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13-14712
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13-14712
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Last modified
7/28/2014 8:32:41 AM
Creation date
7/28/2014 8:32:40 AM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
13-14712
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38107 MARKET SQUARE DR
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NOTlCE OF DEED RESTRtCTIONS: The undersigned understands that this permit may be subject to"deed"restricbons" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance with any <br /> appiicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conuactor or <br /> contractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. 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 a�e advised to contact the Pascfl Cou�ty Building Inspection Division—licensing Section at 727-847- <br /> SQ09. Fu�thermore, if the owner has hired a contracto� or contractors, he is advised to have the contractor(s) sign <br /> portions of the "conVactor Block" of this application fo� which they wiA be responsible. If you, as the owner sign as the <br /> co�tractor, that may be an indication that he is not properly licensed and is not e�titled to permitting privileges in Pasco <br /> County. <br /> CONSTRUCT(ON LtEN LAW{Chapter 715, 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 �aw—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consume�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'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 co�struction, zaning and land <br /> development. Application is hereby made to obtaln a permit to do work and installa6on as indicated. I certify <br /> that no work or installation has commenced prior to i5suance of a permit and that all work will be performed to <br /> meet standards of a11 laws regulating construction, County and City codes, Zoning regulations, and land <br /> deveiopment regulatians in the jurisdiction. I also certify that I understand that the regulatio�s 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, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. 1 understand that a separate permit may be required for elecVical 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 s lice�se to proceed with the work and not as authorfiy to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, no�shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of er�ors in plans,construction or violatlons of any codes. Every permit issued shall become invalid <br /> uniess 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 O�cial 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 FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT lN YOUR <br /> PAYING TWICE FOR tMPROVEMENTS TO YOUR PROPERTY. tF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTQRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT <br /> FLORIDA JURAT(F.S. 117.03) <br /> OWNER OR AGENT CONTRACTOR_�'" — --'—"""^ <br /> Subscribed and swom to(or affirmed)betore me this S}�sc►ibed and to(or atfirmedj b ore rr� this <br /> by !,'"(�bY��G�'r,� � v�}1.�.t�. <br /> Who is/are personally known to me or haslhave produced W6n1g(are pe_rsona know�to me hasfhave p uced <br /> as identificaUo�, as identificatio�. <br /> Natery Publ�c Notary Public <br /> Commiss�on Na. , Commission No. ��- !�d <br /> ��'r"�i Notary Publ�c StatE of Ffonda <br /> Name of Notary rypad,p�inted or slamped Name of Notary typed,printed or st ��e <br /> � My Gommiss�on EEtaD�24 <br /> ,�r ^��QF4t�+� E,cp�reslV�2r2415 <br />
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