HomeMy WebLinkAbout15-16053 CITY OF.ZEPFIYRHILLS
'S3�5�8TH STREEi' �
(si3)�so-oo20 , 1 053
BUILDING PERMIT __
PERMIT INFORMATION - LOCATION INFORMATION �
Permit Number: 16053 Address: 3340 MALACHITE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s):34 Block: Section:
Square Feet: Subd.ivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0020-00000-0340
Improv. Cost: 5,000.00 OWNER INFORMATION �
Date Issued: 3/03/2015 Name: TROTTIER THOMAS & PHYLLIS
Total Fees: 90.00 Address: 3340 MALACHITE DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33540
Date Paid: 3/03/2015 Phone: 207 252-3518
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Work Desc: SCREEN RM , PATIO W SHED COVER& CONCRETE 312 ' SQFT
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUI DING FEE 90.00
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSU T N E LING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED • WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies. '
� "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
� improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
i
1
CONT CTOR SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
F'/3C ��Qas f�E�S'!nt°p�i w�(' ' C�'� a3- Z�rl�s ,.
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2015027642
Pertnit No. Parcel ID No ��-��D'o�.�—�VO�-�~�`^"'���� l v
� NOTICE OF COMMENCEME
iState of ���rlCJG� County of �SC-d •
I THE UNDERSIGNED hereby gives notice that improvemenl will be made to ceAain real property,and in accordance with Chapter 713,Florida Slatutes,
the following infortnation is provided in Ihis Notice of Commencement: A\ ['
t, Descrip6an of Property: Parcel Idenllficalion No. a�'I- .Z-(o^�.I + ���� V V�d � d 3 7 �
StreetAddress: V��! � !/�a�4e �;-F� Dr• 2��lWrl�y Ils i �L- �3� � U
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2. General Descriptfon of Improvement �Da j'V1 l�'�c���'i a v� � SCreey.. I2v+�+•�
'l�a.�-r'o%Shed �ver', �o�cr�t�
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3. Owner Infortnatlon or Lessee information if lhe Lessee conVacted for the improvemenl: �����'�'��f'
�D YYiQS l��! �'
� ?�34D "��c.jrc�2i-#�=�(` �7��kyrh►��s �C 33��CU
i Address ���e r City State
Inleresl In Praperty:
Name af Fee Simpie Titleholder:
(If dif(erent from Owner listed above)
Address _IJ City State
a. ConVactor. � " � ��'�7T!�P�
�'3�l)me��G�l�"P �r- Zevhyrhrlls �'C 33s"�l6
Address City T—�— State
Convactors Teiephone No. . Rcpf.:1662598 Rec: 10.00
5. surety: DS: 0.00 IT: 0.00
Name 02/24/2015 T. S., Dpf.y Clerk
Address City State
Amount o(Band: $ Telephone No.
6. Lender.
Name
Address Ciry State
- - � L2ntlers Teieptmne No?_ - --- - �-- — - --- ---- -- - -`---- -. - -- - -
7 Persons wilhin lhe Slale of Florida designated by the owner upon whom notices or other documents may be served as provided by
Sedion 713.13(1)(a)(7),Florida Slatules:
PqULii S 0'NEIL,Ph D.PRSCO CI.ERK 6 COMPTROLLER
Name 02/0 4 K019152m P� 458
Address City Stale
Telephone Num6er o(Designated Person:
8. In addiUon to himself,the owner designates of_ ,
to receive a copy o(the Lienols Notice as provided in Section 713.13(1)(b),Florida Stalutes.
Telephone Number of Person or Enlity Designated by Owner.
9. Expiratian dale of Notice ot Commencement(the expiration date may not be betore Ihe completion ol constructfon and final payment to the
contractor,hut will be one year Gom the date o(recording unless a different date is spedfied):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
i Under penalty o!peryury,I decla�e that I have read the loregoing notfce of commencemant and lhat he facls stated therefn are lrue la the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OFPASCO � �
Signature ai Owner or Lessee,or Owners or Lessee's Authorized
OKcer/Directo r/Pa rtner/Manage r
I
Signatory's Tllie/Once .
The foregoing instrumenl was acknowledged be(ore me this�day ot Feb• ,20LSby TL1n�na 5 /roff'rer
�± as � (type of authority,e.g.,o(ficer,Wstee,attomey in faa)tor
1'1 i vn S t�r (name party on behalf of whom tn ment was executed).
