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12-12801
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2012
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12-12801
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Last modified
1/28/2013 1:03:56 PM
Creation date
1/28/2013 12:59:33 PM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
12-12801
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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NOTtCE OF DEED RESTRICTtONS. The undersigned understands that this permit may be subject to"deed" restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibili#y for compliance with any <br /> applicabie deed restrictions. <br /> UNUCENSED GONTRACTORS AMD CONTRACTOR RESPONSIBILITtES: If the owner has hired a contractor or <br /> contractors to undertake work, they may be required fo be licensed in accordance with state and local regulations. ff 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 Div(sion—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contracior or contractors, he is advised to have the contractor(s) sign <br /> po�tions of the "contractor Biock" of this application for which they wiii 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 /> CONSTRUCTIOh! LIEN LAW(Chapter 713, 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 /> ather 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: I certify that all the information in this application is accurate and <br /> thaf 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 installafion 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. 1 also certify that 1 understand that the regulations of other <br /> government agencies may appfy to the intended work, and that it is my responsibility to identify what actions 1 <br /> must take to be in compliance. <br /> If I am the AGENT F�12 THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, nr other inst�llations 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 sha!! issuance of a permit prevent the Building rJfficial 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 wili demonstrate <br /> justifiable cause for fhe extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. <br /> WARNING TO OWidER: YOUR FAILURE TO RECORD A NOTICE OF CONiMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR I.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMRAENCEMENT. <br /> FLORIOA JURAT(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR � ' <br /> 5ubscribed and sworn to(or affirmed}before me this S bscri ed nd srnio r�to r affi ed�C�e�is <br /> bY 1 7 �� bY�ZC ri <br /> Who is/are personally known to me or has/have produced o i re ersona�ly known to me or haslhave produced <br /> as identlflcatlon, as identiflcation. <br /> Notary Public Notary Public <br /> Commission No. Commission No. D� O S� q �Q <br /> Lisa S. Thorpe <br /> Name of Notary typed,printed or stamped Name of Nota <br /> ry typed,printed or stamped <br /> ��ti�:°�av�,.� LISATHORPE <br /> �. . M�COMMISSION#DD 875796 <br /> �•,.` :�,; tXPIRES�March 30,2013 <br /> .',�,RF�.d;�' Bonded 7hru Notary Public Underwriters <br />
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