HomeMy WebLinkAbout14-15566 CITY OF ZE HYRHILLS
5335-8T STREET
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' ' BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15566 Address: 5418 4TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09200-0150
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 8/15/2014 Name: ROWELL, EDWARD
Total Fees: 50.00 Address: 5418 4TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL 33542
Date Paid: 8/15/2014 Phone: 813-764-3426
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 50.00
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Ins ection Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP ,
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following r asons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections na�t made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. Yf you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans,Specifications Must Accompany App ication. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
P
CONT ACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
Building epartment �
Date Received Phone Contact for ermittin -- I
� � � 1 _
Owner's Name � _ Owner Phone Number �
Owner's Address Ovmer Phone IVumber �Y � �y � � '�
Fee Simple Titleholder Name - Owner Phone Number
.' •
Fee Simple Titleholder Address
JOB ADDRESS 2 ,I�S' L �✓ LOT# �� / �
SUBDIVISION _ PARCEL I # _ -- - - -- --- -- -------- -- - �— - __ -�-
� ~ ^ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q
.
DESCRIPTION OF W K
> �C i
BUILDING SIZE � � SQ FOOTAGE � � ` HEIGHT i S �2
�BUILDING $ � VALUATION O TOTAL CONSTRUCTIOfV
QELECTRICAL $ AMP�SERVIC 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�
QMECHANICAL $ VALUATION F MECHANIGAL INSTALLATION j � � ���
QGAS Q ROOFING Q SPECIAL Q OTHER �� �
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
,
BUILDER COMPANY
SIGNATURE REGI TERED Y! N FEE CURRE� /N
Address License# �
ELECTRICIAN CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Pians,Stormwater Pians w/Silt Fence instalied,
Sanitary Facilit(es 81 dumpster;Site Work Permit for s divisions/large proJects
COAAMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working.days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary,Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requfrements must meet compliance
SIGN PERMIT Attach(2)sets of Enginee�ed Plans.
"7'PROPERTY SURVEY required for all NEW construc on. -
Directions: .
Fill out application completely.
Owner&Contractor sign back of appHcation,notarized
If over�2500,a Notice of Commencement is required. (AIC upgr des over 5T500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner autfiorizing same
OVER THE COUNTER PERMITTING = � (Front of Application Only.) - ,- � -
Reroofs ff shingles Sewers Serv,ice;Upgrades A/C ; Fences Plot/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 14ND CONTFtACTOR RESPONSI�ILI7'IES:' 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
coritractor is riot 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—Licer�sing 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:, �, � � �
� TRAN�PORTATION IMPACTIUTILITIE� IIVIPACT 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 Pa,sco Counfy ordinances.
CONSTRUCTION LIEIV LAIRI(Chapter�13, �lorida 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.
CONTR�►CTOR'S/OVN(VER'S AFFIDpVIl': 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. ( 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, WateNWastewater 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 Autho�ity-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 AGEPIT 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 job is considered abandoned.
WARNINC TO OWPIEIZ: YOUR FAILURE YO RECOVtD A NOTICE OF COMMENCEMENT MAY �2ESULT IN YOUR
PAYING TV1110E �OR I�IIPROVEfNENTS TO YOUR PROPEitTY. IF YOU INTEND TO OBTAIN FINANCING, COfdSULY
1NITH YOUR LENDER OR�►N ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.
FLORIDA JURAT(F.S, 117.03)
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OIfVNER OR AGENT ' .'. .• '' CONTRACTOR �
S sc�ed�bswo to�r, ed)befo me is S�bs� d�n s�o,m��� irmed)bef �e me is
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Wh ' are rsonally knoyvn,to me or has/ ave p oduced Who Is!��P ersQnall�(k-nown to me r /have p od ced
� /Ia�✓S (�C�g—as(dent(ficaBon. /'-"�—' 1J/Li'(/�S ��O`�as identification.
