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. � DISCLOSURE STAT�iT FOR OWNER CITY OF ZBPHYRHILLS BIIILDING DEPARTMENT I. V 5� � G�" \ have read aad full understaad and Y agree to the provisions of this instrumeat. _ " The undersigaed states and affirms that he or she is desirous of coastructing, � reaovatiag, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for reat, lease or sale. That he or she shall comply with the following coaditions: 1. That the owner and he or she aloae shall act as the builder for all phases of conatruction. 2. That the owner will comply with all provisioas of the City of Zephyrhills ordinaaces and codes pertineat to the buildiag. - � 3. That ia the event various phases of construction are subcontracted, he will engage only properly licensed subcoatractors and will personally supervise ' such work. 4. That in the eveat the Suildiag Inspector shall require correctioas to be made, the owner will assume full responsibility to iasure they are made, and upon completion will call for a reinspection before proceediag with the buildiag. 5. That the owaer shall assume full respoasibility for the construction and will aot expect supervisioa of his work from the City of Zephyrhills Suilding Departmeat. 6. That prior to fiaal inspectioa aay additioaal fees, including reiaspection fees, must be paid in full. A written request from this office shall coastitute aa official notice to pay additioaal fees. 7. That the owaer ahall comply with all City, State and Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owaer shall comply with all the safety codes issued by the Florida Industrial Commiasion. 9. State law requirea construction to be doae by licensed contractors. You have applied for a permit uader an exemptioa to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certaia restrictions even though you do aot have a licease. You must provide direct � onsite supervision of the coastructioa yourself. You may build or improve a � one-family or two-family resideace or a farm outbuildiag. You may also build II or improve a commercial buildiag, provided your costs do aot exceed $75,000. �, The building or resideace must be for your own use or occupancy. It may aot be built or substantially improved for sale or lease. If you sell or lease a buildiag you have built or substaatially improved yourself withia 1 year after the constructioa is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violation of this ' exemption. You may aot hire aa ualicensed person to act as your contractor or to supervise people working oa your building. It is your respoasibility to make sure that people employed by you have liceases required by state law aad by couaty or muaicipal licensing ordiaances. You may aot delegate the responsibility for supervising work to a licensed coatractor who is not licensed to perform the work beiag doae. Any person workiag on your building who is not licensed must work under your direct supervision aad must be employed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your coastructioa must comply with all applicable laws, ordinaaces, buildiag codes, and zoning re lations. OWNER'S SIGNATURE � DATE _l� - � -t � ' l.V ADDRESS (p (�G Y Y' I PHONE ( ` � `L - WITNESS .... - . PRRMIT # �