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13-14713
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13-14713
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Last modified
7/28/2014 8:33:17 AM
Creation date
7/28/2014 8:33:17 AM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
13-14713
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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NOTlCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> appiicable deed restrictions. <br /> UNLICENSEO CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the <br /> intended worlc, 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 for which they will be responslble. 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(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 Agric�lture and Co�sumer Affairs. If the applicant is someone <br /> other than the"owner", � certify that I have obtained a copy of the above desc�ibed document and promise in good faith to <br /> deliver it to the"owner"prior to commencement. <br /> - CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all khe information in this application is accurate and <br /> that all work will be done in compliance with all applicable laws regulating constn.iction, zoning and land <br /> development. Appiication 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 wark, and that it is my responsibility to identify what actions I <br /> must take to be in compliance. <br /> If I am the AGEN7 FOR THE OWNER, I p�omise in good faith to inform the owner of the pe�mitting conditions set forth in <br /> this affidavil prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wel(s, pools, air conditioning, gas, or other installations not specifically included in the applicakion. R � <br /> permit issued shall be construed to be a license to proceed with the work and not as autho�ity to violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official f�om thereafter <br /> requiring a correction of eROrs in plans, construction or violatio�s of any codes. Every perrnit 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 O�cial for a period not to exceed ninety(90}days and will demonstrate <br /> justifiable ca�se for the extension. lf work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAt�URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR <br /> PAYtNG TWICE FOR 1MPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR�ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S. 117.03) <br /> OWNER OR AGENT CONTRACTOR � ' — '—''�r <br /> Subscribed an bywom to(or a�rmed)before me this Su�sc d a�nd_b�ot,ptlfrme�e(ete` u rN��_ <br /> Who is/are ersonall known to me w haslhave roduced apf1Y�„jyare �¢ L� <br /> p y p peraone�(y,�pQvm w me o aslhave produced <br /> as identification. as identlfication. <br /> .M Notary Public Notary Public <br /> Gomm�ss�on No Commission No. � T <br /> � ohd8 <br /> Name of Natary typed,printed or stamped Name of Natary typed,printed or stam ;Q��, �ne��,'A�vtfelt <br /> � �; MyCommiss�onEE140a24 <br /> ��io�ho� Expues17712�2015 <br />
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