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otary Public Notary Public
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o Is ocr•���segt•. JACQUELINE BOGES C m ssi , •°�•-, �AC
=,,� ::: Commission 0 ="' ;•= ommission#EE 040520
' �. :'a: Ex ires December 12,2014 �. :4 Ex ires
Name of ot ;;, ed����4��'7019 Name of �d��°�� eoaaes�o�s
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{Bi er)
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Befoxe 3Tle,the undezsigned authority,personally appeared dtivnrd Rowell("�ant'�,who being by me first duly sworn, ;
on oath,depose(s)and say{s)that: �
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1. EdwArd Rowell {"Buyer"), is�pt�rchasing the folIowi described property from T� BANI� OF NEW YORK +
lYIE]GLON FK�i THE B.ANK OF� NEW YORK, AS RUSTEE FOR THE �"ERTIFICATEH�LDERS OF 7[`� �
CVVALT,]NC.,ALTERNATIVE LOAN TRUST 200 -OA10 MORTGAGE PASS-THItOUGH CERTI�TCATES, �
SERIES 2006-OAIO("Seller"),to wit: '
LOTS 15 AND 16, BY,OCK 92, CITY OF ZEP . S, FLORIDA, ACCORDING TO PLA.�' `
THEREOF RECORDED IN PL[�T BOOK 1,P GE 54, OF THE PUBLI�RECORDS OF PASCO -
COiT1VTY,FY�OI2�A. �
2. Btryer's marital status as reflected in this a£fidavit and e other closing documents is true and correct The Buyer is of �
legal age and has nevex been adjudged incompetent.The e are no matters pending against the Buyer that could give rise ,
to a lien that would attach to the property prior to the rec rding of the interests to be insured,and Buyer has not and will
not execute any instruxnent (nor permit any action to b taken) that would adversely flffect the title or interests to be '
insur�d.There are no judgments or liens agvnst Bztyer d no banIcruptcy proceedings are currently pending with respect
, to Buyer. -
3. To tlie best of Buyer's knowledge,information, and belie : (a)within the past 90 days there have been no'improvemenb,
alterations, or repa.irs to the�bove described proper.ty fo which the costs thereof a•emain unpaid,and that within the past
90 days there have been no claims for labor or materia furnished for repairing or improving the same, which remain
iinpaid; (b)there are no actual or potential mechanic's, atei7almen's,or laborer's liens against the property;(c)there ara
no tenancies, leases or other occupancies (oral or wz•ztte ) affecting the property; (�1)no other person or entity has any
contract to purchase,option to purchase,rigb.t of firsi ref sal,or other potential claim of riglit to purchase the property.
� 4. Buyer lcnows of no violatzans of municipal ordinances p taintng to the property,or�ny action or proceeding relating to
fihe�property which is pendiug in any court,nor does th Buyer know of any judgment,tax lien, or matfer of any nxt�ue
; whatsoever t�+hich could create a lien or cfiaxge upon th property,B�zyer has no lQiowledge of any matters thAt could or
does create a cloud�n the title to the subject property.
5, There are no matters pending against the Buyer that coul giva rise to a lien that would attach to the propezty between the
effactive date of commitment and the recording of the ' terest to be insured_Borrower hae not a�d wilY not execute any
insiruments that would adversalq affect the interest to be ' sured.
6. There are no actions or proceedings now pending in an State oz Fede.ral Court to w}uck the Buyer is a party,incluriing
but not limited to,proceedings in bankruptcy,receivers p or insolvency,nor aze there any judgments,bankruptcies,liens
� or executzons of any nature which constitute or could co s�itute a charge or lien upon said property.
; _
7. This affidavit is given for the purpose of clearing any p ssibie question or objection to tl�e title to the above referenced
� property and,for the pnrpose of inducing Servicelink, LC anrl Fidelity National Title Insurance Company to issue
title insurance on the subject properry, with the knowle�ge that said title companies are relying upon the statements set
forth herein. �
8•. Buyer hereUy holds Servicelin:Ic,LLC and Fidelity Na onal Title Insuranee Company harmless and fully indemnifics '
same(including but not limited to attarneys'fees,whet�i r suit be brought or not,and at trial and all appellata]evels,and •
' court costs and othar litigation expenses) with respect o �e matters set forth lierein. "Af�iant", "SeIIer" and"Buyer"
: include singular or plti�xal as context so requires or ad its. Bnyer is familiar with.the nahue of an oath and with the '
, penalties as provided by the laws of the United States a d.the Stata of Florida for falsely swearing to statements made in `
an instruiuent of this nature.Buyer has read,oz heard re d,the full£acts o£this Affidavit and�inderstands its context, �
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Fi]eNuniber:SANII4-a453 DoubleTime� �
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Unde�penal�ies of perjury,I decSare that I have read th foregoing�davit and that the facts s ' it are tnie.
