HomeMy WebLinkAbout17-18143 CITY OF ZEPHYRHILLS
5335-8TH STREET
' ' (813)780-0020 18143
BUILDING PERMIT ,
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18143 Address: 5737 13TH ST �,
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. ',
�� Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
' Est. Value: Parcel Number: 11-26-21-0010-07100-0060
Improv. Cost: 8,000.00 OWNER INFORMATION
Date Issued: v� �3���7 Name: BOICE RAYMOND & KATE
Total Fees: 112.50 Address: 5737 13TH ST
Amount Paid: 112.50 ZEPHYRHILLS FL 33542-4144
Date Paid: 2/13/2017 Phone: 813-702-4462
Work Desc: CONSTRUCT POOL ENCLOSURE 20 X 45
CONTRACTOR S ' APPLICATION FEES
HOMEOWNER BUILDING FEE 112.50 '
�
_ ��
�� � � ��� 7 �
� Ins ections Re uired
FOOTER 2ND ROUG PLUMB MISC INSULATION CEILING
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: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
NO OCCUPANCY BEFORE C.O. �
�^��, Q � I
G� I`) dLC'SI
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
813-780-0020 City of Zephyrhills Permit Application F�-s�3aso-ooz�T �
•• � Building Department
Date Received F'e b. � � � I
- �Phone Contact'for Permltting.-
Owner's Name �� �G V�� 61 Le, Owner Phone Number . 4 �� '7�Z`��6� �
Owner's Address 5 �� f 3� 5+ ��'tir��'�S Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS ��I�I� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ,. NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH
e INSTALL REPAIR
PROP„OSED USE � ' SFR Q COMM Q OTHER .
TYPE:OF CONSTRUCTION Q BLOCK •- Q FRAME 0 STEEL Q -
.. � .�
DESCRIPTION OF WORK ��5��`��"�L�" ����- �✓l C �o$u►�� a8 X �'1"
BUILDING SIZE SQ F.00TAGE� HEIGHT •
QBUILDING $ ��qp� VALUATIOIV'OFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ /
� ,�, l� �✓
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION' Q� �� �,
/ L%— �
Q,GAS Q ROOFING Q SPECIALTY Q OTHER r��� � � l!/��
FINISIiED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � 6��
�
BUILDER ���� 9 � �COMPANY r '-���' ��� e�
SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y%N
Address "Ciaense#
' :ELEC,TRIGIAN . COMPANY �
,. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Licerise# �
• ,:.,.,
P.LUMBE,R:,,, . COMPANY '
SIGNATUREy REGISTERED Y-/ N FEE CURRE� Y/N
Address. License#
MECHANICAC � COMPANY �
'� SIGNATURE"' � � � REGISTERED , Y 1 N FEE�CURRE� Y/N
�. �.
Address-- � ' _ License.#
�ii"ss. ° ... .
OTHER� '�?: � " COM,PANY
_��SIGNA:T:URE�.;.:•.: ,^ - � " -REGISTERED Y/.N FEE CURREK Y/N
c:i. '�•"��-.- '�a' . � �• , . �. : .
Aaa�egs,<; ' . � . License#
:'s,..:.:.: , ,
;;�: .. . .
<,_�RESIDENTIAL;;;: i4ttach;;(2)::PIot�Plans;�:(2)ssets�of�Building-Plans;(1)°set of�EnergyForms;�B;O=W PeRnit,for new,construction, I
- -.,.�;y:;,�,;i.;�:,_;Minlmum•:ten=(10)working?days afte�.sutirtiittal•date.`Required'.onsite;Constiuction Plans;Stormwater Plans w/Silt Fence.installed,
-_. " �� Sa'nita�ry,,Facilities°:8�;1,,cJumpster;�Sife;Wor,k Rermitfor�subdivisions/large:projects' � ` � � � -
:��COMMERCIAL Attach`(2)'complete"seCs of'Building Plans plus a�Life Safery Page;(1)sefiof 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,
H;,;- Sanitary Facilitfes&1 dumpster.Site Work Permit-foP�all�new p�ojects.All commercial requirements must meet compliance
�;':.SIGN`PERMIT Attach°(2)'sefs-of;Engineered�Plans:�� . -. �
�.�;�.," `"""PROPERTY SURVEY required�or.,aII.NEW.construcBon. _ "
;�f.- - -
��':Diiec'tions: r.:;;:.;�,-.
