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10-10919
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10-10919
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Last modified
8/15/2011 10:29:28 AM
Creation date
8/15/2011 10:29:28 AM
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Building Department
Company Name
K-MART
Building Department - Doc Type
Permit
Permit #
10-10919
Building Department - Name
K-MART
Address
7422 GALL BLVD
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which NOTICE <br /> may be more r e STRICTIONS: The strictive�than County -regulations. ula ons. The undersigned assumes-responsibility-for compliance "deed" <br /> with any <br /> which my more re <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS :AN � bON gRAe to be licensed 'RESPONSIBILITIES: i acodance w the owner has ith state and local regulations. If <br /> contractors to undertake work, <br /> as k re quy may I ola the <br /> contractor is not licensed as required by law, both a or uncertain as to what licensing t eequ� requirements may app yiolati <br /> for under state law. If the owner d r intended con <br /> intended work, they are the o r has hiredea County <br /> contractor Building he is advised to Division—Licensing have he contactors) sign <br /> p orts Furthermore, if the owner has h application for which they will be responsible. If you, as the owner sign as the <br /> portions of the "co b Block" of this that he contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. 500.00 or more, I <br /> CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,- ofine amended): If <br /> valuation of <br /> n work $2, <br /> Law--Homeowner's <br /> certify that I, the applicant, have been provided. with a copy Itcant is someone <br /> Protection Guide" prepared by the Florida Department of Agricure and Consumer Affairs. If the <br /> above described document and promPse in good faith to <br /> other than the "owner", I certify that I have obtained a copy of th <br /> deliver it the "owner" prior to commencement. <br /> ion is accurate and <br /> CONTRACTOR'SIOWNER'.S AFFIDAVIT: I certify thaall laws r egu s zoning and land <br /> that all work will be done in compliance with all applicable <br /> development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify <br /> o <br /> that no work or installation has commenced prior to issuance of ad permit a codesnd that t all work <br /> r will be e t o <br /> meet standards of all laws regulating construction, County <br /> development regulations in the jurisdiction. ended work, and that it is my understand <br /> responsibility toeidenfify regulations <br /> what actions t <br /> government agencies may apply t <br /> I to th <br /> y <br /> must take to be in compliance. <br /> forth in <br /> If I am the AGENT FOR THE OWNER, I promise in <br /> understand that permit may be requged for rm the owner of the permittin work, <br /> this affidavit prior to commencing conditionio as, or other installations not specifically included in the application. A <br /> it plumbing, e d s ll be wells, pools, air to be air license c e n g <br /> perm any y p o construed c o s a des, nor shall issuance of e work a permit p not as event the Building violate, <br /> e Official fro thereafter <br /> r requiring aside any provi sions of the technical co <br /> ruiring a correction of errors in plans, construction within six a months of per Every pss u o issued <br /> work become <br /> authorized bn <br /> the permit the work o such permit is commenced <br /> the permmit is suspended pended or r abandoned for a period of six (6) months after the time the work is commenced. An extension <br /> from the Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for t he extension. may be requested, aten sion. If work ceases for ninety ( 90 ) consecutive days, the job is considered abandoned. <br /> t <br /> WARNI <br /> NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE PAYING-TWICE INTEND COMMENCEMENT N FAY MAY UL IN Y CONSULT <br /> PAYINGWICE FOR IMPROVEMENTS TO YOUR <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> CONTRACTOR <br /> OWNER OR AGENT before me this Subscribed and swom to (or affirmed) before me this <br /> Subscribed and sworn to (or affirmed) by <br /> Who is/are personally known to me or by Who isly�o rea�personaliy known to me or has/have produced <br /> as identification <br /> Notary Public <br /> Notary Public <br /> Commission No. <br /> Commission No. <br /> Name of Notary typed, printed or stamped <br /> Name of Notary typed. Printed or stamped <br />
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