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NQTIGE OF pEED RESTRICTlON3: Fhe undensfgned underslar�ds that this permit may be subject to"deed'°restricCions" <br /> which may 6e more restrictive than County regulations. The undersigned assumes respansibility for cortepliance with�ny <br /> appl�cable deed restrictions. <br /> UNItCEN3ED GONTFtACTdRS AND CONTRACTO RESPONSIBILITIES: I! the owner has hired a contractor or <br /> coniractors to unCertake work,they may be required to be licensed in aecordance wiih siate and tacal regulations. If the <br /> contractor is not ficensed a5 required by law, both the owner and contraGor may be cited for a misdemeanor violatiort <br /> under state law. If the ownef or intended contraCtor a e uncertain as to what licensing requirements may appiy for the <br /> inlended work,they are advised to contaCt Ihe Pasco C unly Building Inspectian Divisiori—Licensing SecFion at 727-847- <br /> 8049. Furthermqre, if the owner has hired a conlra or ar contractars, he is advised to have the conirector{s} sign <br /> partinns of fhe"contraGor 81ock"of this application for which they will be responsib�e. It you, as the owner sign as the <br /> contractor,that may be an indication that he is not pro erly IicensecE and is noi entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPQRTATION IMPACT/UTILITIES IMPACT AN RE50URCE RECQVERY FEES: The undersigned urtderstands <br /> ihat Transporiation Ir�act Fees and Recourse Recove Fees may apply io the construation of new bu1dings,change of <br /> use tn exisHng buildings,pr expansiQn of existing build ngs,as specified in Pasco County Ordinance number 89-07 and <br /> 90-Q7, as amended, The undersigned alsa understan ,tha!such fees,as may be due,wili be identified at ihe time of <br /> permitting, it is#urlher understood that Transporiation mpact Fees and Resource Recovery Fees musf he paid prior!o <br /> receiving a"ceriifiCate of accupancy"flr final power rel ase. if the proJe�t does nat involve a certiflcate of occupancy or <br /> finai pawer release, the fees must be paid prior ta per it issuanee: Furthermore,if Pasco County Water/Sewer Impact <br /> iees are due,they must be paid prior to permii issuance n aCCOrdance with appticable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter�13,Florida St tutes,as amended}: Ef valualion of work is$2,500.00 or more,i <br /> ccrkify thai f, the appl'rcanl, heve been provided wit a copy ot the "Florida Constr�tion Lien �aw--Nomeowner's <br /> Pratection Guide"p`ep8red by the�lorida Department f Agricuitura and Consumer AffBirs. If the applicant is someone <br /> ather ihan the"awner",f ceRify that(have obtained a c py ot the above described document and promise in goad faith to <br /> deliver it to the"owner"prior to cammencemenf. <br /> CONTRAGTOR'StOWNER'S AFFtDAVIT; i certify thai afi the infarmation in this application is aCCUrate and that al)work <br /> will be done in compliance with all applicabie laws reg ating construction,zoning and iand development. Appli�atinn is <br /> hereby rnade to obtain a permit to da work and inst Ilation as inUicated. 1 certifiy that no work or inatallation has <br /> comrraenced pri�r to issuance of a permii and fhat all ork w1N be performed to meet standards of all iaws regu[ating <br /> construction, Gounty and City codes, zoning regulaGo s, and land development regula#ions in the jurisdiction. 