07-6585 - Laserfiche WebLink

Browse Search

D:ISCLOStlRE STATEHBNT 1"OR oWNER CJ:.TY 01" ZEPBY:RB:ILIiS Btr:ILD:ING DEPARTHBNT X, C. ~~uu,,_~d.t.L -.\ . - r...... and fuUy understand and agree to the provisions of this instrument. The undersi~ed states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile" that he or she actuaUy cccupies, or wiU ooCUPY by . said """,,cile ,and aame is DOt for rant, .lease or sale. That he or .... shall c_'Y with the following conditions.' 1. ""'"'t the owner and he or she alone shall act as the builder for all phases of. construction. .2. That the owner w:Ul comply with all provisions of the City of zephyrhillS ord:i.nances and codes pertinent to the building. 3. That i.nthe event various phases of cOXlStructi~ are subco::ci.tracted, he will engage only properly licensed sUbcontractors and will personallY supervise such work.. 4. That in the event the Building :Inspector shall requ:i.re corrections to be made, the owner will aSsume full responsibility to insure .they are made, .and upon completion will call for a rei.nspection before proceeding with the 'building. s. That the oWner shall aSsume full responsibi~ity for the construction and will not expect supervision of his Work from the City of zephyrhillS Building Department. 6. That prior to final inspection any additiona~ fees, ~clud:i.ng rei.nspection fees, must be paid in full. A written request from this office shall . constitute. an officia~ notice.to pay additio~ fees. 7. That the owner shall comply with all City, state and 1"ederal laws' in regard to social security, workman's compensation, lien lawS, etc., where applicable. 8. That the owner shall comply with all the 'safety codes issued by the 1"lorida Industrial commission. 9 . state law requires construction to be done by licensed contractors. You have applied for. a pe:rm:i.t under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or :improve ,a one-family or two-family residence or a far.m outbuilding. YoU may also-build or improve a commercial building, provided your costs do not exceed $25,000. The building ,or residence must be f.or your own use or occupancy. It may not be built or. substantially :improved for sale or lease. If you sell or lease a build:i.ng you. have built or sUbstantiallY ~roved yourseif within 1 year after the construction is complete, the law will presume .thAt you built or substantially :improved if for sale or lease, which is a violation of this exemption. You may not hire an. unlicensed person to act as your contractor or to supervise people working on your building. :It is your responsibility to make sure that people employed :by you have licenses required by state law and by county or municipal licensi.ng ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not l:i.c~sed to ~erform the work be:i.ng done. AnY person working on your building who :LS not ~:Lcensed must work u:c.der your direct supervision and must be employed by you, which means that you must deduct l".I.C.A. and wi.thho~d:i.ng tax and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comply with all applicable laws, ordinances, build:i.ng codes, and zoning regulations. """"",'S S~=-rrmiJ tu t;iL"-~ ~Lt~~ DATE ;3 .- Z jf -< · "7' ADDRESS (C~ 3t ~Q.~rJ2e l,)r1' . PHONE ~l 3 _. _l...._ ~ ~_' J ~ . WITNESS pER![l:'l' .. :11=