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10-11210
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10-11210
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Last modified
10/13/2011 2:26:05 PM
Creation date
10/13/2011 2:26:05 PM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
10-11210
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38107 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 - compliance with 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 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 the 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, I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <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'S /OWNER'S AFFIDAVIT: 1 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 that 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 <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 /> set aside any pro- - -vis ons -- <br /> visions of�1e �ecFinical cod - es, nor shall issuance of a 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 TO YOUR PROPERTY. IF YOU INTEND .' , 0 OBTAIN I FI , CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR <br /> FLORIDA JURAT (F.S. 117.03) <br /> OWNER OR AGENT CONTRACTOR 11 <br /> Su scnbed and swom to •efosre = this 0 V . Al <br /> Subscribed and sworn to (or affirmed) before me this �j ,, 10 by L r � . <br /> by Who is /are personally kno • • - has /have produced <br /> Who is /are personally known to me <br /> i has /have nroduced p as identification. <br /> as identification. <br /> i <br /> •• ,� ��! � . + Notary Public <br /> Notary Public /L — �� <br /> Commission No. Commission No. <br /> eHERYL A. DUFFEL. <br /> * MY COMMISSION if DD 7300St; <br /> Name of Notary typed, printed or stamped <br /> Name of Notary typed, printed or staml5 ii EXPIRES: November 12, 2011 <br /> vre of Ft �F Bonded Thm Budget Notary Services <br />
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