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Edward Ro ll � %� -� `
Mn11�� Et1�s ; w,-����s
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State of j
County of �S c.c� j
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The foregoing instniment was swom to and subsEribed befo me this�ciay of August,2014 by E ward Rowell,who
L,]is personally lmown or[.�'has produced as identificat' n. '
� �"""""�� THERESA S. KELIY =
`��.���•ye('�' �
�Ota2y SC21] :.° �s Commission tl FF 12 56 t3ly�jic �
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;,,� P�� My Commission Ex ' s
���',;�a��;;.� M a y 14, 2 018 printed Name: `�.�,/�,� S,��t 1..� �
My CommissionExpires: 5—��r� }3
y'A legible facsimile or electronic copy(including.pd fl copy f this document and any signat�ues hereon shali be considered .
� for allpurposes as an original". ;
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Closixg A,�davit(llxryer)-Page2 •
File Number:SA1vi140453 DoubleTime� .
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TN1S IS tNTENDE£?TO B�A LEGALLY StNI1trVG R�RE'E�W NT ksses#�ahagement 1.4C
RERD 1T CAREFtl�LY 87A2 LaceniBSvd.Ste575
' Highlunds Ranch,CO 89129
Cotporet� {tiBB)&�'-6133
Fax {720)2d1-7bi6
EXHt 1T S
UTlt3TY7 EftAGRE MEN�-AflpENDUM7 CO T T
PropertyAddrsss:5418 dTN ST,ZEPHYF2HiL,�S,�t $�.rsdZ
REO Laan f�umber: to08225011
BUYER(5}; Edward Rowef► •
BUYER'8 OFFER DATE:Jul+,�8,2,�14
As a Corsditian af ihe Purch�se Agreement,Buyer(s)here6y agrae la hav9 ali utility services including v�eter,seWer,electricity,
gas and Nome C7�rmeYs Assooiatton l7ues,if�appiicable,Fransf ITed ir�tfl Buyar(s)nama no latarthan the trst business day
faitawing dasing.Sayer{s}alsa s8rse tn accepE res�pans3biSiiy f r payrnent ef any utilityoherges accrued after the dale pf
, � closing.AIl or snme of the uti(ity servlces are in the tlame of th 5ellef or the Llsting B�oker.IR fs the 8uyer(s)sole 8nd
� absolUte(esponsibillty to make any arrangements neaassary f t 1he transier aF utititles Into theiC nsme. .
' • WtFn sses: •
, �'�`'-� �` .,_� �. j `?,����1� -
� �' 8�ryer� Date � S LC �s@ng erolc t flate
� ._____. _ `Tl � !� �l� . .
�uyor �a1� ing 8rok r ate
� • As sipned aboVCS,lilis A,qreern«r,t musi accompany the conir ef for aCCeptanee and as a candition o�dosing.
• ' At Closing,and as a condl4oh r1f olasing,ihe 6uyer(s)musi iqn and dat9 this Agreement�cknuwledging fh�t It Will ba
, retainad as a Gfo,,irg Dncumeni end sha)t suritvfl oloaing. • . .
� 1�Ilit esses;
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ar ate � aata
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� BUYER'{IttitlmisJ .��',._--- • . SELLER(Inlliats} �� +p°'�e7
' BU jER(IniliatsJ
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� . ' nzsc�,osr� S NT .FOR O'WNER
" CITX O�' ZEPF�Y3�:2FISI�Z+S I�DSNG DEPARTMEN3'
_ ' have read arsd fully uaderstand and
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agree •to the prova.sions o�' �th7.s instrument
.The unc3essigrr:ed .states and affirms that he ar she is desz.sous af constructing,
renovat.�.ng, addixxg tn or �eroo�ing his or er owsi domicile, •that he or she
actualZy occupies, or wi31 occupy by said domic�:la, and same is not fos
•rent, lease or sa1.e. Tha� he or she shall co�p7.y v,ri-�h the folZowi,izg conditions:
1, fiha�, the owner axsd.he or she aZone sh 1 act as the bvilder fcr al1 phases of
construction. -
2. fihat �the awner wa:1.1 comply vrith a31 pr v.isiozis o� �the City of Zephyshil:s.s
ordinanaes and dades pertirient to the uildixig.