' " FIII-.out.application completely.
`O,inmer&Cantractor sign.back of appllcation,notarized
- 7f over$2500;a Notice.of:Commencement is required. (A/C upgrades over$7500) ... ,
._
; , 4�"''": -"' .a- . .- . �s.�.
,''=" A enY for'tfie�cont�aotor orFower•'of�Attoriie",for ttie;owner would 6e someone with notarized letter from ownen authorizin .same���:�•.� �
9 � ) � _ -,:,,__: Y� ) _ 9 .
, `.
.��OVER.THE�COUNTER;PEitMITTING,''_ ��(copy:of,contracf:required) ` �� �` L - , ," ' ' '""'"� : : •�;
`=Be�oofs if sfiingles Sewers� 'Service•Upgrades,/VC�: �• Fences(Plot/Survey/Footage) � . , . , ` ; ' � . ; - •
;; �• • ... . .,•, ,r,,� :. _ _ -
..___.,�,...--,....,-:� .... . . ,,.., . . .. . . , -
Oriveways-Not over Counter if on public'roadways:needs ROW � w y � �
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NOTICE OF,DEED RESTRICTIONS: 'The undersigned,understandss:that this;permit may be.subject to"deed":ce�triction's"'��a� ;�
- _ _ =,:i�,.,._ _ =,�.:..-.;xt,..^"-i=`:,.'�":;c.�:,$�a;,�*,.�,-:.:�`;�,c:a:X.;���"�::�'s
which;may:�e.more:�restcictiVe�than�County�r.egulations:°ryi'Fie�iirideesigned<<assiimes respoiisit�ilify'far°compliance uv�th:any .� �;
:applicable-deed restrictions. � � �-- �`
.�e#<-�:. -.r'.; t���.;!
,:
UNLICENSEQ. CQNTRACTC?RS AND CONTRACTOR RESPONSIBIL-IT1ES:- Ef•ttie�owner-�has>�irecf-�a���eon#cactor or
contractors fo undertake work; they may,be�required to be�ticensed.'in accordance with state�and.loc.al.,regulatioms:z.-lf;.tFie��;��i.=;
contractor is not licensed-as required liy"law, botti the awner>and'confractor�c'n"ay�be�=`cifed�=for:a'rr►isdemeanor vio{ation• :. .�°
under state law. If the owner or intended contractoc are�uncertain as #o what.licensing requicements:�r»ay:�appiy-:fors:#ii;e:��`;�
��,� ..,, ,,..�,
intended-wark, they.are advised to cantact`the Pasco County"Buiiding Inspecfion`D'iVision=Cicensing Section at 727�84:7- ��.;
8009. Furtherrnore, if the awner-has' hi�ed��a�contractor or con�racfors, he�is actvised to �have the contractor�{s}K_,sign ��,�,;;`
portians of the "contrac#ar Block" of this application_for which they will be responsible.:�If you, as�'tfie�owner'sign'as`-#fie:�° �;y�
contrac#or., that-may be an indication that he�is not properly�licensed and�is not enti#led�to permitttng priV�leges;in:Pasca:,_.,;z�,
Caunty. . ` � :.�_:,:�t�_ .,,-� :-
TRANSPORTATIQN IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands , .`��t
-Fi"'...j.�;.�..F '.2
that Transpor#ation Impact Fees and Recaurse Recavery Fe.es may,apply to the constrelctian.of new.buildings, change°of�;•"�;`�;
use in existing builtlings, or•.expansian of;existing buiidings, as specified in Pasco Caunty Ordinance number 89=Q7�and � 'r�
9Q-07, as amended. The-undersigned also understands, that sucn fees, as�rrzay:b.e.due, wilC b_e�iclet�t�fied��af t1ieY:tiiiie�rofe`�`��'��:�
permifting. �It is further understaod #hat Transportation Impact Fees and Resource�Recovery.Fees must be paid prior to �;Y
receiving a "certificate af occupancy.° or final_power release. If the_project does not invalve a certificate of occupancy>or�.'����";i'
