06-5884 - Laserfiche WebLink

Browse Search

DISCLOSURE STATmmNT FOR OWNER Q CITY OF ZEPHYRIIILLS Bm:LDING DEPARTMENT I. ~f,ll, , ~ 0 I A:J2, (SY\ have road and fuJ.1y understand and agr ~ 0 t~ons of this instrument. The undersigI;l.ed states and affiJ::IDS that he or she is desirous of constructing, renovating, adding to or reroofing his or her own dcmici~e" that he or she actua~~y occupies, or wi~~ occupy by 'said dcmici~e, and same is not for rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions,: L That the owner and he or she a~one sha~~ act as the bui~der for a~~ phases of.. construction. That the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s ordinances and codes pertinent to 'the bui~ding. That in the event various phases of construction are subcontracted, he wi~~ engage on~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise such work., That in the event the Bui~ding Inspector sha~~ require corrections to be made, the owner wi~~assume ful~ responsibi~ity to insure they are made, and upon comp~etion wi~~ ca~~ for a reinspection before proceeding with the 'bui~ding, That the owner sha~~ assume full responsibi'~i ty for the construction and wi~~ not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding Department. That prior to fina~ inspection any additiona~ fees, inc~uding reinspection fees, must be paid in ful~. A written request from this office sha~~ . constitute' an officia~ notice, to pay additional fees. That the owner sha~~ comp~y with a~~ City, State and Pedera~ ~aws in regard to socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e. That the owner sha~~ comp~y with a~~ the safety codes issued by the F~orida Industria~ Commission. State ~aw requires construction to be done by ~icensed contractors. You have app~ied for a permit under an exemption to that ~aw. The exemption a~~ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse~f. You may bui~d or imprC?Vea one-fami~y or two-fami~y residence or a far.m outbui~ding. You may a~so bui~d or improve a cammercia~ bui~ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. It may not be bui~t or sUbstantia~~y improved for sa~e or ~ease. If you sea~:or' ~ease a bui~ding you have bui~t orsubstantia~~y improved your.se~f within ~ year after the construction is comp~ete, the ~aw wi~~ presume that you bui~t or substantia~~y improved if for sa~e or ~ease, which is a vio~ation of this exemption. You may not hire an un.J.icensed person to act as your contractor or to supervise peop~e working on your bui~ding. It is your responsibi~ity to make sure that peop~e emp~oyed by you have ~icenses required by state ~aw and by county or municipa~ ~icensing ordinances. You may not de~egate the responsibi~ity for supervising work to a ~icensed contractor who is not ~icensed to perform the work being done. Any person working on your bui~ding who is not ~icensed must work under your direct supervision and must be emp~oyed by you, which means that you must deduct F.J:.C.A. and withho~ding tax and provide workers' compensation for that emp~oyee, a~~ as prescribed by ~aw. Your construction must comp~y with a~~ app~icab~e ~aws, ordinances, bui~ding codes, and zoning gu~at'ions ~ 2. 3. 4. 5. 6. 7. 8. 9. ?) I gO/ D {fl ~ I / r DATE OWNER'S ADDRESS E'HONE WITNESS E'ERMJ:T #: