15-16077 - Laserfiche WebLink

Browse Search

� � : � ' �ISCLOStJRE S2°.�►TEMENT .E'OR C7L�TI�R CITX OF ZEBFiXRFiZTjLS HUILDING DEPARTMENT ±�',,t I, � �v��Q.,-� r�(�aJ'c��'�� have read ax�d fu31y und�rstand and agsee �ta the pro�risicas o£ �tha.s instrument. .The undersigzied .states and af�'�.rms tha� he or. she is desirous of canstsucti�ag, resxovat�.ag, adding to or xerociing his ar her awn do�a.icile, that he or she actually occupies, ox wi11 occupy by sai.d domica:le, and same is sxot foz •rent, lease or sa1e. Tha� he ar she sha11 compZy wi-th the follow�,'sag cana.itions: 4 1. That the os�mer and_he or s7ae alone sha11. ac� as -�.he builder far all phases af cons#-sractian. . 2. Tha� the owner will caucply with al1 provisioas a� �the City of Zephyrhills i ordixsances azid codes perti.szeat to t"i�e building. , 3. That in the event various phases of ccnstruction are suboantsacted, he wi11 eagage axxl.y •prop�sly 1.icesised subcontractors and will persQnal�y superva.se � such .work. 4. Tha~t in �he event the Huilding 2nspecta� shall re�+,;ze co�crecti.ons to be made, th� ownes will assum� fu1Z responsibility to irssure •they aze made, aad upan co�apletion will calZ f'or a reissspection before proceeding with the building. 5. That the ovmes sha11 ass�ote fu11 responsibility for the coxistruc�.�a and wi1.1 nat expect_ sup�sv=.siozi af his work frcm the Ci�y' .o� Zephysh-i11s Bus.ldin�g " Departm�stt. 5. R*�sa� priar to fira�l inspeatian aay acidi�.i.anal fees, z.r�cludsng reinspectian fees, must be pai.d in -fu11. A wri�ten �equest fzom this office sha1l constitute asi oft'icial notice to pay aclditioxaal �'ees.. _ 7. fihat the own�r shaZ1 camp2y wi#:h a21 Cit.y, 3tate and �'edes'as3 Za.ws �..n regard to soca.al secar,3,.ty, workman's compensation, liexr la�as, etc. , where applicable. , B. 2�hat the owner shs11 compZy wi�h aZl the sa£e.ty codaS issued by the F1�orida Industsial Gammi.ssion. ; 9. State 1aw requires construction to ]ae dane by lic+ensed centractors. You have appliei3 �or a permit umder an esce�gtian to t�at law. �'he �emption alla+ws you, as the awaex� of your prop�sty, to act as your owa cont=sactor vrith certaia restsic�.cns even though you do not h�v� a la.ce�sse. You must .pravide d3rec� onsite supexvisiox7. of the cons�truction yovrself. You may build or improve a oae--fami.ly or two-family resideaae ar a fasm outbuildiag. 1*au may also build Qr 3.mprave a commercial bv,�.,Iding, psovided your costs do zaot e.acoeed $2�,OOD. , The bui].ding or resid�ce•must be �ar yavr ovm use or occupancy. .It may not b� bui3t or substa.ati.aS2� i�aproved for sale or lease. If yau sel:l or 3+ease a bvilding you have built or substan�.ally imFaSCOVed yoursel� within 1 yeas after the anns#-suc�.i.aa a.s acampl�te, �he 3aar w:il1 pxesivae•t�at you bzu.lt or su�st�rit3.al.Zy impsoved •if for sale ar leaser which is 'a violation of this EX�:mptioxi. Xou may not hire an unli.cen�ed pe.rson to act a's yovs ec�nntractor or to sup�svise people mczking an your bui3.ding. I� is your responsibility to make sure that people c�mplayed by you have licenses rec�,;zed by state law arscl by courity or municipal licensing ordinaaaes. Yau may not de3egate the , responsibility f'ox supervisiag work to a licexised contt-aa'tor who is not. licesised to perfosm th�e work b�a.ug donE.. Ax�.y p�son workisig osx yotzt ba3.�.ldizig wha is aat lio�sad mss.st wor3� ss�cl�s you:� c3i�ect supervision azid must be P�ployed by you, which meax�.s that ycru must deduc�. F.I,C.A. and vrith'tiold3.xig t�ax , and prov�.de wor7cers' aa�sation for that eacpZoye�, a13 as p=esetib�d by 2aw. Yous� construation mus�k comply with a11 appla.cable laws, ordiz�sices, building codes, axzd zana.ng re 'oas. OWNER'S SIGt17�TURE r DA'1'E ` D "' (v ADDRESS �P 1 �'�" r �j� PHONE W2�'2HEBS � ' PERM�T # ��(?��