final pawer release, the-fees.musf be paid prior to permit issuance. FurtFier.more,.if Pasco.Caunty 1lV,atedS.ew.e,rYlmp�a:cf:���' ;�`
fees are due, they mus#.be paid prior to permit issuance,in accordance with�applica6le,Pasco'County ordinances. ���� �A
GONSTRUCTIQN��tEN�l�AW(Chaptec 793,:Ftorida Statutes,as amended): If valuation of wock is$2,500.QQ�or more;�l;,.;� ;�
certify that I, the applicant, have been- provided with a copy_of the "Florida� Constr�etian L`•ien Law=-.:Homeowner's �
Protection Guide° prepared by the Florida Depariment of Agriculture and Cansumef AfFairs. !f the applicant is someone.,,,
other than the"awne�', 1 certify that I have abtained a capy of#he abave described documenf and promise in,goad`-:faith to,s;; '
deliver it.to the:',owne�'_prior..fo.commencement. � � � �
CONTRACTOR'SIQWNER'S AF�IDAVtT: ;,I.certify:that atl the information in this appEication is accurate and"that all�work • ;
will be done in compliance with all applicable'laws regulating construction, zoning�and land-development. Application.is , '
hereby rrZade to. obfain_a _permit_to do.work-artd installatiort as :irtdicated, 1 cectify that no wark or.installation=has
commenced prior to issuance of a p.ermit and�that all work will be pertarmed #a meet-standards of all laws regulating � ��
construction, County and City codes, zoning regulations, and land development.�regulations�in the jurisdiction: i�a1so : '
certify that 1 understand that the regulatians of ather government agencies may apply to the intended work, and that i# is �
my responsibility ta identify what actions I must take to be in compliance. Such agencies include.,but are not.limited_,to: . �
- �Department of Envlronme�taF`Pratectian-Cypress Baylieads, 1Netland Areas and Environmentally Sensitive '
Lands,Water/Was#ewater Treatment. �
- Southwest Florida Water Managemen# District-We11s, Cypress Bayheads, Wetland Areas, Alteriog �
Watercourses. . �
- Army Corps of Engineers-SeawaAs, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Serv�ceslEnviranmentat Health Unit Weiis, W.astewater Treatment, �,
5eptic Tanks. , �
- US Enviranmenta!Protection Agency-Asbestas abatement. � , , :�
- Federal Aviation Authority-Runways.
l understand that�.the:follawing restrictions apply to the use of fill:
- Use of fi1t is nat allpwed in F(ood Zane"V"uniess expressly permitted.
- If the fill material� is to be- used in Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating volumeR will be submitted at time of permitting which is prepared by a prafessianal eflgineer �
licensed by the State of Florida.
- !f the fill materiat is ta be used in Flood Zone °A" in connection with a permitted building using stem wal!
construction, t certify�that�1t witl be used only ta fili.the area within the stem wrall.
- If fill material is to .be used in any area, I certify that use af such�fil! will not adversely a�Eect adjacent
properties. If use of fill is found to adversely affect�adjacent properties, the awner may be cited for violating
#he conditions of-the building permit issued under the attached permit.application, for.lots�less than one (1) �
acre}nrhPch ace elevated by fill,an engineered drainage plan is requi�ed.
