16-17201 - Laserfiche WebLink

Browse Search

� � � DISCLOSIIRE STATENl�NT FOR OV�NER CITY QF Z�PIiYRHILI�S BIIILDING DEPAitTl�NT I, have read and fully uaders�aad aad ' agree to the provisiosrs of this iastrumeut. The uadersigaed states and affirms that he ar she is desixous of canstructing, reaovatiag, addiug to or xeroofing his ar her own domicile, that he or she ' ac�ually occupies, or wi11 occupy by said damici3e, and same is not for reat, lease or sale. fiha� he ar she shall comply with the followiag coandi�ioas: 1. Tha� the ovPner and he or she alone shalZ act as the builder far all phases of coastructioa. 2. Tha� the owner wi1.1 camgl.y with a21 provisiaas of the City af Zephyrhills ordiaances and cades pertirzent to the buildiag. 3. Tha� ia the event various phases of coas�ructioa are subcoritracted, he will eagage oaly prapex2y lieensed subcontraetars and will persoually supervise such work. 4. That ia �he eveat the Bnilding Iasp�etor sha23 require carreetions �o be made, the owuex will as�ume full respaasibility to a.asure they are made, aad upon completioa will call �or a reinspec�a.on before proceediag with the buildiag. 5. That the owner shall ass�une full respoasibiZity for the con�structioa aad will aot expect supervision of his w�ark from �he C3ty o� Zephyrhi.11s Suildiag Departmeat. I 6. That prior to fiaal inspec�ioa aay additioaal fees, iacludiag reiaspectiou � fees, must be �aid ia fall. A written request from this of�iee shaZ1. constitute aa off3.cial aotiae to'pay add3.tioaal fees. 7. Tha� the owaer sha11 comply with all City, State a�nd Federal laws ia regard to saei.al security, workman's compensa�ion, lien laws, etc. , where applicable. 8. Tha� the owaer shall comply with alZ the safety codes issued by the Florida Iadustrial Commissioa. 9. State law rec,�uirea couetruction to lae doae by liceused contxactars.. You have �pp].ied for a permit uuder an exemptioa �o that law. The exempGion allows you, as the av�mer of your progerty, ta act as your avrn contractar Trai�h certain res�ricta.ons evea though you do aot have a licease. You muat provide direct I oasite supervision of the constructioa yoursel€. You may bui3d or imprave a one-family or two-family reside�nce or a Earm autbuilding. You may also build or improv�e a commeXcial bui,lding, pravided your coets do aa� exceed $75,Q40, The building or resideace must be far your awsz use or occupaacy. It may aot be built or substa�ntially improved for sale or lease. If yau sell ar lease a buiSdiag you have buil.t or eubstantially improved yourself ctirithi.n Z year after the coastructioa is complete, the law wiZ1 presume tha� you built or substaatially improved if £or sale ar lease, t+rhich is a violatioa o£ thia exemption. Yau may not hire an unlicensed persoa to act as your coatractor oac to eupervise peop].e working on yaur building,. It is yaur respoaeibility to make sure that people employed by you have licenses requireci by state Iaw and � ' by caunty or municipal liceasiag ordiaaaces. You may aat delega�e tb.e respoasiba.lity for supervising work ta a liceased caatractor who is aot liceased to perform the work beiag doae. Any persoa workiag on your building who is aot licensed muet work vader your direct sugervision and must be emgloyed by you, which meaas that you must deduet F,I,C.A. and withhoZdiag ta�c and provide workers' campensatian for that employee, all as prescribed by law, Your eonstructiaa must comply wi�h all applicable laws, ordi.aaaeesj building codes, aad zauing regulations. OYtI+iER'S STGNA2'URE.�'"� � J DATEEl�/' � r� �u ADDRESS "'. , �' �' c -' 2 PHON�3 � WITNBSS PERMZT # .� , . - �