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13-14481
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2013
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13-14481
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Last modified
6/12/2014 8:55:18 AM
Creation date
6/12/2014 8:55:18 AM
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Building Department
Company Name
FL MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
13-14481
Building Department - Name
FMC MARKET SQUARE INC
Address
38051 MARKET SQUARE DR
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813-628-01G3 09 24 �a a m 08-26-2013 11 /t5 <br /> i <br /> NOTICE OF DEED RESTRICTIONS- The undersigned understands that this permit may be subJect to"deed"restriclions" <br /> which may be more restrictive than County regulations. The undersigned assumes responslbility for compliance with any <br /> appllcable deed restrictlons. <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 Ilcensed in accordance with state and local regulatlons. If the <br /> contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor vlolatlon <br /> under state law. If the owner or intended contractor are uncertaln as to what licensing requlrements may apply for the <br /> intended work, they are advised to contact the Pasco Counly Building Inspectlon Division—Licensing Sectlon at 727-847- <br /> 8009 Furthermore, if the owner has hlred a conVactor or contractors, he is advised to have the contractor(s) sign <br /> portions of the "contractor Block" of thls application for whfch they will be responslble. If you, as the owner slgn as the <br /> contractor, that may be an Indlcatlon that he Is not properly Ilcensed and Is not endtled to permltting privlleges In Pasco <br /> County. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended)� If valuatlon 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 �aw—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Afiairs. If the appllcant is someone <br /> other than the"owner", I certify that i have obtalned a copy of the above described document and promise in good faith to <br /> deliver it to the"owner'prior to commencement. <br /> - CQNTRACTOR'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 permil and that all work will be pertormed to <br /> meet standards of all laws regulating conslructlon, County and City codes, zoning regulallons, and land <br /> development regulatlons in the jurisdiction. I also certify that I understand that the regulatlons of other <br /> government agencies may apply to the intended work, and that it is my responsibility to identffy 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 /> thls affidavit prior to commencing construction. I understand that a separate permit may be requlred for electrlcal work, <br /> plumbing, signs, wells, poois, air condltioning, gas, or other installations not specifically inciuded in the application. A <br /> permit issued shall be construed to be a Ilcense to proceed wlth the work and not as authority to violate, cancei, alter, or <br /> set aside any pfovisions of the technicai codes, nor shall Issuance of a permit prevent the Bullding Offlcial irom thereaRer <br /> requiring a correctlon of errors in plans, construction or violatlons of any codes. Every permit issued shall become invafid <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 extenslon <br /> may be requested, In writing, irom 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 nfnety(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 TO OBTAIN FINANCING, CONSULT <br /> WfTH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR A(3ENT CONTRACTOR f/ Y= —�� <br /> Subscribed and swam lo(or effirtned)before me lhis ubs ri ed d swom (a�(fi_rmed) me lhls <br /> bY ����'�,-L�by �, 1 XdF1 �1r�� Il�'iM <br /> Who Islara personally known lo me or haslhave produced Who islare perspnellv knrnem tn me or h ave produced <br /> es Identificatfon. as Identlilcatfon. <br /> Notary Public Notary Publlc <br /> Commissian No. Cammission No. <br /> ad•►�� Notary Puaic Stale of Floritla <br /> + f( I <br /> Name of Nolary typed,pnnled or slamped Name af Notary typed,printed or ct � My Commisa�on EE1q0324 <br /> '��r,� Expires 11112/2015 <br />
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