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11-12064
Zephyrhills
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2011
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11-12064
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Last modified
1/16/2013 11:35:01 AM
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1/16/2013 11:35:01 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12064
Building Department - Name
KUMMER,WILLIAM & DORIS
Address
4852 18TH ST
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' DISCLOSIIRE S'►'a'r�•*�•tJ'►' .FOR OWNER <br /> C2TY OF ZEPH��SLS BV2T�2NG DEPARTMEIJT <br /> 1, ' _ have read and fully uriderstand and <br /> agree �to the provisions of -this instrumerit. <br /> The undersigned .states asid affirms that he or she is desirous of constructiag, <br /> resiovating, addiag to or seroofing his or her o�vn domicile, that he or she <br /> actually occupies, or rPi11 occupy by said do�icile, and same is not for <br /> xent, lease or sa1e. That he or she sha11 comply with the foll.ovring conditions: <br /> 1. That the ownes aad_he or she alone sha11 act as the builder for a11 phases o£ <br /> construction. <br /> 2. That the owner wa:ll comply with al1 provisions of �the City of Zephyrhills <br /> ordinances and codes pertinent to the building. <br /> 3. That in the event various phases of construction are subcontracted, he vrill <br /> engage only •properly licensed subcontractors and will personally supervise <br /> such work. <br /> 4. That in the everit the Building Inspector sha11 re�+,;*-e cortections to be made, <br /> the awner will asst�e full responsibility to iasure •they are made, and upon <br /> completion wi11 ca13. for a r��n-�ctioa before proceeding with the building. <br /> 5. That the owner sha11 assume fu11 responsibility for the constsuction and wi11 <br /> not expect supervision of' his work from the City of Zephyrhills Building <br /> Depart�ent. <br /> 6. That prior to final inspection any adrlitional fees, including reiaspe�tion <br /> fees, must be paid in �full. A writtea request from this office sha11 <br /> constitute an official notice -to pay additional fees. <br /> 7. T�at the owner sha11 comply with a11 Ciiy, State and Federal laws in regard to <br /> social secutity, wor}cman's compensation, lien 1aws, etc. , where applicable. <br /> B. That the owner sha11 comply with a11 the safety codes issued by the Floricia <br /> Industrial Coma�ission. <br /> 9. State law re�+,;res construction to be doae by liceased contractors. You have <br /> applied for a �*�+�;t under an exemption to that law. The exe$ption allows <br /> you, as the owner of your property, to act as your own contractor with certairi <br /> restrictions even though you do not have a license. You must .provide direct <br /> onsite su�ervision of' the coastzztction yourself. You may bvild or improve a <br /> one-family or tivo-family residence or a farm outbuilding. You may also build <br /> or improne a commercial building, provided your costs do aot exceed $25,000. <br /> The building or residence must be for yovr own use or occupancy. It may not <br /> be built or substaatiall�, 1,mp=oved for sale or lease. If you se1:1 or lease a <br /> building you have built or substantially improved yourself within 1 year af'ter <br /> the constraction is complete, the laov �vill pres�e .that you built or <br /> substantially improved zf for sale or laase, which is a violation of this <br /> examption. You may not hire an ualicensed pe'cson to act as your contsactor or <br /> to supervise people workiag on your bui1�;*�q. It is your responsit�ility to <br /> make sure that people employed by you Y3ave licenses ree+,;red by state law aad <br /> by county or m„r;c�,p� licensing ordisiances. You may aot delegate the <br /> responsibility for supervising work to a liceased coatractor who is not. <br /> licensed to perform the �vark being doae_ Aay pargon working on your buildiag <br /> who is aot licensed must work uacier yous direct supenrisioti aud must be <br /> employed by you, which means that you must deduct F.I.C.A. and v�ithholding tax <br /> �sd Provide workers' compeasatioa for that �ployee, a11 as p=escribed by law. <br /> Your constrti,iction must comply ocith a11 applicable 1aws, orcliaances, bvildzng <br /> codes, a,zid zoning regulations. <br /> � <br /> OWATER'S S2C�TL7f2E �.�1� � �� z D`'4't'E (n� `� � � 7�► � <br /> ADDRESS <br /> PHONE <br /> WZ'TNESS <br /> PERL�IIT # <br />
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