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HomeMy WebLinkAbout09-9678 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9678 BUILDING PERMIT 4 ® ' (a' . `t �. d , s # ` _ l i �� fix :' , Permit Number: 9678 A ddress: 4938 1 ST Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14- 26 -21- 0010 - 00300 -0140 Improv. Cost: 3,000.00 '.— .0 104 ' ,�,r ,< .'; ;;'' .. . 447 Date Issued: 10/26/2009 Name: MARTIN, JOSEPH Total Fees: 67.50 Address: 4938 17TH ST Amount Paid: 67.50 ZEPHYRHILLS FL 33542 Date Paid: 10/26/2009 Phone: (813)782 -5461 Work Desc: INSTALLATION OF WOOD SHED 10 X 16 HsM • BUIL'IN 67.50 -- ' — ivtf ,,__. )__ , --,..---b y aq a .� ;� „;G.,: . ,�4.� ,rs.a .. ` .u' ;.:: Fs .. E. R *M .; m ..,§ .y *Nei a `.” *r a 70 .C _.i. R SHEATHING FINAL S' 30 rb 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 f) 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 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." 1:11, ,� h-�► / A % 1 CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER { 1 .1 . ■ f Y i i "'""") 3 1 ra V\ ,S ( t, (I ‘6 . C.- 1 i0 1 . , i f City of Zephyrhills BUILDING PLAN REVIEW COMMENTS b Contract mn e_o_wni y"PKe../1107 > % 2 Date Received: / q Site: ' Permit Type: ( )O 4 wi .oz Approved w /no comments: ❑ Approved w /the below comments: r Denied w /the below comments: ❑ ( Pro (/Viol/ P S k or Lin 01) Y M I 6 ,I "fir /0 Sidi / 0 R-cot r o S -. pe,(71-cp e This comment sheet shall be kept with the permit and /or plans. ..7,23z97, Kalvin Switzer — Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780 -0020 City of Zephyrhills Permit Application � / ,s Fax -813- 780 -0021 Building Department r '7 t4 Date Received , "'",,„2„2 - / i Phone Contact for Permitting h� -- Owner's Name t. e1 C l t ei /47( , Owner Phone Number (F(2 Lea 2 LI Owner's Address Owner Phone Number - i Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address L7'Y2�f 1 ;1 57 1 JOB ADDRESS L/ / (- -4 S A LOT # 1 y SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE n DEMOLISH INSTALL REPAIR / PROPOSED USE I 1 SFR I I COMM 1 I OTHER I � 4 TYPE OF CONSTRUCTION I I /� BBLOCK 1 I FRAME 1 I STEEL I� OTHER 1 I DESCRIPTION OF WORK /w xO' D s4-L L BUILDING SIZE ( —! 4 SQ FOOTAGE f 4' HEIGHT 7 r V 1 BUILDING $ j [ , / 3d 4 - LUATION OF TOTAL CONSTRUCTION 11 ELECTRICAL $ /l d AMP SERVICE 1 1 PROGRESS ENERGY l I W.R.E.C. I 1 PLUMBING $ 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS 1 1 ROOFING 1 1 SPECIALTY 11 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES [] NO BUILDER , / yg .1 � 1 r COMPANY v t✓ i'-L SIGNATURE v 46, I Y/ N FEE CURRENT 1 Y/ N 1 Address / License # ELECTRICIAN I COMPANY SIGNATURE I REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address I License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I Address I License # I I 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (PIot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: 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 deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation 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 contact the Pasco County Building Inspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. 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. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided 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 is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City 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 take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of 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 application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. 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 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 with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the 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 justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned. 