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13-13782
Zephyrhills
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2013
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13-13782
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Last modified
9/13/2013 11:28:10 AM
Creation date
9/13/2013 11:28:08 AM
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Building Department
Company Name
EMERALD POINTE
Building Department - Doc Type
Permit
Permit #
13-13782
Building Department - Name
WALLACE,JAMES
Address
3524 PERIDOT LN
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' DI5CLOSURE S'�'A'r'F*�•NT .FOR OWNER <br /> CITY OF ZEPFIYRFi2L7+S BUILDING DEPARTMENT <br /> _ ' ' � have read and fv11y understaad and <br /> , <br /> agrae �to the rovisions of �this instrument. <br /> The undersigned .sta.tes and affirms that he or she is desirous o£ ccnstructing, <br /> renovating, adding to or x�eroofing his or her own domicile, •that he ot she <br /> actually occupies, or �vi11 occupy by said domica:le, and same is not for <br /> •rent, lease or sale. That he or she shall comply wi�th the following conditions: <br /> 1. That the owner and_he or she alone sha11 act as the bui].der for a11 phases of <br /> construction. <br /> 2. That the owxier wi11 comply with a1'1 provisions o£ •the City of Zephyrhil'ls <br /> ordinances and codes pertirierit to the building. <br /> 3. That in t�e event various phases of coristruction are subcontracted, he wi11 <br /> engage only •properly licensed subcontractors and will pPSSOna11y supervise <br /> such work. <br /> 4. That in the event the Bui.lding Inspector sha11 rsc�';re corrections to be made, <br /> the owner will assume full responsiUility to insure •they are made, and upon <br /> completion will ca11 for a ro�*+-�ction bet'ore proceeding with the building. <br /> 5. That the owrier sha11 assume fu11 responsibility for the constri.iction and ari11 <br /> not axpect_ supervision of his work from the City o£ Zephyrhills Building <br /> Depart��t. <br /> 6. Z'hat prior to final inspection aay adciitiona.l. fees, including reinspe�tion <br /> faes, must be paid in ful1. A writtan request from this office sha11 <br /> constitute an official notice -to pay additioaal fees. _ <br /> 7. That the ovPrier sha11 comply with al1 City, 5tate aad Federal laws in regard to <br /> social security, workman's compensation, lien laws, etc. , where applicable. <br /> B. That the owner sha11 co�ply with al1 tlie safety codes issued by the Florida <br /> Industrial C��ssion. <br /> 9. State 1aw re�Tiras construction to be done by lic�sed contractors. You have <br /> applied for a permit under an exemption to that law. The exemption allows <br /> you, as the ownar of your proQPSty, te act as your own contractor with ep*-�=�*+ <br /> restsictions even though you do not ha.ne a license. You must provide direct <br /> onsite supervision of the constructioa yoursel£. You may build or improve a <br /> one-family or two-family resideace or a f'arm outbtiilding. You may also build <br /> cr improve a commercial building, provided your costs do not exceed $25,000. <br /> The building or resideace must be for yovr own use or occupancy. =t may not <br /> be built or substaatially i�proved for sale or lease. If you se]:l or lease a <br /> building you have built or substantially i�proved yourself vrithin 1 ygar after <br /> the constructioa is complete, the la�v wi11 pres�e •that you .built or <br /> substantially improved •if for sale or laase, which is a violation of this <br /> E7Cemption. You may not hire an unlicansed person to act as your contractor or <br /> to supervise people working on yovr building. It is your responsibility to <br /> make sure that people employed by you have licexises rec�,;red by state law and <br /> by county or muuicipal licensing ordinazices. You may not delegate the <br /> responsibility for supervisiag work to a liceased coatractor who is not. <br /> licensad to perform the mork being daaa. Any person working on your building <br /> who is not licensed must work undar your direct supervision and must be <br /> employed by you, which meaas that you must deduct F.S.C.A. and withholding +__ <br /> and provide workers' compensation for that amployee, a11 as prescri.bed by law. <br /> Your construction must comply with a11 applicable laws, ordinances, building <br /> codes, and zoning r atioas. <br /> OWNER'S SIGDIA ' DATE f�� � t3 <br /> ADDRESS � <br /> PHONE 2,,, r <br /> W2TNESS PERL�T # <br />
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