16-17275 - Laserfiche WebLink

Browse Search

� DISCLOSIIR.S STATEMENT FOR 04�R + � CITY OF ZF�PHYRFIILLS BUILDING DEFARTl+�NT I, have read and fully uaderst�and and agxee to the provisions of this instrumeat. The uadersigned states and affi.sms that h� or she is desirous of constsuetiag, reaovatiag, addiag ta or reroo�iag his ar her ovan domicile, that he or she actually occupiesr or will occupy bg said domicile, aad same is ao� for reat, Iease or sale. That he ar s�t� shall comply with the followiag conditioas: I. That the owaer and he or she alone shall aet as the builder for all phases of construotioa. 2. Tha� the owaer will comQly with all provisioas of the City of Zephyrhills ordinances and cades pertineat to the buildiag. 3. That in the event variaus phasee of construcCion are eubcoutracted, he will engage only propezZy liceased subcosltraa�ors aad will persoaally supervise such work. 4. That ia the event the Buildiag Inspectar sha32 require correctians �o be made, the owaex will as�ume £ull reapausibility to insure they are made, and upon " com,pletiaa will ca11 for a reinspec�ion before proceediaag with the buildiag. 5. Tha� the owner shaZl assume full responsibility tar th� constru`ctiaa and will aot expect supervisiom of his work from the City o� Zephyrhills` Suildiag Departmeant. 6. That prior to fiaal iaspec�ion aay additional feea, inaludiug reinspectio,a fees, must be paid ia full. A writtea request from this office shall constitute aa official aotice ta pay adda.tioaal fees. 7. Tha� the owner shall comply with all City, State and Federal laws ia regard to socia2 security, workman's compensation, lien laws, ete. , where applicable. 8. Tha� the owner sha11 aamply with a1Z the safety codes issued by the Florida Industrial Cammiseioa. 9. Stat�e law requires cone�truatioa to be doae by Iiceased contractars. You b.ave applied for 'a permit uader aa e�eemp�ion to that law. The exemptioa allows you, as the awaer af your pzo;serty, ta act as yaur ovm contractar with ce=tain res�rictioas evea though yau do uot have a license. Yon must provi8e direct onsite supervisian of the constxuetioa yourself. Yov. may build or imgrav� a ! oae-family or two-family resideace or a farm outbuildiag. You may also build � or improve a commexcial buildiag, provided your costs do ao� exc�ed $75,000, The building or residenee must be for your ow�n use or occupancy. It may aot ; be built or substantially improved far sale ar leaae. If yau sell or lease a buildiag you have buil� or substaatia3.ly improved yourself withia 2 year after � the construction is complete, the law wiZ1 preaume tha� you built or � subetantiaZly improved if far sale or lease, which is a vialatian of this �emptioa. You may aot hire au unlicensed person to act as your con�ractor or , to aupervise people warkiag oa yaur buildiag. It is your respoasibility to make sure that geopl.e emp3oyed by you have liaenses required by state law and by couaty or muniaipal liceasiag ordiaances. You may aat delega�e the respoasibility for supervisiag work ta a liceased cantractor who is aot licerxsed to perform the work beiag doae. Any persaa workiag on your building who is aot licensed muet waxk wnder your direct supervisioa and must be employed by gau, which meaas that yau must deduct F.I.C.A. and wa,thholding ta�c and provide workers' campensation far that employee, a11 as pre�aribed by Iaw. Your coastruc�ioa must comply with a17. apglicable la�rs, ordinauces, building codes, aad zouing regulatiaas. -�. owr�R=s s�cri�v� Gr� Dpa� �/ --Z I -- 2..c9/� ADDRESS ,J G' �'h PHONS � GVITNESS PERMIT #