1 aiso <br /> cerlify that I undetstand that the regulations of other go emment agencies may apply to!he intended work,and ihat it is <br /> my responsibility ip ittentify whai actipns I must take to b in compliance. Such agencies include bul are nat limdted to: <br /> - oepartment of Envirnnn�erttal Proteciion-C presa Bayheads, Wetland Areas and EnvfronmeMally Sensitive <br /> Lands,Water/4Va&tewater Treatment. <br /> - Southwest Fiprlda Water Management �nistrlct-Welis, Gypress 6ayheads, Wetland Areas, Altering <br /> Watercourses, <br /> - Afmy Gorps of Engineers-Seawa!!s,Dacks,�avigable Waterways. <br /> - Department of Ffealth & Rehabilitative Se iceslEnvironmental Health Unit-We1ts, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Envlronmen#al Protection Agency-Asbes os abatement. <br /> Federa[Aviation�4uthoriry-Runways. <br /> t understand lhat the tollowing resfricttons apply to the u e oi fill: <br /> - Use of fill is not allawed En�'food Zane"V"u less expressly permilted, <br /> - 1f the filf materisl is to be used in Fload Zone °A", it (s �derstood Ihat a cirainage ptan addressing a <br /> "compensaiing v�ume"will be submitted at fime ot permitting which is prepared by a professional englneer <br /> [icensed by the 5tate of Florida. <br /> - If ihe fllf mafer�a! is to be used in Flood Zpne"A"in connecti0n with a permitted building u6ing stem wall <br /> consiructian,E certity fhat fifl will be used on[ fo fili the area within tha slem walt. <br /> - If filt matenal is to be used in any area, certtty that use of suc� filt will not adverseiy aifect adJacent <br /> prope�ties. If use of fiill is faund to ad�ersel aHeet adJacent properUes,the owner rnay be cited For violating <br /> the conditions ot the building permit issued undar the attac�ed permit applicalion, far iots less than one{i) <br /> acre whieh are elevated by fiii,an enyineere drainage plan is required. <br /> It I em the AGENT FOFt THE OWNER,f pramise in goo f8ith to inform the owner of the permitting conditions set forth fn <br /> this aftdavit phor to commencing constructian. I under tand that a separa#e permit may be required for electrical work, <br /> plumbing, signs,weils,pools, afr conditioning,gas, ot iher installations not specifically included in the applicatian. A <br /> permli issued sha11 be consirued to be a Yicense to proc ed with the work and not as authority to vioEate,carrcel,alter,or <br /> set aside any provisions of ihe technical codes,nor shel issuance of a permit prevent th�Building Offilcial from thereafter <br /> requiring a correction of errors ir�plans,constructian or 'olations of�r�y codes. Every permit issued shail become invaiid <br /> �less#he woric auihorized by such perrnit is commen d within six months of permrt iss ce,or if work authorized by <br /> the permit is suspendec!or abandoned for a period of si (S)manths after the iime th ork i corr�nenced, An extension <br /> may be requested,in wrlting,from ihe Suilding Official r a period not to ex inety( }qays and wiD demonstrale <br /> justifiable Cause far the extension. If work ceases for ni 1y{9p)consecutive the jab s considered abandoned. <br /> WAFiNINC3 Td E YOUR FAILURE TO REGO D A N�TICE OF N MENT MAY R�3ULT 1N YOUR <br /> PAYINQ TW1GE RflVE ENTS TO YQUR PR PERTY. IF YO N T Q6TAIN FINANGINt3,GONSULT <br /> WIT OUR E M A Y SE QRE R GORDINf3 YO R !C F GO M NCEMENT. <br /> F�or�i❑a,ru�n . � s� � , <br /> Sn J OWNER OFt A(3ENT ppJT�p��� <br /> '0.' Sudscribed and swom!a medy be ore a cr�ed an m d elore mo thi N O <br /> December by Ste he Lewis� �� orized Per �� � � �� � <br /> Y <br /> Who istereperaanapy knovm!o haNhave protlucod o is/are nally to o l�aslhave{wroduced <br /> as�deniification. as idendfiyption. <br /> hotary PuWic .ry Pubtic <br /> Isaion No. 1�8 5 ommisslon L� VO O�� <br /> ndca ��� <br /> Name of�tolary typed,prinied or stamped am¢ot Notary typed,prirMed or sEart�ed <br /> ?°`�RV p:;B�� SANDRA ERRINGTON <br /> Commonwealth of Penns Iv�nla * � * MY COMMISSION H Ef:088451 <br /> NOTARIAL SEAL .�, aP EXPIRES:April28,2015 <br /> RANDI SHENKMAN,NOTARY PUBtIC 9Tf OF F1�� Bonded Thm Budget Notap Services <br /> Lower Merion Townshlp,Montgomery County <br /> M Commission Ex Ires A rll S,2015 <br />