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HomeMy WebLinkAbout20-22730 CITY OF ZEPHYRHILLS 1 5335-8TH STREET (813)780-0020 22730 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22730 Address: 6712 NORTH LAKE DR 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: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0150-00000-0170 Improv. Cost: 7,500.00 OWNER1NFORMA1rION :..' Date Issued: 4/16/2020 Name: VAN ALLEN, JACK SR & PATRICIA Total Fees: 120.00 Address: 6712 NORTH LAKE DR Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/16/2020 Phone: (402)540-6819 Work Desc: COVER & SCREEN IN PATIO 30 X 16.5 CONTRACTORS APPLICATION FEES" HOMEOWNER BUILDING FEE 120.00 VZz \� 2 1 (1/ - - Ins ections Re uired FO TER 2 D ROUGH 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 property 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. sae - c'L 6 &__ 6"07 / CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER reo�o City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: 4�— 7 Site: W& U Permit Type: �.�(�2c>`f�uC40'eP�i Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall be k�ith'the permit and/or plans. Kal itzer—Plans Examiner lr� Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date'Recelved P.hone,Coptact for Permittin 6 ..,� > f7A iJ / 6- OwleerPht3ne Nuni 'r C9a :=r�k.Owner's Address ..671� Ater� 4, Owner Phone yNumber.' ��11 C-11►/��Jr p• i {� Own er.Phone'Number 'JOBADDRESS' j? v[ o PaM kli_k�_O" k.' LOT.'#'= SUBDIVISION PARCEI.ID#R9 (08TAINEDAft PROPERTY,-TAXI. ,OTICE)S-. WORtC PROPOSED .. NEW;CONSTR ADDIAi:T. • - : SIGN "': r':DEMOLISH".; e INSTALL, REPAIR PROPOSED USE ca COM;. - . SFR M OTHER:,' . �, :TyPE.OF CONSTRUCTION BLOCK FRAM ` 'STE L -l- 0 0 : E ''DESORIPTION-OFINORK CrO aa o ,BUILDING.SIZE i( '� )C `' "S4:FOOTAGE 1 HtIGHif: �;,. St11LOtNG'' $ -Ow VALUATION OF TOTAL CONSI RUCTION<J .J QEI:ECTRICAL $ AMP'SERVICE DUKE'ENERGT' W:RiE.C. ,=PLUMBING $.. =MECHANICAL $ VALUATION OF MECHANICAL-INSTALLATION. !/ =GAS Q ROOFING ' ..,"SPECIALTY :. ml OTHER � � " FINISHED FI:OOR:ELEVATIONS F.�ClOD'ZONE''AREA:.. `" YES :' NO" .. _.� i ..; ...,;, . BUILDER , � � COMPANY 7,4, A . SIGNATURE REGISTERED Y"/-f11.:' FEE.CURRED;... : ;:Y•1:N..._..,,,^ ~ Address License*..+ . ELECTRICIAN .,COMPANY SIGNATURE .REGISTERED'. Y'/'•'N: FEE CURRE :,•Y.%N:,- - Address "License.# . . PLUMBER COMPANY' SIGNATURE REGISTI~RED Y%"'N'''" :fEECURREP` Address. License:#.. >,.•', MECHANNiCAL :t oMPANY SIGNATURE'` • REGISTERED'' Y%N" 'FEE'CURAEN ' - ':Y/rW*. Address; y•..License#:l 3:: . OTHER,; COMPANY: SIGNATURE RE 1ftERED . Y7C N,....:r,,,.:_FEE,CURREA.,:,. Address e r W P t rr w colts oNoo' RE8IDENTtAC i4tt8cti' :l?lot'i?laiis^!!2'sets of;�Ii)litri 'Pleris .1 ;seto#.';Ene orrits;'R=t)-. "erm ;€or Vu Afniiiium ten(10)�Wo'rklrig iiays:,'affer siibif i1t81=hate 'Regiiireti on'sike;"Constrt7cttbn,Pians;S�o''r'mwater P..lans wl:Silt i=ence 8anifary:Facifitles:8�;1.dumpster;Site.Wdr'k�Permit`fdr'tUbdiVisions/large-projects COMMERCIAL Attach,(2.)°oonioleteisets-of Building Pians;ptlisa.,IfeSafety:Rage,,(1,).setof Energyfdrms.it O=W Permit-fdr4w:co►jstructian.- Mtn)mum ten;(;1.0); rking;d;ys afterjyubmitfal;tlate t equlre t onsite;Constnugtton R(ans;Stomiwafer Piave w/,N)LFenc_e instailetl, Sanitary Facilities&1 tlurripst r.Sife Work Permit far all new;projects.'All commerctaL regUPrements mustmeet compliance SIGN PERMIT Attach-(2)ise6:of:Engir�ered.