Personally Known�OR Produeed Idenlificelion�( Notary Signalure L`✓
Type of Identificalton Produced �•L. Name(Print) ZQxY+t �-�'1+'
u n..
,� r 4 SUZAWNE BANR
+° t+= NoUry PuDlle•State ol Florid� ,
•-AAy Comm.E=plrQe Nor 22,2019
:�'�;j Commission�Y FF 16969�
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wpdalalbcs/noti cecomm en cem ent�c053048
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rr�, ,. � C�RTIFY THA7 THE FOREGOING�I
0 0 � ?,� ., TRUEAND CO SA
'°' °O �D� � t � W� ON FILE p� RREC7 COPY OF THE DOCUM
� " � OF PUBLfC RECORD IN THIS OFFICE
�p�� �� > � 0 �,� W�IESS MY HAND �(p p��C I A L S
� e. • �� PAU � F__ EALT S
�� � � �' . EIL, CLERK$C- 2
BY � ROLLE—
— EPUTY CLERK
s�a-�ao-oozo�-�� -< -. . . . , ,_ City of Zephyrhills Permit Application FaX-a�aaso-ooz�
' ' � Building Department: - , „ ., ,• ,,
' � ' �. , ., �,� � ., : � ? :
Date Received , �� � �
' � Phone Contact for Perni�itting ��3 �`d.g � -��3��
-I-i-1-t-I-ITr � 1;:1�c���•�,
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Owner's Name 'iS/�lLt S � rtl 'T I � Owner Phone Number
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Owner's Address 3 GI, �`f ;��Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS J 3 � � I i'l � ��� r� LOT# ��
SUBDIVISION � PARCEL ID# oZ Y - c� �o-� I ` O��D - �� -C�3� D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �C-1"C�Qt1- �D[7vJ'L ��-�1 D C V�'`@G\ �D�!2f' C.'171'iCT`�.fi� � S( �
BUILDING SIZE 3 3 X a `{ SQ FOOTAGE 3 j � HEIGHT U
TI�TITr'TfTI"ITI"ITTITI�T� 1'RTIT��TT�ATr�T�TTrIT1�19�T1�1�
OBUILDING $ ���� a� VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �v� �bo�3
`:/ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
-F-�-N-Ea-�-��+Fa- �-N-N-�-�-�-F-�-�-���-e-�-�-�-�-�-�-�-N-N-�-�-�-
BUILDER i �C�MPANY � L°D W h'° �
SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
� Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIt11111111111111I11111111111111ttlllttlltl
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*"*'PROPERTY SURVEY required for all NEW construction.
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Dlrections:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over�7500)
•* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NCJTIGE�F DEEQ RESTRtCTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deeci restrictians.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS16tLiT1ES: if the owner has hired a confractor or
contractors to undertake work, they may be required tp be licensed in accordance with state and local regulations. If the
confractor is not licensed as requireci by Eaw, bofh the owner and cantractor may be cited for a misdemeanor viafafion
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to cantact the Pasco County Building lnspection Division—Licensing Section at 727-847-
8009. Furthermore, if the awner has hired a confractor or confractors, he is advised to have the confractor(s} sign
portions of the ucontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indEcation that he is nat properly licensed and is not entitled to permitting privileges in Pasco
Gounty.
