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813-628-0143 09 22 �9 a m 08-26-�013 5/15 NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subJect to"deed" restrlctlons" which mey be more restrictive than County regulations. The undersigned assumes responsibility for compliance wilh any applicable deed restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be requlred to be Iicensed In accordance wlth state and local regulatlons. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vtolation under state law. Ii the owner or fntended contractor are uncertain as to what Ilcensing requlrements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, If the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an Indlcatlon that he fs not properly licensed and Is not entitled to permitting privlleges ln Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended). If valuation of wortc is $2,500.00 or more, I certiiy that I, the appllcant, have been provided with a copy of the "Florida Construction Uen Law—Homeowner's Protectlon Gulde" prepared by the Florida Department of Agrtculture and Consumer Affalrs. If the applicant Is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to dellver ft to the"owner' prior to commencement. - CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that a�l the information In this application is accurate and that all work wili be done in compl(ance wlth all appllcabie laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and Cfty codes, zoning regulations, and land development regulations in the Jurisdictlon. I also certlfy that I understand that the regulatlons of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compllance. if I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitUng condltions set forth in thls affidavit prior to commencing construction I understand that a separate permlt may be requlred for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a Ilcense to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building O�cial from thereafter requiring a correction of errors In plans, construction or vlolations of any codes. Every permit Issued shall become Invalld unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6)months after the time the work Is commenced. An extenslon may be requested, in writing, from the Bullding Official for a period not to exceed ninety (90) days and will dem�nstrate Justlfiable cause for the extension. If work ceases for nlnety(90)consecutive days, the Job Is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TW10E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORI�A JURAT(F.S. 117 03) OWNER OR AQENT CONTRACTOR Sf" �—�' Subscribed and swom lo(or affirmed)before me this yuhscnbed nd swom to r effirtned) fore me thi¢� bY C��by_�� '1Y'1 �f.{Y�Y1)"1Ci�1.f Who islare personeily known to me or haslhave produced Who Islere personalty knowr�to me or has/have produced es Identlficatlon. es fdenllficallon. Notary Public Notary Public Commisslon No Commisslon No. �.►►T�� Natary Pua�c Stete of Florida Name of Notary typed,printed or stamped Nama of Nota t d, rinted or st �Y YPe P P�. My Gommiaaion EE110�24 �''or ri� EaPirce t 1712�1016