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11-12539
Zephyrhills
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2011
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11-12539
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Last modified
6/18/2012 3:16:47 PM
Creation date
6/18/2012 3:16:46 PM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
11-12539
Building Department - Name
FMC MARKET SQUARE INC
Address
38051 MARKET SQUARE DR
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�NOTICE OF=DEEDRESTRICTIONS: The undersigned understands.that this permit may_be�subject:to�"deed°:cest�ictions'� <br /> which may be more restrictive than County�regulations. - i"he.undersigned.assumes responsibility for:�ompliar�e�with any <br /> _applicable deed restrictions. <br /> UNLICENSED CONTRi4CTORS AND �CONTRACTOR RESPONSIBILITIES: If the owner has �hiredr:a-contractor or - <br /> contractors to undertake work, they may be required to be ficensed 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 cfted �for a violation <br /> under state law. If the owner or intended contractor are uncertain .as to what ficensing �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 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 l, �the applicant, have been provided with a copy of fhe °Florida Construction Lien Lau�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 "owne�' prior to commencement. <br /> - CONTRACTOR'S/OWNER'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 taws 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 I <br /> must take to be in compliance. <br /> If I am the AGENT FORTHE 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 instaflations 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 provisions of the technical codes, 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 tMe 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 wil( demonstrate <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> WARNING 70 OWPIER: YOUR FAILURE TO RECORD A'NOTICE �OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> W[TH YOUR LENDER OR AN ATTORNEY BEFORE REC�RDING YOUR N ICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S.117.03) <br /> OWNER OR AGENT CONTRACTO <br /> Subscribed and swom W(or affirmed) before me this Subscribed an s m to (or a' rm before me this <br /> b y Who is/are e nal known e or haslhave produced <br /> Who islare personally known to me or has/tiave produced p ry as identifiption. <br /> as identifiq8on. <br /> Notary Public Notary Public <br /> Commission No. Commission No. <br /> Name of Notary typed; printed or stamped Name of Notary typed. printed or stamped <br />
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