15-16657 - Laserfiche WebLink

Browse Search

'� DISCLOSUR$ STATEMENT FOR OWNER �: � CITY OF ZEPHYRHILLS BUILDING D}3PARTMENT I, �a �-�1-�� have read aad fully understand and agree to he provisioas of this instrument. The undersigned states aad affirms that he or she is desirous of constructing, reaovatiag, adding to or reroofiag 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 sh 11 comply with the followiag coaditions: 1. That the owner and he or she aloae shall act as the builder for all phases of constructioa. • 2. That the owaer will comply with all provisioas of the City of Zephyrhills ordiaances and codes pertinent to the building. � 3. That in the event various phases of coastructioa are subcoatracted, he will eagage only properly liceased' subcoatractors and will persoaally supervise such work. 4. That in the eveat the Building Iaspector shall require corrections to be made, the owner will assume full responsibility to iasure they are made, aad upon completion will call for a reinspection before proceediag with the building. 5. That the owaer shall assume full respoasibility for the coastruction and will not expect supervisioa of his work from the City of Zephyrhills Building Department. 6. That prior to fiaal iaspectioa any additioaal fees, iacluding reinspectioa fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owaer shall comply with all City, State aad 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 constructioa to be doae by liceased coatractors. You have applied for a permit under an exemptioa to that law. The exemptioa allows you, as the owner of your property, to act as your own coatractor with certaia restrictioas evea though you do aot have a license. You must provide direct onsite supervisioa of the construction yourself. You may build or improve a one-family or two-family resideace or a farm outbuildiag. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The buildiag or residence must be for your own use or occupancy. It may aot be built or substaatially improved for sale or lease. If you sell or lease a buildiag you have built or substaatially improved yourself withia 1 year after the constructioa is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violatioa of this exemption. You may aot hire an unlicensed person to act as your contractor or to supervise people workiag on your building. It is your respoasibility to make sure that people employed by you have licenses required by state law and by couaty or muaicipal licensing ordinances. You may aot delegate the responsibility for supervising work to a licensed contractor who is aot licensed to perform the work being doae. Any person working on your building who is aot liceased must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholdiag tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinances, building codes, and zoniug regulatioas. OWNER'S SIGNATURE DATE 9 - 3 t7- /�� ADDRESS 6 i� +� S' �.EE PHONE �SZ - ''�6�� - �OQ7 WITNESS � PERMIT # 1 10�S