`.P.,ians: ....':a` , :: . -_ "PROP:.ERTYSURVEY-requited for eli NEW construction. Directions: Fill out application completely. Owne,9_;Cohtrpctor sign;back of application,notarized. I#over S2$Ot?r a Notice of'Comniencement is required. (AIC upgrades over$7500) ty •• Agent(for the contractor.)or-powqr.af Attorney,,(forthe owner):wolild`lie someone.with notarized letter`from:•'owrier00tho4zing same;;;: OVERT,IiEGOUNTERfPERMITTING.. Rerodfs if shingles Sewers Seiviw-`Upgrades.?A(C: Fen6es�(PIoUSurvey/Footage) Driveways-Not over Counterifori.public,roadways::needs,ROu+f;:=: NOTICE OF DEED RESTRICTIONS: The undersigned°understands that this permit-M' ay be subject to"deed"restrictions" which may_be,.more restrictive.than-Countyregulations. The undersignedr assumes-ITesponsibility-for compliance.with,any applicable deed restrictions. UNLICENSED."'-CONTRACTORS:!;AND-"iCONTRACTOR�'RESFONS1191L171ES:-` if the oGvrier`has"Hired'a 'contractor or contractors to undertake work,:they.rnay�;be,<requiredto be licensed in,aecordange with:state.and._locat regulations:°1fthe contractor-is:notaicensed,.as required by law, both the-owner and-=conttactor�may`be'cited:for'a:misdemeanor violation under state law. If the owner orz:intended.contractor are uncertain as10 what`licensing.regpirements:may'apply for the --intended..work,-theyare•advised to contact the Pasco County:Building°-lnspection`Divislon-Licensing Section at-727-847- 8009. Furthermore, if the owner,.has�:.bired a,.contractor or contractors,,_he-is advised.to. have the contractor(s) sign -portions"of the "contractor Block" of this.applicationfor which they.wilt.be:,iesponsible.:., If you, as the owner sign as the contractor, that may be an'indication that he is not properly licensed and is not entitled.-to permitting privileges in Pasco County.... : -_. I . TRANSPORTATION IMPACT/UTILITIES"IMPACT.AND:RESOURCE RECOVERY•FEES: The undersigned,understands that Transportation`,Impact:,Fees.and_Recourse.-Recovery:Fees.�rriayapply to-�the-construetion:of�new buildings, change of use inexlstinCf-bdlidings;--or expanslon of.existing-buildings, as spec�ed'in Pasco Countybrdinance number 89-07 and 90-07,, as amended...The undersigned.,also..understand`s`;`-thaUsuch fees,_,as:may,be-due; will=�be.identified�,' iiher`time of permitting. it is fdrthe"r=understood=ttiat'ffan5porteition.Impact-Fees-:and Resource Recovery Fees must be paid prior to receiving:.aA.=:certificate•of.occupancy".or finaVpowerxdlease..`Alfzthe projeet,,does-inot"involve;" certlficat F-of'occt pancyor final power release, the fees.must be paid prior to permit issu6hbe. -Furthermore'ff Pasco--County Water/Sewer Impact -fees are:due;thermust be paid'pr or#a;;permit::issuance in accordance With applicable Pas County.ordinancesr -CONSTRUCTION'LlEN-LA'W(Chapter 7113'FIorida-Statutes;as famonded): If�valbatio•n ofwork Js,$Z500 00 or:more, I certify that:I,-:the:applicant,.,have:�;beeri4prouided with a--copy of•.the "Florida--Construction.Lien Law—Homeowner's Protection Guide".prepared by the.Florida:Department of Agriculture-and Consumer Affairs.::If`the applicant�ls!someone -other-than•.the,,'owner",-'I.certif.y.thatl have obtained`a copy of-tFie.`above desc"ritzed imentand=promise in good faith to deliver it to the"owner".