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16-17783
Zephyrhills
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2016
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16-17783
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Last modified
7/19/2017 7:10:03 AM
Creation date
7/19/2017 7:10:02 AM
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Building Department
Company Name
YINGLING ADDITION
Building Department - Doc Type
Permit
Permit #
16-17783
Building Department - Name
OBERHOLTZER,WILLIAM
Address
39209 7TH AVE
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DISCLOSUIiS STATSI�NT FOR OWNER ' - <br /> CITY OF ZEPHYRHILLS BIIILDING DSPARTI�NT <br /> I, have read and fully understaad and <br /> agr e to the provisioas of this instrument. <br /> The undersigned states and affirms that he or ahe is desirous of constructing, <br /> ren vatiag, addiag to or reroofiag his or her owa domicile, that he or she <br /> act ally occupies, or will occupy by said domicile, and s�sne is not for <br /> rent, lease or sale. That he or she shall comply with the following conditioas: <br /> 1. That the owner and he or she aloae shall act as the builder for all phaees of <br /> construction. " <br /> 2. That the owner will comply with all provisioas of the City of Zephyrhills <br /> ordinances and codes pertiaent to the buildiag. <br /> 3. That ia the eveat various phases of coastructioa are subcontracted, he will <br /> engage oaly properly licensed subcoatractors aad will persoaally supervise <br /> such work. <br /> 4. That in the eveat the Buildiag Inspector shall require correctioas to be made, <br /> the owaer will assume full responsibility to iasure they are made, aad upon � <br /> completioa will call for a reiaspectioa before proceeding with the building. <br /> 5. That the owner shall assume full responsibility for the conatruction aad will <br /> aot expect supervisioa of his work from the City of Zephyrhills Buildiag . <br /> Department. <br /> 6. That prior to fiaal iaspection aay additional fees, iacluding reinspection <br /> fees, must be paid ia full. A writtea request from this office ahall <br /> constitute an official notice to pay additioaal fees. <br /> 7. That the ov�ner_shall comply with all City, State aad Federal laws ia regard to <br /> social security,� workman's compensation, lien laws, etc. , where applicable. <br /> 8. That the owaer shall comply with all the safety codes issued by the Florida <br /> Industrial Commissioa. <br /> 9. State law requires construction to be done by liceased contractors. You have <br /> applied for a permit uader aa exemption to that law. The exemption allows <br /> you, as the owaer of your property, to act as your owa contractor with certain <br /> restrictions even though you do aot have a licease. You must provide $irect <br /> oasite supervision of the coastruction yourself. You may build or improve a <br /> one-fasnily or two-family resideace or a farm outbuildiag. You may also build _ <br /> or improve a commercial building, provided your costs do not exceed $75,000. <br /> The buildiag or resideace must be for your own use or occupancy. It may aot <br /> be built or substantially improved for sale or lease. If you sell or lease a <br /> building you have built or substaatially improved yourself withia 1 year after <br /> the coast'ruction is complete, the law will presume that you built or <br /> substantially improved if for sale or lease, which is a violatioa of this <br /> exemption. You may aot hire an ualiceased persoa to act as your coatractor or <br /> to supervise people working oa your buildiag. It is your responaibility to <br /> make sure that people employed by you have liceases required by state law and <br /> by county or municipal licensiag ordiaaaces. You may aot delegate the <br /> responsibility for aupervisiag work to a liceased contractor who is aot <br /> licensed to perform the work being doae. Any persoa workiag oa your buildiag <br /> who is aot liceased must work uader your direct supervisioa aad must be <br /> employed by you, which meaas that you must deduct F.I.C.A. and withholdiag tax <br /> and provide workers' compensation for that employee, all as prescribed by law. <br /> Your construction muat comply with all applicable laws, ordiaaaces, building <br />� codes, and zoning regulatioas. <br /> OWNER'S SIGNATURH/ � DATE <br /> ADDRESS '� (7 <br /> pHONE �� 3��0 5��- O 6 �5 ' <br /> WITNESS PERMIT # <br />
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