If I am the AGENT FOR THE OWNER,-I promise in good faith to inform the owner of.the permitting conditions set forth in
this affidavit.prior Co commencing construction. ! understand that a separate permit may be required for electrica! work, '
piumbing, signs, weils, paois, air candifioning, gas, ar other instaltations not specifically included in the application. A. LL, '
permit issued shall'be construed to�be a license to,proceed with the work and not as authority to violate, cancel, alter, ar "
set aside any provisions of tlie'technical codes, nar shall Issuance of a permi#prevertf the Building Official from theceafter
requiring a correctian of errors in plans,-construction or vialations of any codes. Every permif issued shall become invalid
unless the work aathorized by such permit is commenced within six months of perrr�it issuartce, oc if work authorized by R
the permit is suspended.ar abandoned for a period..of.six(6}manths after the time the work i��aommenced. An eutension �
may be requested, in writing, from the Building Official for a period not to exceed ninety(90) days and wil! demonstrate �
Justifrable cause for#he extensian. If work ceases for ninety{90)consecutive days,the job is cansidered abandoned.
WARNING TQ OWNER: YQUR FAt�URE.?,Q REGORD A.NQTtCE OF COMMENCEMENT MAY RESUCT 1N YOt1R � �
�-- - —PAY_tNG_TWiCE FORiMPROVEMEN]'S TO YOUR�PROPERTY.._1F YOU_.INTENDJTO.OBTAIN�FI_NANCING,_CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE�REGORDING YUUR NOTlCE'OF�COMMENCEMENT. �^ �
F�ORIDA JURAi'{F.S.1'17.03) ' � ' ' '
OWNER OR AGENT~ ��j���d ��� 'C'� CONTRACTOR_ � ��'��I.C�. �'+a� C'�'_
Subsc� ed and swo to o rmed)befare e thls Subscribed and swam to(or a�f,f,'�,qned}befare m �s +�
�--7�`� by_���s�'���� I��� Z.-7`f�T bY `�.- f',`;�'"-�tiw�r4 ���...�
W�}9 is/arqpersona ly,known to me or has/have produced "' Who is/are ersonally�npwn to me or haslhave.preduced
Yt� .U2t�,/'S{�`t.�.�� as iden#Ification. � . ' "t�r3 L�.,ter�;,,� as ident�ficatlon.
' Public � _�'� Notary Public
�"�'i�.c,, JACQUELI BOGES / JA�Q�y E (Sye�{y
, Com sto '�� • i•n�FF 150�22 Camrnlssi ��,�,<tSIY'AY�ny • 1�V�G4 '•
.M. • . _ O. . _
:,: ' ° Expires December 12,�1'�i =*: • -
.,, �a; __,�: :,<; Expires December 12,
•••o°:•• edTFuuTr Feinlnsurence800385•7019 •,.r....'Q.•' FafnlnsureneeB00�395•7019.
Name of Na � Name of Nofary iype
V
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. . � I:LD111Ufl
�s� +w re��a�=_,r-..
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
� ' n���, �
Contractor/Homeowner: ���
Date Received: �- `7�/ �
Site: ��73 � �L j�� ��
Permit Type: �lf��C, EJ'�[-l.Z����l/Z� �1 X ��
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-�17
Kalvin Swi zer _ an xaminer Date Contractor and/or Homeowner
(Required when comments are present)
�, i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
� 2017016890 •
Rcpt:1835967 Ree: 10.00 �
� D5: 0.00 IT: 0.00
02/07/2017 E. M. , Dpty Clerk
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER�
NOTICE OFCOMMENCEMENT '�02/07/2017 02:45 m 1 of 1 ,
. OR BK �4�� P� 2409
Permit No.
PrapertyIdentificationNo.���—Z�� d���"d��Q�-•d0� .
TFIE UNDERSIGNED hereby giv�informs you that the improvement will be made to certain ree]pmperty,end'm eecordsnce with
Section?13,13 of the Floride Stemies,the foltowing informetlon is provided in this NOTICE OF COMII�NCEMENT.