-prior to commencemR­Qent. CONTRACTOR'S/OWNER'SAFFIAV tiT:_rlce =a_.rtify.#hat{all,tie;informatonE;in:.this.. pplication:is.accuXate_andahat:al6:work wi11'tie done incompliance with:all applicable;laws-regulating construction, zoning•and`#and::development.,?..4ppiication is hereby made to obtain a permit toido hworkp arid:installatioh',as-indicated: I certify-that no work or installation has commenced prior to issuance of a permit.`and:that all work will`berperformed to,meet standards of all Laws regulating construction;� -C ty LCounty and' c::odW zoning:regulations, :an&' nd::;development regulations in the jurisdiction. 1 also certify that I understand that theregulations of other:government agencies may,apply to..the-,intended work, and that it is my responsibility to identify.what actions-1 must take to:be•in compliance. Sucii agencies include but area not-11m.Red,to: Department of Environmental Protection-Cypress Bayheads, Wetland-Areas;-,and-Environmentally Sensitive .:Lands,Water ,astew1j,ter ;reat(Ttent 1 ,,, .,.:_.. �: , Southwest Florida ter Management District-Wells, Cypress Bayheads, Wetland Areas; Altering Watercourses. Army Corps•of Englneers-$edWalls;:Docks,;Navigable Waterways. Department of :Health.,fBgRehatiilitative,,Servicest.Ehvironm'enteil Health Unit=Wells;-Wastewater.:Treatment, Septic Tanks; US,Environmental Protoetior Agency-Asbestos abatement:: 'FederalAiriation Aathority-ktinways ` I understand that_the;lollowing;resttictions apply;to-_th&use offili: Use,offll.+is nof`allowed"in i=1o'od4Zone"V"`unless,expressly permitted -if the" fll. material:is to,be used in :Flood Zone "A, it is understood that a drainage.plan addressing a "compensating:voldih""`till bessubm te mgwch :.p b --a`prfessionafetef ttn � ° d o engineer licensed by the State of Florida If the fill..material is.,:to be;wsed n,EIood Zone "A.,,in-connection with a permitted building using stem.:v+cali•. construe#ion, I.certify'tliat f!I'wi�f!ie used only:fo"filt:ttie,area.vuithin:thestemv:wall:: If`fill,material is to"_be used in.any area, If certify-that use.of such.fill will not adversely affect..adiacent properties: If use of fill;:is`found ao adversely affect adjacei t:properties;.the_:owner.:may_be,6Ited for violating the conditions of the building-permit issued"undertahe--attached permit•application, for lots less than acre;which are-elevated'-byfll an engineeredtlrainage.plan'!s required. If I am.the AGENT'FOR..THE`.OWIkR, I promise in good faith to,inform-.the,,ownerofthe;permitting,conditions set forth in this affidavit prior to commencing,construction. I understand.that a separate.permit may be.required for electrical;;work, plumbing;.-signs;::wells;_=pools;,air•conditioning, ;.,gas .or other installations not,specifically included,in-the-application. A permit issued*shall be construed to be a.license to proceed,wlth:the work.and not as authority to violate,cancel;,alter,nor,. set�aside any,provisions-of"the,technicat:codes,.nor shall,issuance of a permit°prevent the Building Official f om.thereafter , requiring a-correction'of errors-in plans, construction or violations-of any-bodes. -,Every:perniit-issued`shall'become Invalid unless the work.authorized by,such,:permit is commenced within six months,of,permit• ssuance,.or.if.work.;:authorl ed"by the permit'is suspended,or abandoned-for a period'of:six(6)months after the time the.work is commended_.