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. FLORIDA JURAT (F.S. 117.03) / 1 OWNER OR AGENT � .(l4 ��`- CONTRACTOR Subscribed and swci t44..cr affirm ) efore t this Subscribed and ;. . • •r affirmed b fore met ' t - by (- JP`s n of , , _ Who is /are personally known to me or has /have produced Who is /are p-'onally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped BOUNDARY SURVEY Client: MICHAEL ZERBY ' Stork order number: 13676 —ZH Date of Survey: 11/26/02 SOUTH AVENUE 30.0' h 132.00'(R) — - 2 5 \ NW CORNER t BLOCK 3 1 i L0T 16 ~ O` I 2 m r J �., • /, LOT 15 QS 1 ''/ m,Y Z ' , 19.0— 6 I /S.; 0. 0 /i 6 00 1-„, 0 v, 9� // �o CONC ST EPS 4:i .1 i / - 27.3' CONC ENCROACHES ' 39.1' J1.6' 2.0' EAST Z h o MASONRY /i/7 E ; , wi N GARAGE 4% . • • .; ' / 8.0' ONE STORY N V i / C ONC WALK FRAME C / � / /, � �� a DWELLING J 1.0' - 111 20 0 :4 /.1' h4 � 0 7 t ' 3 9.5' 30.5' LOT 14 to o • � , `' 0. 1 32 .00'(R &M) / / /sz4, Xi. 4 o // / / cz/ , -,� ti / — 19.0' I -�/ LOT 13 0 y;% 81 //- SOUTH LINE BLOCK 3 $; 1 1 I ....-- AVENUE "A" — J I j .i. h- 30.0' 4 NW CORNER BLOCK 22 . •I . 77 ��. c.." $ O O O O — • J� 1 r o O r- . _I r HH N N N N J �y 4 6 •.p° W • O t� i N w N ` A. jr � Z:Ui 0 p o0 J o r b ._ • O= F- -O al W °n'ti 4 0=m g o r ... • • Q , S i X w o < 8 F e rc mo o, • aa N ,, Ii it L ✓- L3.? �. in H J w _. 3 f 3e' < J J J W O Y lL a ilJ Q a - z. 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H. l o o Q oz = I— = X = c Q 1 � r{� r}h r} O N O N Fns N X 3 r X 3 r v O z,--, l iN yN �N y I z _ ,, SI r W = LL., o If If 11 11 ",Q.-. .i .. [0 N in N K = O Q I- -I LJ LJ Li D §N � • N -- \ A'. s _ ; ' ..4,,_-$ io o — _ �'0� x xt :. O ° � �' Q < - i -i -1 1p$ Em ..' .�K° \ _ - \ Z - 111 $ ` - .46, 4 , * ..." = I ; _li : see 11) \ Mill w (7....._Th 91 V � = o.��r ---1 N g a.M ` 410 J ~rl N2 1: '-- — AZ E O r i 0 Z $ . Q r r 0 IX CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813)780 -0020 9678 BUILDING PERMIT u.. A 7 $ I'` @e . liI M P, Permit Number: 9678 Address: ess: 4938 ST Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14- 26 -21- 0010 - 00300 -0140 Improv. Cost: 3,000.00 Date Issued: Name: Z€RgE -, .IMMIOH"HA �L h Total Fees: 67.50 Address: 750 VISTA AVE ete Ip Amount Paid: NORTHUMBERLAND PA 17857 Date Paid: Phone: (813)782 -5461 Work Desc: INSTALLATION OF WOOD SHED 10 X 16 HAM •W BUILDIN E 67.5s fmoi Eir L- 414(kz,? b/d Ae f - as/filo- l3 7 ,m SHEATHING ; (e� If &pP t/ co._! FINAL r 1.1- 41/1 2- cZ GfO�r c St '� REINSPECTION FEES: Reinspection fees will comply with Florida Sta}ute 553.80 (2)( 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 f) 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 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." 2r 4 CONTRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER / 11111111111111111111111111111111111111111111111111111111111 2009162631 MOORES FIRST ADDITION TO , P 1 PG 57 LOT 14 BLOCK 3 OR 1676 PG 268 Rcpt: 1270124 Ree: 10.00 DS: 0.00 IT: 0.00 . _ , 10/23/09 Dpty Clerk NOTICE OF COMMENCEMENT PAULA S. O 'NEIL , PASCO CLERK & COMPTROLLER 10O R 3 BK PG 9 1cv Permit No. \ fi Property Identification No. • l ., l Y --7 ` :.2 6 ^ 2 l - 0 a / g ~ a°3 0G —O I tr • THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following pr�,yic informAilis 1012,i&BO CZy QF C Mp1F, * k T. L 1. Description of property (legal description :) 77"5.• 3 dd�r S l o� f pl V f"` w t _ = - / ( [ 1 a) Street Address: t . . 1 �� . • , • . _ 2 r' 2. General descri of improvements: 1r HL / .ri 3. Owner Information • CTOS h Ill rnn) ' i s G 40 � V a) Name and address: W �as ¥' f3 8 i 7/ 41 •>1...4_-.,. /t e< Q! r4 33-, ,..... t { Z b) Name and address of fee simple titleholder (if other than owner) �� c) Interest in property 4. Contractor Information a) Name and address: F"...