3. That in the event v�sious phases of co struction are �u�oaxitracted, he will: �.- �
engage only �properly licensed subca�tr ctors and will personal�.y supervise
such work.
4. Tha,a;t in the event the 8czz.I.dzng 2nspect x sha21 require cax�sec�.ians to be made,
-�he owner will assume f'ull respons3bil'�y �ta insure •they are made, and upon
completion wili ca33 for a r�;*+�eatio befose proceeding with the building.
5. T3zat the owner sha11 assume fu11 respo sibility far the aoxasts►.YCti.oa azid wi,3.l
siot �cpect_ supesv�.siorr of }zis work ir the City .of Zephyzhills Bu3.lding
Depar�+ezs,t.
6. That. pri,or to firxa.l. i,ra,spection aay a �t.i.onal fees, isxclucling seinspec�..i.on
f�s, must be pas.d ia �ull. A wsitt raquc�st from �h.is office sha11
constitu�e a�a, offa.ca.al riotice �to pay ddi.tiox�al. �'ees,.
7. Tha.� the ownes shall comply with a1.]. i�y, 5tate and Fede�al laws �.zi re{�3='d to
sacial security, workman's comp�nsati n, �.iran la.ws, etc. , whe�e applicable.
B. Tha� the ownes shal.l comply wi�h a11 e sa�e.ty codes issued by the Flo=ida
Zzxdustrial Commissiori.
9. State 1aw re�,;res cor�,struati.on to l�e done by licensed co�tractoss. You have
applieti far a pezasi.t under an �ce�pti n to �hat law. The exemption allavrs
you, as the ownex of your progerty, t act as yous owa coz�.tractor wit� cer�ain
restricti.ons even though yau da no� ve a license. You �must ,provide d3rect
onsita sup�xvision of the caristructi yourself. Yo'c�z may build or improve a
oae-fama.ly ar two-faa�.i.ly sesideace or a. faxm outbuil3i.ng. You may alsa build
• ar �aprove a cammercial btxildi,zig, pto 3.cied your costs do nat �sceed $25,000.
, The building or �esid+�nce must be �or yaur awn use or ocaupancy. 2t may not
be lauil.� or �ubs�anta.ally i�praved fo sale or lease. If you se7:l or lease a
bvilding you lsave b�i.1t or substaz�.t3. ly improved gaurself within Z y�ar a�ter
the cons#-sucta.on is camplete, 'Che 1.aw w'i.11 presume •that you built or
substar.�tia12Y impsoved if fcr sale or lease, whi.ch is a vialat.ion of �.i.s
PXetapts.an. You may xiot h�.re aan ualic sed persorr to act as your cantsactor or
to supe=vise people wotking an your 'lding'. It is your responsibili:ty to
make sure that people e�ployed by you have Zieertses s�eqzzz.red by s�a.te lavr azld
by coun�y or muni.cipal liceasizig os ' ces. Yau may aot delegate the
r�spansibiiity �or supervysiag work t a, licensed coritractar who i.s not.
licensed to perform �he wark being r3o g. Any pE:sson working on yaur buildin.g
wha is aot 1s.cQS�.aed must wor3c unde� y us dis�ct supexvision asxd must.�e
P�pl.oyed by you; which meaas that yotz �tust deduct F.I.C.A. asxd withholc�.ing }=Y
and provide workers' co��Tsat.ion for that �playee, a11 as pzescribed by law.
Yotz� constrtxction must comply with a1 appls.ca}�le 1a�ts, ardf�ances, b�ild�*+�-
codes, asid zaning regula ' s.
OWNER'S S=Q1'ATURE r DA.'I.'E +d ✓
ADDRE 5S +�i �1 •
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