`An extension may be requested-, in writing,:.from,the Building-Official-for..a-,perlod not to exceed ninety(90)days and will demons#rate'. justifiable cause for..the extension.•If work.ceases for ninety'(90)'consecutive.days,:thejob,is_considered•abandone'd WARNING._TO:.:OWNER:--YOUR FAILURE"TO:RECORD.;ArNOTICE,-OF-,COMMENCEMENT..MAY;RESULT-'IN"•YOUR „ PAYING TtWiCI=FOR'I'MPR'OVEMENTS'TQ�YO.UR'PROPERTY:;`IF'1f�O.UJNT ND;;70°'O tTAIN`I INANCI;NG;`CONSULT, WITRYOUR..L ER:OR AN�A ORNiWBi*FORE#ttl=COt2DIN.. YO "NOTICE OFC IIAE&NCEM.ENT. _ OWNMOR•AGEN CONTRACiO Ct� " aw subscribed andswo ' to,(or a rr_i0bef0 e:me;this 'Subscribe and'sw to or a rmed)be 're•me this'' W al Wbo i erso a ICY known o me or has/have produced Who Is/ pers a no me of haoinave-produced as identification. ''as,idenfificatio'6: w Notary Public .Notary-Pub11cs, am.w,ua,,,n■„ Com i n EINE NGES'-- _ Commi on.No. Commission#GG 276467 ""*: ,IACQIfI?R iNE B4GES o F Name Name of o ed;gatnri6s� t3izV� •. Tfuu Troy fain Insurance eo M&7ot9 i°r. Via?ExO=December 12,2022 ':�oF i;°°'" Banded'ibru imy fain Msurance 80C-385.70i9 . ysuoirwg�c�c ,� INSTR#2O2QO59C16 OR BK 10083 PG 2284 Page 1 of 1 04/07/2020 03:29 PM Rcpt:2151871 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez.Sowles,Esq.,Pasco County Clerk&Comptroller MT1%OS CENT Permit No. � 4 hopeetyIdeat.do N0.f73 1740 1 THE UMERSIONED baeby love informs you that Me Improvement mH be made to cermia mid property,sad bt aceordanee vd& Sactioa 713.13 of the Florida Statures,the followmg kfor,W=is provided in this NOTICE Olt COMMEtNCEMENT. -7 Description of fto"(legal de: �dt! �&'t 0 3,��r sAt Z S 'r0 a}Sftvd Address• t� 2Aeperdde=iFY -fimprovamenh: i C a tl m cad 5 c� -x 3. a Iufornoetion -tt , ) -- a)Name and eddnss t us.LAM k 4 _A�' r Sd. - 712- hl©���j� Z59hr�i(�r�� ✓��St 7. b)Wane and address of fee simpletitiehoida(if odw dud owner) t)b unvA in property 4.Conitaetar Ia6etmation C a)Nameandaddras: A.-.I�r,I. 1/r�6Z1 J Qrg jAk 1b_ AAjrjrjj;;l�� b)TeIephoneNo» 8{.t-J` Zd-�i. —fir Fax o. Opt' ) r tl 5.Sarety It►fotmatian a)Nsma ad address: b)Anount ofBond: OTelephoneNo- Fax No.(Opt) 6-Lender a)Name and address: PhimeeNo. 7.identity ofpasan within the State of Florida d.*szled by owner upon wham notices ar other doeatmema maybe saved: a)Name and addtass: b)Telephone No.: Fax No.(Opt) B.In addition to himself owner designates the fallowing person to restive a copy of tht Liences Notice as provided in Section 713.13(1)(bl Florida Statutes: a)Name and address: b)TelephoneNo.: f _FsXHo.(Opt) 9XVIrudon date aMotiee of Commencement(thc eViretion date is one year Sam the date of recording unless a dif thm dale is speclfisd): WARNIIdG TO OWNER ANY'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OR TEE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CIIAMR 713.PART I,SECTION 71333, FLORIDA STATUTES,AND CAN RESULT IN YOUR PA NG TWICE:FORIMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TM JOB STTE BEFORE THE MRST INSPECTION.IF YOU INTEND TOOBTAdN 7WANCW(;.CONSULT YOU1R LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR"NOTI OF COMMENCE Srt'18 or F ww" comm osrASco . s or s Av*=b d +t1h0d04%1MCdMwqw ra1C i The fatsgoiag`n vns+acknowledged before me ibis y of � dtYt t� _as dt�l"bE.1L- ( of an#haxStY,a&ot6ac.uostee.attaaaey� fact for (aameofpmtyr,onbshnlfofw m wasezecuted). Personally Known r OR Fmdaced Idedifecad, Near"Sigonhct r Type of identification predated PC.,w�t++C1g^�'t lamo,(ptmt) k toe i VaMcaoon pursaaat to Section 92.525.Florida 5tatutm Uadar ptaalGias ofped.my.