TlZANS!'t�RTATiON tMPACT/UT1�ITlES 1MPACT AND RE5laURCE RECQVERY FEES: The undersigned understands
that Transportation impact Fees and Recourse Recavery Fees may apply to the construction af new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
90-07, as arr3ended. The undersigned also understartds, that such fees, as may be due, will be identified at the time of
permitting: It is further understood-thafTransportation Impact-Fees and Resource Recovery�Fees-must-be paid prior-to- -
receiving a "cerkificate of occupancy" or fina! pawer release. If the project does not involve a certificate of occupancy or
. final power release, the feas must be paid prior ta permit issuance. Furthermore, if Pasca County Water/Sew�r Impact
fees are due,they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
CQNSTRIJCT{ON L1EN LAW{Chapter 7't3,Florida Statutes, as amended): if valuation of work is$2,500.Q0 or mare, l
cer#ify that f, the applicant, have been provided with a copy of the "F�orida Construcfion Lien Law—Homeowner's
Protection Guide" prepared by the �lorida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", 1 certify that 1 have abtained a copy of the above described document and promise in gaod faith to
deliver it to the"owner"prior ta commencement. -
CC}NTRACTOR'SIOWNER'S AFFlDAVIT: I cectify that al] the infarmation in this applica#ian is accurate and that a!1 work
will be done in compliance wifh alf applicab�e laws regu�ating construction, zoning and (arid developmenf. Applieation is
hereby made to obtain a permit ta do work and installatian as indicated. 1 certify that no work or installatian has
commenced prior ta issuance of a permit and that a11 work wili be performed to meet standards of all laws regulating
construction, Caunty and Gity codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must fake to be in compliance. Such agencies include but are not(imited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
l.ands,VltaterlUUastewater Treatment,
- Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Enviranmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Enviranmental Pratection Agency-Asbestos abatement.
- Federa!Aviation Autharity-Runways.
1 undersfand fhat fhe following restrictions app(y to the use af fili:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fll material is to be used in Flaad Zane "A", it is understood that a drainage plan addressing a
"campensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State af Florida.
- if the fiil materia( is ta be used in Fiood 2one "A° in connection with a permitted building using stem wall
constructian, I certify that fill will be used only to fill the area wi#hin the stem wall.
- If fi11 material is ta be used in any a�ea, i certify that use af such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre which are elevafed by fill, an angineered drainage plan is required.
If I am#he AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of the permitting conditians set forth in
this affdavit prior ta cammencing canstructian. i understand ttrat a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air eonditioning, gas, ar other insfallations not specifical(y included in #he application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any pravisions of the technical cades, nor shall issuance of a permit prevent the Building C?fficial fram thereafter
requiring a correction of errars in plans, construc#ion or violations of any cades. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months af permit issuance, or if work autha�ized by
the permi#is suspended or abandoned far a period of six(6) monfhs affer the time fhe work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justi�abie cause for the e�ctension. If worK ceases for ninety(90)consecutive days,the job is consiciereci abandoned.
WARNING TO OWNER: YQUR FAILURE TQ RECORD A N4TIGE OF GOMMENCEMENT MAY RESULT 1N YOUR
FAYING TWICE FOR 1MPRQVEMENTS Tt3 YOUR PROPERTY. IF YOU INTEND TO OBTAtN FtNANC(NG,CC1NSi1LT
WITH YOUR LENDER OR N ATTORN�Y BEFORE RECORDING YOUR N ICE OF CO MENCEMENT.
FCt}R]DA JURAT(F. 7.03
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OWNER 012 AG� CONTRACTOi2
Subscribed and swor or affirme.� a me this Subscribed and s rn ta ar affir ed before me this
os—(7—/S by LtoH+as !►"v ler c�—t?—/S by �tvswa.s �Yt�{�zer
Who is/are personally known to me or haslhave produced Who islare personally known to me or haslhave produced
�.L• as identification. d7•L� as identificatian.
� h-e--�-�����"�ti. Nota Public Nota Pub(ic
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C mmission No. ' ' Commission No.
N , ��� � Name f Notary typed,printed or stamped
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: I�p!1 I�S �0�'r l!- �
�
Date Received: 2 — 2. 4 `� 1 S
Site: 3 J � U l� � L I�e N f ['� �2.
Permit Type: SC�i�G,� ��I�/1 Y�,�-fi SN�Q � VcR ���c2���'
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet.shall be kept with the permit and/or plans.
3�3� l
Kalvin Swit'er– s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
. '
� DISCLOSURS STA'�'*'i'�' FOR OWNSR
� CITY QF �$PRYRHII:T,S SII�I�D=N(� DBFAS��T
� _. �t`!�Vl��-S (`b`�'�'I � �' have reac'� aad fzs7.ly ntn.derstand aad
agzee to the gravi.sians of this iastr�at_
The uadezsigaed states aad affizms that he ar she is des�.rous of coaastructiag,
renovatis�g, adding to or reroo�iag ]ais or her own: domicile, �ha.t he or she
' actual].y oCC1Xgi.eB r ar will ocaupy by saa.d damicile, and sams is nat �or
reat, lease ar sale_ That he or she ehall comply avith the fo3.3.owa.azg canda.ta.ons:
i. That the oqvner aad 1ie or she alone sha3.1 act as the builder for aIZ phases of
constrnction..