- (tj( San, t R S ' owno.,e) b) Telephone No.: Fax No. (Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: ' • . c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): 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 I, 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. < 1— W STATE OF FLORIDA A O C7 W lJ.. d' W COUNTY OFPASCO gnature of wner's uthorized Of ficer/Director/Partner /Manager V z I Z 4 J U 1/4 723-4. 1ti.G /et Q O V 0)J v 0 F Print Name a. O el 1-- LLl cvcc F— R _ rel • �' L1 u LL w a w The foregoing instrument was acknowledged before me this 3 day of �� 20Q�, by 1 ph h O 0 = Z J 2 O as (type of authority, e.g. officer, tee, a omey L.L. C I Q O in fact) for (name of party on behalf of whom instrument w executed). n__>•• W 0 Q V U M1= ->-Uu_ elf Personally Known OR Produced Identification Notary Signature / 0 Q O 00 % ' / X00 III r / �/ Q 1 Type of Identification Produced {� L - 0,, e,- ( 1 c , Name (print) l� 1 '∎ Z • G.-4% L� _C3 >- U m Q U it a'�EraZ O_. t 0re x�z aW Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that IL 1 - 1 - 1 O O >- p Z the facts stated in it are true to the best of my knowledge and belief. o O p 0 LY S O �, IlICAQW it Q i lgnature of N ural Person Signing Above 4;r j ,•, FORMSMOC,rvs• • KEVIN R. I DICK , ' T MY COMMISSION M DDI112549 U) I— F 0 a m :' EXPIRES: Auguv 06, 2012 , i.IedSNDTMY - Pasco County Parcel: 14- 26 -21- 0010 - 00300 -0140 001 Page 1 of 1 Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, October 17, 2009 I Parcel ID 14- 26 -21- 0010 - 00300 -0140 (Card: 001 of 001) I Classification 01 - Single Family Mailing Address Property Value ZERBE MICHAEL A Ag Land $0 750 VISTA AVE Land $18,612 NORTHUMBERLAND, PA 178579667 Building $32,941 Physical Address Extra Features $135 4938 17T1-1 ST ZEPHYRHILLS, FL 33542 -6021 Market Value $51,688 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 MOORES FIRST ADDITION TO Taxable Value $51,688 ZEPHYRHILLS PB 1 PG 57 LOT 14 BLOCK 3 OR 1676 PG 268 I Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning 11 Units II Type 11 Price II Condition II Value I 1 II 0100 II SFR II 00R3 II 6,600.00 II SF II $2.82 II 1.00 II $18,612 Additional Land Information I Acres II 0.15 — 1I Tax Area II 30ZH ITEMA Code II X IlResidential Code ZHLGLP7 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1948 Stories 1.0 Exterior Wall 1 Aluminum Siding Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line II Description II Sq. Feet II — Reps. Cost New 1 II BAS II 868 II $39,928 2 II FOP II 128 $1,472 3 UGR II 616 II $8,510 Extra Features (Card: 001 of 001) ._ I Line II Description I Year II Units I Value 1 II SWC I 1985 II 100 II $135 Sales History Previous Owner I N/A Year II Month I Book /Page II Type II Amount 1988 II 01 I 1676 / 0268 II Q II $ I 1985 1 03 I 1403 / 0575 II WD_ II $38,500 1983 I I 06 I 1262 / 1997 I I $ I Search Amain Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board. Supervisor of Elections o http : / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 14 &twn= 26 &rng=21 &sbb= 0010 &... 10/23/2009 DISCLOSURE STATEMENT FOR OWNER OF ZEPHYRHILLS BUILDING DEPARTMENT ri have read and fully understand and agr o 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 I} 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 responsibility to 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. B. 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 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 $25,000. 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 1 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 regulations. OWNER'S SIGNATURE A // DATE ADDRESS T '�.a PHONE -J ej y fo / WITNESS PERMIT #