+idWars t]W l have read the foregoing and that. tie facts stated in it aretrae to the Wtof my taowiedge ixd be8eE Alpswc orNrtud Prior$Moira Abovo fCaY97a)t}v�rOeT - - ,mroorww�r.ore vmuams SOt3ES 'F =Commrsslon060276457 Expires December 12,2422 •+�;p.,�;°P.`9:.;,zdT2wTroyWn6wusttcaEOC•36Si0S9 IcW State Of Florida,County Of Pasco This is to certify that the foregoing is a true and correct copy of the document on file or of public record in this office. Witnes�tny hand a ffici I seal this '••'' k -C�`'day of 2076 Nikki Alvarez-Sowles,Esq.,Clerk&Comptroller lggy Pasco unty,Fic�ri • OP By G eputy Clerk Srq�OF Try-��` K -C , SILvER OAFS COwJ[UNITY ASSO ' - .. OVED DESIGN REVIEW COMIIMTEE APPLICATION •, DRC;'#2618-.2020-03-18=02 . (Revised 09/712018) Date Received: 03/16 /20220 Approved By: / i Denied by: / / Conditional Appmval: / 1 Date of Action:_,gam/-UL 202Q_ (VORUSEBYDRC-Three SimmtureaftitialsRt aired k awardaruewithAmrJe M section 2`No partioe gMver Oab shall be improved ordewdomd-mWmower,whether by an 00te,or ony lndtvidaal or legal entity aitiil.oNplafa,siteplae�plaits andsparlfiagtlaaa,easem�it�re�lriefive rovenmrrs,ararry othersuclr cloenrnr�rt of tnslrmurrtaffecu�gmidP.l�Y•l�+e�lfilfmtioir)$drbemrrevlewedtaidapp�apediiiis'rlti!tgbl'1heD�rtgnRevle�vComtrtitlee':- Jn�lr�uewitn6rticle Ylll,section 1 J,'Foralf prnparestieccs9my eb'eiijareeihis.�trticl�the.CominiaiityAa�ocration_shall be enfltkdto collect reasanabk attorney'sfee�courtcosfsand other erperases against the tndfvldual or ertdty which is in violation ofsaid.drticle,lru:lvding esptatses ofapprllafe revteu,whetherornotlftlgattan is institrited ondrheBoard may assesssurh mrmmdsin iheform ufo»irrdlvLdrral Assessment" Date Submitted:Q j 1 11120 J&DRC CHAIRPERSON Refer to Website C arremtly IiB P[JRN TO:Silver Oaks Community Association(DRCI 6000 Silver_Oaks Drive fthvrhu'hls:FIarida 33542 For Article VM,Section2: The Desip Review Committee sbsll have uptoth*00)dsys,after deliveryofallregubWmetuidstosgpmve orreject any such plans'. . Name(s)on Deed:JA t% l f- 11+� Jj bl Address: City:Zephyrhills State:Florida Zip Code:33542 Email: co &Crh k)r K's @�A,11, c-' Home Phone:(,4W Ce :tyBoz )S-D - / e PROJECT: �� ' . 'W.. s � Contractor, :. L.rG � „_ < Describe the addition,change,or installation attach additional pages if'necessary): . 6 44) - .16 Estimated Start Date:�r _/ . /20" Estimated C=plerion Date: /! /20 oZD COMPLETE PLAINS'SP M—CATIONS lliihSTACCOl PAi t APPLiCA'ITO11T By sdbmtttigg this regaesk I agreeto performs true work described strictlyim acoordance wbb the approved and`speefications. INSPECfI-0NON WORK The aAppficant"SHALL notify the DRC upon completion of the work Per Article VI,Section 6 of the Silver Oaks Covenenats and Restrictions.Upon the completion of any work for which approved plans are required under this Article VDh, the applicant(the"A.ppiieaorl sWl give written notice of eomtletion to the DRC.Within twenty,(20)days 11mcaft.the DRC or its duly authorized representative may inspect-such improvemenL If the DRC finds that such work was not effected in substantial compliance with the approved pham,it shannotify fire applicant in writing if such noneompliaace within said twenty (20)day period, t the particulars ofnopcomplianM and shall require the applicant to stmedy the same.