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` � ' DISCLOSURE STATBMENT FOR OWNBR CITY OF ZEPIiYRf€ILLS BUILDIPTG DEPARTN�I+Tr I, �t��` ��'�'`J have read aa� fully uaders�aad and agr�e to the provisiaus o� this in�trum�nt. � The uadersigaed states aad a€firms that he or she is desirous of coz�structiag, ' reaovatiag, addiag ta or reroofiag his .ar her own dom3.cile, that he or she '� ae�ually occupi��, or will ace�txpy by said domic3.le, aad same is ao� fcr reat, lease or sale. That he or she shall comply with th� followiag coaditioas: I. That th� owner aad i�e or she alone shall act as the builder for al2 phases of coastruction. 2. -Tha� the awa�r wi21 comp].y with aIl provisioas of the City of Zephyrhills ordiaances a�ad codes pertinent to the buildiag. 3. Tha� ia the event various phases of coastructioa axe subeozxtract�d, he vrill engage aaly pzoper3y liceased subeoatractors aad will persoually supervise such work. 4. Tha� in the event the Suilding Saspector shal3. require correetioas to be made, the owaer will aseume full respo,nsibility to 3.nsure they are made, aad upon completa.oa wi11 call far a xeiaspee�ion before proceediag w3th t�he buiidiug. 5. That the owner shaSl aasume full ree�poasibila.ty for th� coastruction and will � aot ect s erv3.si of ' exp up on. his work fxom the City o� Zephyrhills Suilding ` Department. 6. That prior to fiaal iappectioa aay additioaal fees, includiag reinspectioa fees, must b� paic3 ia fu31. A wzitten request from this of�iee shall coaetitu�e an official aotice to pay additioua�l fe�s. 7. Tha� the owner sha11 comply with al]. CitZr, State aaa�c3 Federal laws ia regard to social security, workman's campensata.on, Iien laws, eta. , where appli.cable. 8. That the owaer sha].1 comply with all the safety codes issued by the E�lorida Industrial Cammissian, 9. State law requires construc�ion �o be done by liceused aont�actars. You have � � appli.ed for a permit under aa e�cempt3oa �o that lahr. The exemptian allows I; you, as the awaer af your property, to act as your own coatractaac with cextaia { � restrict3cns evea though you do aot have � licease. You must provide direct oasite supervisicn of the caastructioa yourself. You may bu3.Id or impra�se a one-�amily os two-family resideace or a farm autbu3ldiag. You may also build � or improve a commexcial buildiag, provid�d your eosts do ao� exceed $75,000. Th� buildiag or resideac� must be for your own use or accupaacy. It may aot I� be built ar substaantially improved for sale ox lea�e. Tf yon sell or lease a , , buildiag you have buiZ� or substaatially 3.mproved yourself withia l gear aft�r ' the construction ai,s complete, the laar wi11 preaume that you built or substaatially impxoved if for sa].e or Zease, tvhieh is a vioi.atiaa of this � exemptioa. Yau may noC hire an ualiaeased person to act as your contractax or �o su.pervi�e people workiag oa your buildiag. It is your responeibility Go �ke sure that peopl� employed by you have Iicenses requirecl by stat� law mad � by county or munic3pal liceasiag ordiaaaces. You may aot delegat�e the respoasibatlity for supexvisiag work �o a liaeased eontr�etox wha is not ].iceased to p�rform the work being daae. Aay persoaa workiag oa your buildiag who is not liceased mu�t wor]c uader your direct supervisioa aad m�sst be employed by ,►au, which meaas tha� you.must d�dt�ct F,I.C.A. and wit3ihalding tax and provide workers' compensatian for tha� employee, all as prescribed by law. 'Your canstrua�iaa must comply with all applicab2e 2aws, ordir�ances, buildi�ng codes. aad zoaiag xegulations. dWNER'S STGNATUF2E � DATE �� t � .ADDRLSS �� , PIiONB � (3"` ?b�`- t 1 �-Z t Hl'ITNESS ' PSRMI'x #