2. Tha� E,he o�rvaer m�.11 camgly �ith a3.1 prov3.sions of the City o� Zephyrhills
ordi�pcances an.d codes pertineat �o the buildimg.
3. Thati ia the event various phase� of oone�ruction are eubcoatraated, he vr3.11
eagage o�23y PraPerly Iiceased st�bc�,trac�ors aad wi7.I personalZy supervise
such work.•
4. Tha� i.a the event i he Buildiag Inspeatox shalZ req�ti.ire �oxrecta.oas ta he made,
the owaer wil.l assume full reapoasibility �o a.nsnxe they, axe made, and upoa
completion wa.11 calZ far a reiaspectioa befare ptaceediag with the btsildiag.
5. That the owae� shaY3. a�sume €ul.l re�eponsi.bila.�y for the canstructian and will
aot expect supervi€+ion of his wark from �he C3ty of Zephyrh3.11� Bnildi.ng
Depaactmeat_
6. Tha� prior ta final iaspec�yoa aay additiona�. fee�, i.n.clud3ag r�.nspection
fees: must be gaid ia full. A �arrittea reqnest €rom th�.s a�fice sha1Z
� constitute aa off3.cia1 aot3Lce to pay adda.tional �ees.
7. That the vwae,r sh�.11 comp].y wi�t a].Z City. State aad F�deral laqra ix� regard �o
sociaS securi.ty, warlanaa's campeusatiaa. Ii.eu Zamr�, e�c., �cvhere applzaable.
8. �`hat the owner sha11 campZy wit.h all the ea:Ee�y aodes iasued by �he Florida
IadustriaZ Commi.ssion. .
9. Sta�e laar requ3.res cou�truation to be dan,e by liceased coa�rac�ors. You have
applied £or a perrm.it umder an ex,emp�3.on. �o that Zaw_ '�.'he exemptioa allov�s
yau, as the aarn.er of yaur prapeacty, to act aa your awa eout.�actor wi.th certa_iaa
res�riot�.ons evea though yau da aot have a 13cense. Yau must provide di.xect
ons3�e supervisiaa af �Ghe Goustacnctiaa yourse3.f. Yau may bv.i.ld or i.mprove a
oae-family or two-:Eami.ly re�iderice or a farm outbuild:i»ug. You may also bui.ld
ar i.�arprove a commercial bui,ldiag, provided yaus costs do aat e�cceed $25,OOQ.
The building or resideace must be for yaur owa use or occupancy. T� Ynay aot
be built or svbstantially improved :Eor aale ar lease_ zf you sel]. or l.ease a
.buildiag yau h�.ve btzil� ar s�sbs�aat3aliy impxav�d yaurself cv:i.thai.n. 3. year after
the constrnctioa ia cample�.e, tb.e law will pres� that yon bui.lt a�c
substaatially 3,mpxoved 3.� �'or sal.e or Zease, which is a vioZatian of this
P..7Lemptiou, Yon may nat hi�e aa un7.icensed pearson to aat ae yon:c cantraa�or oz
to supervise geople ovarking on your }auilding. It is yaur �eaponsibility to
make sure that peapZe +�P��Y�d bY You hawe 3i.aeases reqczired by sta�e law aad
by cauaty �or muaica.pal liceasiag or�3*+�*+�es. You may �not delegate �.he
respvasibility fox supervis3.aag �vork �o a licensad coa�ractor who is not
liceased to perforaa the work being done. Aay person. arorkiag on youx bui.ldiag
who 3.s aot licensed must worlc uader gonr direct sugesv3sion aad aaust ba
employed by you, wh�.ch means th�t yatt m�.t�t deduat F.I.C.A. aad a�i�I�taldi.ug ta�c
and prov5.de workeacs' coampensatioa far that emplayee, a1I ae preecri.bed by law.
Yous� coastz�uc�Gioa must comply vP3.th a:LI appl.ieable Ia�s: ardiaazt+ces, bail.ding
aodes, an�ci zosxiag regnla ' .
O�.'S SIG�3�ls`T3RS DATE �^'J � � �
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