- Signaum of Owner. Date:f� 1�120� The Design Review Vommiggee wild provide you with a(perms,appmval(whit con&&ons)or denwL Per Article YIIT,section 2,-Any decisions of the DRC may be appealed to the geard ofDbieetors within 15 days from the date of rendition of the dechwn of the DRC-. 3: C� _-- JI _---------- /l 8 .� - . - ------------------ f. ------------ ---------- ........... ------- ---------- ----------- 4rw 8 rv ------- ------------ VX DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHMXLLS BUILDING DEPARTMENT 3; La 4_V have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent. to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibilityto insure they are made, and upon completion will call for a reinspection before proceeding. with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall -constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where Applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requ ires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or; improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within I year after the construction is complete, the law will presume that you built or substantially improved if for sale or .lease, which is a violation of this exemption. You may not hire an unlicensed-person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being.done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning-xVgulations OWNER'S SIGNATURE DATE Z� ADDRESS �Y"4&&_" PHONE WITNESS PERMIT # DISCLOSURE STATEMENT FOR OWNER t:ITY OF ZZPHYRHILLS BUILDING DEPARTMENT L-P A v 4115AJ !W?- — have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by _ said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zepbyrhills ordinances and codes pertinent' to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibilityto insure they are made, and upon completion will call for a reinspection before proceeding with the building. S. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrbills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A, written request from this office shall .constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal -laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct 'onsite supervision of the construction yourself. You may build o371improve a one-family or two-family residence or a farm outbuilding. You may alio build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within I year after the construction is complete, the law will presume that you built or substantially, improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act an your contractor or to supervise people working on your building. it is your responsibility to make .sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work:being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers, compensation for that employee, all as prescribed by law. Your construction must comply wi 'h all applicable laws, ordinances, building codes, and zoninjegulationsZi OWNER.'S SIGNATURE DATES c2'0_ ADDRESS A -71 —a" PRONE WITNESS PERMIT #