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13-14482
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2013
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13-14482
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Last modified
6/12/2014 8:55:54 AM
Creation date
6/12/2014 8:55:54 AM
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Building Department
Company Name
FL MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
13-14482
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38107 MARKET SQUARE DR
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813-628-0143 09 24 59 a m 08-26-2013 13i15 <br /> NOTICE OF DEED RE5TRICTIONS The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than County regulations The underslgned assumes responsibility for compliance wilh eny <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS181LITIES: 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 regulations. If the <br /> contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> under state law. I( the owner or intended contractor are uncertain as to what licensing requlrements may apply for the <br /> intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847- <br /> B009. 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 whlch they will be responsible If you, as the owner sfgn as the <br /> contractor, that may be an indlcation that he is not properly Ilcensed and is not entitled to permitting prlvileges in Pasco <br /> County. <br /> CONSTRUCTION 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 Affalrs. If the applfcant is someone <br /> other than the"owne�', I ce�tify that I have obtained e copy of the above described document and promise in good Faith to <br /> dellver it to the"owne�'prior to commencement. <br /> - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informatlon in this applicetion is accurate and <br /> that all work will be done in compliance wlth all applicable laws regulating construction, zoning and land <br /> development. Applf�ation Is hereby made to obtain a permit to do work and instsllation as indicated. I certify <br /> that no work or installation has commenced pnor to issuance o(a permit and that all work will be pertormed to <br /> meet standards of all laws regulating construction, County and City codes, zoning regulatlons, 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 FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditlons set forth in <br /> this affidavlt prior to commencing consWction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not spacifically Included In the application. A <br /> permlt issued shall be construed to be a Iicense to proceed with the woric and not as authority to violate, cancel, alter, or <br /> set aslde any provisions of the technical codes, nor shall issuence of a permit prevent the Building Official from thereafter <br /> requlring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalld <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 Officlal for e period not to exceed ninety (90) deys 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 TO OBTAIN FINANCtNG,CONSULT <br /> WITH YOUR LENDER OR A,N ATTORNEY BEFORE RECORDING YO �R NnrirF nF COMMENC�MEN7 <br /> FLORIDA JURAT(F.S. 117.03) <br /> OWNER OR AGENT CONTRACTOR �-�---� —"'�_ <br /> Suhscribed and svrom to(or affirmed)before me lhis b ri ed nd s �0(4`a�_rmed)�p re mythls������, <br /> by ��by J � IXG�i'1 F"s[/Y�Y}. K_C3(A.!:__ <br /> Who Is/are personally known to me or haslhave p�duced Who Islara personaliv knewn m me or has/have produced <br /> as Idenlificetion. ea idenUficellon. <br /> Notary Public � Notary Publlc <br /> Commission No. Commissia o. <br /> =o�T��� Notary Pudic Stata oi Flor�a <br /> Che I A DuHell <br /> Name of Nolary typed,printed or stamped Name of Notary typed,printed or r{� � My Commiss�on td <br /> p�M1� ExQires17r1212015 <br />
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