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16-17290
Zephyrhills
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2016
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16-17290
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Last modified
2/20/2017 11:52:05 AM
Creation date
2/20/2017 11:52:04 AM
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Building Department
Company Name
PARK HILL
Building Department - Doc Type
Permit
Permit #
16-17290
Building Department - Name
ABBRUZZESE,PETER & CHERYL
Address
6204 17TH ST
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� DISCLOSIIRS STATEI�NT FOR OWNER <br /> CITX OF ZSPF1YItfiILLS BITILDING DRPARfiMENT <br /> I, have •read and fully uaders�and and <br /> agree to the provisions af this iastrument. _ , , , _ • � <br /> The undersigaed. states an.d affirms that he or she is desirous of casistructiag, <br /> reaavatiug, addiag ta or reroofiag his or her owa domicile, that he or she <br /> actuallg occupies, os will occupy by said domici3.e, a.ad same 3s no� for <br /> reat, Iease or sale. That he or,she shaZl camply with the followiag coai3itioas: <br />� 1. Tha� the a�rner aad he or she alone shall act as the bnilder fo= aIl phases af <br /> coastruation« _ � ' <br /> 2, Tha� the owaer v+rill cainply with �Z1 provisions af the City of Zephyrhi3ls <br /> ordiaances •and��cades pertinent to the buildiag: �� ' <br /> 3. That in the eveat 'various� phasee of� eonstruction are subcontract�ed, he wa.11 <br /> engage oaly praperly liceased subcontrae�ors and will personally supervise = <br /> such work. .� ' ' " <br /> 4. That ia the event the Buildiag Saspector sha13. require correetiorss to be.'mac3e, <br /> the owaer wiZl aseume full respoasibility to iasure they are made, a�ud upon <br /> completion will call far a reiaspection before proaeeding with �he buildiag. <br /> 5. Tha� the owaer shali assume full responsibility far the constructiaa aad will � <br /> aot expect supervisiou of' his work from �he City af Zephyrhills 8uilding <br /> Departmexlt. <br /> 6. That prior to final iaapectioa aay additional feea, iaaludiag reiaepectiam <br /> fees, must be paid ia full. A writtea request from this office shall <br /> coastitute an official aatice to pay additioaal fees. <br /> 7. That the owaer shall comply with all City, State arsd Federal laws in regard ta <br /> soai.al seaurity, WOY'ICn23Ylr S campensation, lien Zaws, et�. , where applicab2e. <br /> 8. That the owaer shall comply with all the safety codes issued by the Florida <br /> IaduatriaZ Commission. <br />� 9. State law requires construction to be doae by Iiceased contractors. You have <br /> � app7.ied for a permit under aa e�cemptioa �o that law. The exemp�3on allowe <br /> i you, as the ownes of your propext�, to act as yaur own contractar with cestaiu <br /> restrictioas even though yau do aot have a lioense. Yau must provide direct <br /> 'i oasite supervisioa of the construati.oa yaurself. Yoti may build ar improve a <br /> oae-�amily or two-�amily residence or a farm autbui.ldiag. You may aZso build <br /> or improv� a commercial bui].ding, provided your coats da aat exceec3 $75,OOQ. <br /> The building ar residesxce must be far your osrra use ar accupancy. It may aot <br /> be built or subat�.ntially improved for sale or lease. If you se11 ox� lease a <br /> buildiag you 2iave bni2� or �subs�aatially improved yaurself withia 2 year after <br /> the coas�ructiou is complete, the law will presume tha� you built or <br /> aubstaatially impxoved if for sale or lease, which is a violatiaa ot this <br /> exemptioa. You may na� hire an ualicensed p�rsan to act as your coatractor or <br /> to aupervise people workiag on yaur build3.ag. It is your respoasibiZity t�o <br /> make sure that peop3.e �sttpZayed by yau have liaenses requirad by state lav�* and <br /> by cauaty or muaicipal licea,siag ordiaances. You may not delegate the <br /> respoasibility for supexvisirig work to a liceased contractor who is aot <br /> licensed to perform the work beiag doue. Aay persoa warkiag on your buildiag <br /> who is aot liceased muet work under your disect supervieion aad must be <br /> employ�d by you, wb,ich meaas that you must deduet F.I.C.A. aad withhalding ta�c <br /> and provide workers' compensatian for that employee, all as prescribed by law. <br /> Xour coas�ruetioa must comply with a11 appZicable laws, ordivaaaes, buildiug <br /> codes, and zoaing regu atio <br /> OWNER'S SIGNATURE DATE <br /> ADDRESS CD��� ." / -' . <br /> PIiONE - <br /> SV'ITNESS PERMZT # <br />
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