�].Description ofproperty(legal descr�p t�lod J/�SS ��.�..srG���►�I�f�lYs f�7'0(,fJAS��G� �Gf���j ���' Zl��/
—71 a)StreetAddress:_ 57.�'7 I� S�-�'ee Ze�ve^L� L S �L �J
•7� 2.C3eneral description ofimproveme�s I
rOD P_�7 C o u J'�
� 3.Owner Informahon �
.-� a)Name�d add�ess: I�A�f�ilQh�. L3o��. 5 7 3 7 ( +� S-f+ Ze Ph y►^h�7�S FL
• b)Neme ahd addtess of fee simple Mloholder(if othet than owner)
c)Imenst iu property -
4.Con�actbr Informatioa
y a)Name and address:, �I�Y/'�'1��1� �o i c� .
b)Telephone No.• Fax No.(Opt),
S.Surery Informetlon .
a)Name and'eddresss
b).4mopnt ofBoad:
c)Telephoae No.• • ' Eax No.(Opt)
6.Lender
a)Neme and add�ess:
Phone No.
7.Identiry of pe:san widrin the State of Florida deaigne;ed by owner opon whom notices o�other doc�eats may be served:
a)Name end addnss-
' b)Telephoae No.: Fax No.(Opt,)
8.In addiHon m himsel�owner designates the foflowirig peison to recciya a copy ofthe�,ienor's Notice as provided in Section
' 713.13(1)(b�Florida Stahrtes:
a)Neme end add�ess; •
. c. ..
b)Telephone No.. .Fax No,(Op�)
9.Expiretioa date of Notice of Commencemsnt(the wcphatioa date is one year fi+baqi the date of recotding uniess a diffe'rrat date is
speci5ed):
WARNING TO OWNEat: ANY PAYMENTS 147ADE BY TSE OWNSR APTER THE�IL'PIRATION OF THE TiOTICE OF
COMMENCEM�NT AptE CONSID$RED IMPROPER pAYMENI'S UNDER CHApTER 7]9,p�jgT I,SECTION 713.13,
FLORIDA STAT[TY'ES;�ND CAN ItEb'lJI,T IN XOIIR pA7CI1�TG TWICE FOR II4IPROVEMENI'S TO YOTJIt PROP$RTY.
A NOTICE OF COI,I'IIYIENCEMENT MUST BE RECOItD$D AND pOSTED ON THE JOB SITE BEFO�tE THE FiRST
INSPECTION, IF YOU INTEND TO OBTARV FIIVAI�ICING,CONSDLT YOUR LENDER OR AN ATl'ORNEY BEFORE
COIV�MENCIIYG WORK OIt RECORDINCr YOUR PiOTICE OF COMMENCEMENT:
STATE OF FLOWDA ��� �
COUM'Y OF PASCO
� Sl�we of Owaer ot Owner's Autho�d Qffioer/DJ2etm/Puh�c/Mmegc
��✓�lD Vl C?. (��C_e.
�PnntName
The go�inshu e was aclmowledged kefose me this�day of c Q 20�by .
� (typ of eutharity,ag.officer,6usteq attoxaey
��)� (aeme ofperty on behalf of whom` e�was executed).
Petsonally Known_OR Produced IdenHBcetion�^ Notary Signafure �' i
TypeofIdeaGficationProduced rG K/��l�'�YSl�CE/t,�Name(prmt) de l! _/%!e � e '
Vwificallon pursuent to Section 92.525,Florida Shamtas.Under penalties of perjiuy,I declare that I have read the foregomg and that
the facts stated in it aze hue W the best of my Imowledge end belie£ ,
FOFMS�NOC.rvid70W S;gneGue ofNehual Pusoa s;�ilng Abovo�.
•�**Y��a•.� JACQUELINE BOGES
=:���= Commission#FF 150422
:�; �a: Expires December 12,2018
��,dF�°`�� Bonded Thru Troy Fein Insurance 800�385•7019
�i�u i��
DISCLOSIIRE STATEf�!' FOR OWIJER
CITY OF ZSPHYRBTI�LS SIIILDIIITG DBPARZR�At'T
I, �T t J�&�� �a��e- have read aa8 fully uaders�aad and
agree to �he psovisiaas o� this iastrumeut.
