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�V��VE V�'i/�RW,i���0 V�Wf IW•��R��It�.YC:SV���:NWY w+u�+�r <br /> �may be more•rostrictive�than�0o�reg�lations. The.undersi�nsd.assumas rosponsibllfty,�lolqrnpliaaoe��ith s�Y <br /> ����s� R:RE8P.ONSIBIL•RIE8: ..tf:ths �owne�fis�h�d:a'x�ntra�r'or ' <br /> � �uNUC�NSED tCONTw�►CTORS �. irod#o be licensed In a000�dancs with stats and.lacal•reDulatlo�. If the <br /> �as to underldce work,theY maY req� <br /> contracEor is not lioenesd as requirod bY b�w� both ths o�wner snd cont�cbor meY be dted for a•misdsme�anor violatlon <br /> under smis I�w. .If�l,e awner w intended�oontra�tor grs uru�rt�in�s�what Iio�usinp'requ�ert� nWY�PWY for the <br /> h�stlded Work�Y�advised to COntad the•P�soo CouMY���P�� �eC�orl.at 727-847- <br /> 8009. Furlhsrmors� 1f ths owner has �hi�ed=s � or oonb'ac�ors� he b advbed'to .havs�he.cbntrsdor(s) si�n <br /> p��of ths•c;�ec�or Block" of�this apppc�fbn for whid'�'theY wpl bs rosPorai�. If you..as�ths �o�rner•si�n as !he <br /> contr'ac�or� lhat may be� indkation tl'wt fie is not prope�ly lic�ed and i� not�'bo'pem►iWr19:P��� �'� <br /> C�UCTION.LIEN LAW(Chapbr713,Flo�ida 8btub�s�.as san�nd�d): If valuaUon of work is 32�00.00 or mone. I <br /> cxrU�y that I. the aPpik�n� have been provided w�th a copy af'the 'Fiorida Consb'uctlon Lien Law--Homeownei's <br /> Protec�ion Guide'Pr'ep�r'ed bY'the Flocida Departrnent of Apr�re snd Consume�'Affafrs. if ths applk�M is�sonneone <br /> o�than the`owner� �cerfifY that I tiave ob�ainsd a oopy of the above descx�ed document and promise in good faa�h to <br /> de�iv�tt to the•owner'prior to cornm�encerrfsnt. <br /> CONTRACTOR'SJOWNER'8 AFFIDAVIT: i oer�fy that ali the ir�formadon in this applic�fon is axu�ste and <br /> tttat aii work wUl be done in complisnce wllh a� appiicable Iaws ro�ulatln9 oonstn�ctlot�� mnbW and land <br /> development. APptk�ion is herebY made to obtain s permit to do work and ir�on as��ed. I c�tlty <br /> thst no work or installation ttaB c�mmsrx�sd Prfor to�au�of a permit and�that ail work w81 be petforrned to <br /> meet standar+ds of alt IsM►s r�epul�D Co�on� CouMY and C�Y ����20� �' � � <br /> davelc�pment regulabons in������st�ded w�odc� s�that It is my�p�o�ity ��oth� <br /> � rt���be��. <br /> tf I am the AGENT FORTHE OWNER� � Prombe in�oOd faflh b�iMorrn the owner of!he permlt�c�ond�ons set farth in <br /> this afttdavit Prior bo commendn� constructlon. 1 ut�d�rstand fhat a seps�e Psrmit m�Y bs roqu�d tor electrical vvork. <br /> � s�s� w�eils� pools, sir conditlo�r�p� �as. or o�her ira�Natlo�s not sp�h► �d� in ths sPPlicstlon• A <br /> pertnit isaued �hatl be construed to be a lio�nee� Prccssd with the work and not� ��O�fAdal from �� <br /> aet aaide anY P�lo�o�the techntoal oodss� rwr���e P�P� n i�usd si�dl bsconb�rvalid <br /> r�uf�a�on at errors In plar�s.� or violatl�s af any cades. EveN perm <br /> unless the work autl�ortr:ed bY such Pe�mK i� commsrx�sd vidthf�six montha of perm�iauarx�e� or tf work autho�Zed bY <br /> fhe petm�is swpende�!a ab�d°^���P��af sbi(8)monlhs aft�ths titn�the w�a1c�cam�� <br /> mey be roqus�6ed� In w�iUnp.irom ths Bu�dinp Oflicid for a perbd rfot tD�otc�ssd nlrwtY ( ) days <br /> ju�1e c,suss ior 1hs e�ia�. "If w�ork csases for ni�sty��0)axa��tNs����is conaidet+ed abandoned• . <br /> WARNING TO ONMER: YO�R FrAIL'URE TO RECORD A'NOTICE'OR'CO�NCEMENT WAY RE�6ULT IN�YOUR <br /> PAYING TM110E FOR ROV'EMl:NTS'ro YOUR PROPE�" �Y�', � ��G+CONSULT <br /> F�pRtD�P►JURAT(F.S.117.03) <br /> ��nd s�Mam b(or�d?bNors m�thl� a <br /> . � � � <br /> WAO Wan P�soerNy wfown b�a� � —..... as Id�liatlon. <br /> NobrY Pt�IC Not�Y Publc <br /> Co�� �� � <br /> I�ame d Nodry brp�o�a� �°f�►4�P�d.o��a� <br /> i <br /> � ��_ <br /> �� '��;�ot.'o17 <br />