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95-5310
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1995
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95-5310
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Last modified
3/4/2009 2:39:37 PM
Creation date
7/5/2006 8:55:25 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
95-5310
Building Department - Name
FOGELSONG,GORDON
Address
38761 VULCAN CR
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<br />OWNER-BUUJ)ER AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF PASCO ) <br /> <br />BEFORE me, the undersigned authority, personally appeared <br />, who being by me first duly sworn, under oath, deposes and states <br /> <br />as follows: <br /> <br />I do hereby swear/affirm: <br /> <br />That I own the property described as <br /> <br />Disclosure Statement <br /> <br />State law requires construction to be done by licensed contractors. YOll have applied <br /> <br />for a permit under an exemption to the law. <br /> <br />The exemption allows you, as the owner of <br /> <br />your property, to act as your own contractor even though you do not have a license. You <br /> <br />must supervise the construction yourself. <br />family residence or a farm outbuilding. <br />building et a cost of $25,000.00 or less. <br /> <br />You may build or improve a one-family or two- <br />You may also build or improve a commercial <br />The building must be for your own use and <br /> <br />occupancy. <br /> <br />It may not be built for sale or lease. <br /> <br />If you sellar lease a building you <br /> <br />have built yourself within one year after the construction is complete, the law will pre- <br />sume that you built it for sale or lease, which is a violation of this exemption. You may <br /> <br />not hire an unlicensed person as your contractor. <br /> <br />It is your responsibility to make sure <br /> <br />that people employed by you have licenses required by State law and by County or municipal <br /> <br />licensing ordinances. <br /> <br />Any person working on your building who is not licensed must work <br /> <br />under your supervis ion and must be employed by you, which means that you must deduct <br />F.LC.A. and withholding tax and provide Workers' Cc~pensation for that employee, all as' <br /> <br />prescribed by law. <br /> <br />Your construction must comply with all applicable laws, ordinances, <br /> <br />building codes, And zcning regulations. <br /> <br />That I have read the foregoing, and am aware of my responsibilities and liabilities <br />for construction work on the above-described property and do hereby agree to each of the <br />aforesaid stipulations. <br /> <br />FURTHER AFFIANT SAYETH NOT. <br /> <br />Owner's Signature <br /> <br />Address <br /> <br />Date <br /> <br />SWORN to and subscribed before me <br />this day of <br />19 <br /> <br />Notary Public <br />State of Florida at Large <br /> <br />My Commission Expires: <br /> <br />Print, Type, or Stamp Commissioned <br />Name of Notary Public <br /> <br />Personally Known _____ or Produced Identification <br /> <br />----- , <br /> <br />Type of Identification <br /> <br />PC93053047 <br />
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