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10-10113
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10-10113
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Last modified
1/27/2011 9:38:46 AM
Creation date
1/27/2011 9:38:45 AM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
10-10113
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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NOTICE OF 'DEED "RESTRICTIONS: The undersigned understands that this permit may -be subject'to' "deed "restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliaricawith any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired :a - contractor or <br /> contractors to undertake work, they may be,required to be licensed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may :apply for the <br /> intended work, they are advised to contact the Pasco County Building 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 Block" of this application for which they will be responsible, If you, as owner sign as the <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,, as amended): If valuation of work is $2,500.00 or more, <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien La i is Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant <br /> other than the "owner ", I certify 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 commencement. <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and <br /> that all work will be done in compliance with all applicable laws regulating construction, zoning and land <br /> development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify <br /> that no work or installation has commenced prior to issuance of a permit and all work will be performed to <br /> meet standards of all laws regulating construction, County and City codes, zoning regulations, and land <br /> development regulations 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 what 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 conditions set forth in <br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> -.. <br /> set aside any provisions oftl5elechnicaT codes; nor shall - issoance - of permit- prevent-the-Building-Official-from thereafter <br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension <br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> WARNING' TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS AORNEY BEFORE RECORDING YOUR NOTICE OFOCOMMENICEMENT.' CONSULT <br /> WITH YOUR LENDER OR AN <br /> FLORIDAJURAT (F.S. 117.03) <br /> OWNER OR swo 414_, . �� <br /> CONTRACTOR <br /> Subscribed and nd sworn to (or affirmed) beforet I is Subscribed and sworn to (or affirmed) before me this <br /> by by. <br /> y Who is/are personally known to me or has/have produced <br /> Who is/are personally known <br /> maidentification. roduced as identification. <br /> Notary Public <br /> Notary Public <br /> Commission No. Commission No. <br /> Name of Notary typed, printed or stamped <br /> Name of Notary typed, printed or stamped <br />
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