner has hited.a cor�tractor or,contractors� he is advised �to•have-t}�e co�tr���(S� $�gn
<br /> portions of ihe "contractor Biock" of this apptication•for which�they will be respons�ble. If you,,as•the owner�sign•as #he
<br /> contractor, th�t rnay be an indicatior��t�at he is not properly ficensed and is npt entftled•to•permitting.pr;v;leges ;n�Pasca
<br /> County.
<br /> CONSTRUC7'IpN.LlEN•i.AW(Chapter773��Florida Statutes,.as;attaended); !f valuation of wark fs�z�pp.pp or more, �
<br /> certifY lh�t I, the applir,�nt, have been provided wlth a coPY of'the 'F'Inrida Consiru�tlon Lien �
<br /> I�rotection Guide"prepared by•the Fiorida•Department of AgriCUlture and Cohsumer q�i�, �{�e �pplic�nt is•someone
<br /> 1-aw�-Homeowner's
<br /> other than the'"owner', �c�rG{y that I have obtained a copy of the abave described document aRd promise fn good t'aith to
<br /> detiver it to the`��^�;o���pmmencement.
<br /> - 'GONTRACTOR'SlOWNER'S�AFFtbAVIT: I cerf({y that aq the infomt2tion in this appJ�tion is accurate and
<br /> that a!1 work will be dohe in comptfance with all applic�ble laws re9ulating construc6on, z�ning and land
<br /> developmer�t. Applica�on is hereby made ta obtain a permit ta do w�ork and insta►Jabon as indicated. I certify
<br /> that no yvetic ar installat�on has commenced prior to Issuance of a pernnit and•that all work vy���be pertmmed tp
<br /> meet standar'ds of all laws regu)aifng constructfon, Coun�y atld City t�cies,.zoning regulations, and I�nq
<br /> development regufeSons in the jurisd�ction. ! also certify #I�at I un�ierstarKi that the regulations ofi' oth�r
<br /> , govemment agencies m a
<br /> aY PPFS''�the rntended wprk, and that it is my resppnsibilityr tp Identif.y vvhat actions I
<br /> must t�ke'�be in compliance.
<br /> If I am the AGENT�FORTHE OWn►ER, t Aromise in good faith to infcrm the o�n,ner of the
<br /> this af�davit ptior tn commenCing co�tstruCtioR. •I understarid that a separate permit m ����g�Dnd�p��et forth in
<br /> plumbing, signs, weIls, pools, air conditfoning, gas, or ather inst�atlations not s � �u�for eleatrica�yvork,
<br /> permit fssued shail be canstrued to be a license!o proceed with the work and not as�au�tYho �a� �n me �ppficat,on. q
<br /> set aside any pravisions of the teehnir,a�c�des, nor shali issuance of a perrn;t �'�D Y��at�, cancet, alter, er
<br /> requfring a correction of errors in plans, consbyCtion or violations of any r.odes�e t�Q$������qa�frOm thereaiter
<br /> unless the work authorized by such permk is c:ommenced wl#hfn six months of permit i�suance, or�'rf work authorized by
<br /> the permEt 'rs suspended or abandpned for a period of six(6}manths after the�me tt�e wotk is commenced. An extensfon
<br /> maY be requested, in writing, from the Building Official for a p��� not to exceed ni
<br /> justlfiabie cause for the exten5ion. (f�u►�ork caases for n'tne 90 corisecut�e d '����d� and will demonsb�ate
<br /> �'� � aYs, #he jeb;s consfdered�aliandoned.
<br /> '�+�►A�RNING Tp OWNER: 'YaUR FAIL'URE TO RECORD A'N�C�pp•�pp�M�CEMENT IY�0.y-R�gULT IN'YOUR •
<br /> PAYING TW�CE Fpa lMPROVEM�N'rg Tp YdUR PRGPERTY. 1F YOU IN'�Np�p pgY�N FINANCING, CpNSIfl.7
<br /> YGU ElVp R OR A A pRNEY QRE RECO G YOUR N C OF CbMM CEMENT
<br /> FLORIDA JURAT(�.5.117.D3)
<br /> ��N�R OR AG� '
<br /> ���'�d antl swvm to{or af�lnned)bEffor�me ri�ls C�NT�CTO
<br /> by Subsaibed a m bo(or beforo me Ws
<br /> Who islare P��aly lawvm to me ar hat�ve p�� . .
<br /> as�denNficauore. who faJar�pe Jy known e or hasma�e produced
<br /> as IdanUfic�tfon.
<br /> . Notary Pt�bGc �
<br /> ' Commission No. No�ry Pubp�
<br /> _ CommissEon No. .
<br /> ��°f��►Y�Yp�d:pdnted or sfamped '
<br /> • Name of Notary tYPed.Printed�I'stampad
<br />
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