17-18662 - Laserfiche WebLink

Browse Search

. � , i I I DISCLOSURE 5TI3T�i.�iTT FOR OWNBR � I CITX OF ZLPAYRHILLS BUTLDIN� D8PAR2R�ld'P I. �� lJ-�a�� have read aad fully uad�rstaad and agree to he provis3ons of this iastriunent. � The unders3.gaed states az� .affirms that he or she is desirous of coaetructiag, I reaavatiug, adding �a or`reraofing his or her otva domicile, that he ar` she�� actually occupies, or wil3 occugy by said domieile, aad same is not for rent, lease or sa1e. That he or she shall comgly with th� followiag coadit�3ans: I. fihat the owuer and he os she alone shall act as the builder �or all phases o� coas�ruction. � 2. That th� own�r will compiy v�ith aIl psavisians of the City of Zephyrhills ordivaac�s aadl coc�es pertinent to �he bui2diag. 3. That ia the eveat various ghase� of coa.struction �re svbcoatraGted, he will engage oaly properly liceased subcoatractors aad wi11 persoaally eupervise such work. 4. That ia the eveat the Bui2diag Insgsector shall require cosrecti.ons to be made, the owaer wi13. aassume full .responsib3Zity ta iasure they axe made, aad upon complet3oss wi1.1 call fos a reiaspection befor� groeeecting with the buildiag. 5. That the owaer �hall aesume full respoaaibility for the constructioa aud will� aot �xpec� supesvis3oa af his work �rc+m the City of Zephyrhills Suildi.ag ' Departmeat. 6. That pr3or to fiaal iaspectioa aay adc�itioaal £ees, iacluding reiaspection , �ees, must b� paid ia full. A wr3ttea request from this office sha23. � , coastitute aa afficia], uot3ce to pay additional fees. ' 7. That �Ghe ozaaer ehall aomply wa.th all City, Stat� sad Federal laws in regard to soci.al secur3.ty, workman's compensatian, laen laws, eta. , where applicable. 8. That the owaer sha31 comply with alI the safety cades issu�d by the Florida Iadus�rial Commiasioa. 9. Sta�e 1a� requir�s coastru.ction to be doae by liceased eontractors. Yau hav� applied for a germit uader aa exemptiox� to that law. The �aremptioa �llows you, as the avanes of your propexty, to aat a� your owa coatraatcr �with cextaia restrictioas evea though yau do aat have a licease. Yau must prov3de dir�ec� ons3te supervision cf the constr.uctioa yourself. You may build or improve a � oae-family or t�+ro-famil� residerlae or a £arm outbuildiag. Yau may al�o buil� or improve a cammercial buildiag, prov3ded your casts do not e�aeec� $75,000. ' The buildiag or reeideace mus� be for y.our owa uee or occupaacy. It may ao� i be built or substantially improved for sale or lease. =f you a�il or lea�e a , ' btti3diag you have built or �ubstaatially im,praved yourself withia 1 year. a�fter the ca�astructa.oxt a.s eozagZete, th� law vaill pr�sume tha� you bui3t or � substantially improved if fos sal� or lease, whiah is a vialatian of this escemptio�a. You may aot� hire aa unliaensed persoa to act as yaur caatractoar ar to superviee people workiag oa your buildiag. It is your r�sponsibility to �� make sure that peapl� emplayed by you have liceaaes required by state law aad by couaty or muaieipai Iieensiag ord3nanees. Yoa,may not de2egate the respoasib3litg for sup�zvis3ag wor3c �o a 13aensed aantractor c�rha is aot liceased ta per£orm the work beirig doae. Aay persaa workiag on your bu3ldiag who is aat 1ice�as�d snuat work vader:your dixect sugervisiaa and muet be ------ entploy�d �Sy vou,��hich__meaas tha�y-au-must-deduct-I�.�.C:�:—and-withho3-ci�ng--t�x--- ----.---- I and pravide workers' eampensatian for that employee, aZl as prescribed by Iaw. �, Your constructioa must comply wath a11 appliea�sle 1.aws, ordiaaaces, buildiag � codes, aad zoaiag regulations. OWNER'S S TGNAfiURE ' 'r(3�.L��`�-- �..� DATE `�'�p�� ADI?RE3S � y,�t ti. . - 3Yj , PHONS_ (?�'�1��'�(t�i'�S�t WIT238S5 PERi�3IT # (