The uaclersigaed states sad aff3,rms that he or she is desirous af cons�ructiag,
reaovat3ngr, adding ta or reroofiag his or her awa domiciie, that he or she
aetualZy accupies, ar �,*ill accupy by � said domicile, a.ad same is not for
xent, Zea�e or sale. Tha� he or she sha31 comply u•3.th the fo2lowiag aaaditionsa
1. That �he owaer aad he or she alone ehall act as the builder for all phases of
construc�ioa.
2. Tha� the owner will comply with al� provisioas af the City of Zephyrhills
ardiaaaces and aades pertis�,eat to the bu3.Idiag.
3. That ia the event various phasea of construct3oa are subcoatraatec3, he �*ilI
eagage only properly liceased subeoatractors aad wiZl persoaally supervise
such �rork.
4. That ia �he evertt the Su3ldiag Iaspector sb.a11 require corrections to be made,
the otaner will ase�m�e fu13. re�paasibility to inaure �hey are made, and upaa
comgletion wi21 ca21 for � xeinspection before proceediag with the building.
5. That the owner sha11 aesume fu1Z r�sgone3bili�y fax the coa�tsuction aad will
I nat expect aupervision of h3.s wark from the C3ty of Zephyrh3.�.ls Suildiag
Depastmeat.
i b. That priar ta fiaal iae�pection aay additioaal �ees, iacludiag xeiagpect3.on
fe�s, must be paid ia �u11. R tvritten request fram this affice ehaZl
coasti�ute aa official aotice to pay additiaaa•1 fees,
� 7. That the owaez �hall compl�► with a3.1 City: State �ad Fec�exa3 laws ia regard to
I� social security, workman's compensation, lien laws, etc. , whete applicable.
' 8. That the owues sha7.1 comply ivith aZI the �afety aodes i�sued by the Florida�
Iadustrial Cammiss�.aa.
9. State law requires eoastructiat� to be done bgr licensed coatraetors. You have
applied for a pex�►3t uader aa �emptioa ta that law. The +wacemptioa allaws
you, as the ov�aer of your proper�y, to ac� as your own contractor wi.th certain
�, restrictions evea thangh you da not have a li.ceaae. You mus� provide dixect
onsite supervisioa of the coastructa.oa yourself. You raay'builc� or improve a
one-family ar two-�'amily residenee or a farm outbuildiag. You may also build
ar improve a cammexcial bui].dfag, provis�ed your costs do aot exceed $75,000.
�he build3ag or resideace mu�t be far your owa use or ocaupaacy. It m�y not
be built ar eulastaatially impraved for sale or leas�. I�£ you sell ar lease a
bui3.diag you have built or substantially improved yauraelf withia 1 year after
the caastruetion is eomp2et�, �h� lav�r wiZl psesume �hat you built or
sub�ataatially 3m�roved if �or sale or Zease, whieh is a violation af thie
exe�mptioa. You may aot hire aa u�nl3c�as�d perBon ta act aa your coatractor ar
to supervise people warkiag oa your built3ing. It is your responeibility to
make ause that people employed by yau have licenses required by s�ate law aad
� by ecvatg or mtaaiei.p�1 liceasiag ordiaaaceB. You may ao� delegate the
' respoasibility far supervisiag s�ark to a 33eeased coatraGtcr wha 3.s aat
liceaeed to perfaxzn the woxk be3.ag doae. Aay peraoa vaorkiag on your buildiag
who is uot liceased muet work under yaur direct anpexvision aud must be
employed by you, which means that you mu�t deduat B.I.C.A. sad withholdiag tasc '
i and pxovide vPorkers' compeasatian for that emp3oyee, alI a� prescribed by law.
�� Your canstructioa mt:st eomp3:y with �1]. appliaab2e laws, ordinaaces, buildiag
codea, aad zaniug r�gulatians. .
F
OWL�7ER�8 SI6NATURE DATE �� �I � ��
��RssS 57.3'7 T , r�c-�- Z� I �
PH02�TS
WTTNESS PSRM'CT #
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