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r � DISCLOSURS STATEMENT FOR OWNBR CITY OF ZEPHYRHILLS BIIILDING DSPARTMENT _. have read aad fully understand and agree to the provisioas of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovatiag, adding to or reroofiag his or her own domicile, that he or she actually occupies, or will occupy by said domicile, aad same is aot for rent, lease or sale. That he or she shall comply with the followiag coaditions: 1. That the owaer and he or she aloae shall act as the builder for all phases of coastruction. 2. That the owaer will comply with all provisions of the City of Zephyrhills ordiaances and codes pertinent to the building. 3. That in the event various phases of constructioa are subcoatracted, he will � engage oaly properly licensed subcoatractors aad will personally supervise , such work. 4. That in the eveat the Suilding Iaspector shall require correctioas to be made, the owaer will assume full respoasibility to insure they are made, and upoa , completion will call for a reinspection before proceediag with the building. 5. That the owaer ahall assume full responeibility for the constructioa aad will aot expect supervision of his work from the City of Zephyrhills Buildiag Departmeat. 6. That prior to fiaal inspection any additional fees, iacludiag reinspection fees, must be paid in full. A writtea request from this office shall constitute an official aotice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in 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 Commission. 9. State law requires construction to be doae by licensed contractors. You have applied for a permit under aa exemption to that law. The exemptioa allows you, as the ovaner of your property, to act as your own coatractor with certaia restrictions evea though you do aot have a license. You must provide direct onsite supervisioa of the constructioa yourself. You may build or improve a one-family or two-family resideace or a farm outbuilding. You may also build or improve a commercial buildiag, provided your costa do aot exceed $75,000. The buildiag or residence must be for your owa 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 substantially improved yourself within 1 year after the constructioa is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemptioa. You may not hire an unliceased persoa to act as your coatractor or to aupervise people• workiag on 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 liceasiag ordinaaces. You may aot delegate the responsibility for supervising work to a licensed coatractor who is aot licensed to perform the work being done. Any person workiag on your building who is not licensed must work under your direct supervisioa and must be employed by you, which meaas that you must deduct F.I.C.A. aad withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinaaces, building codes, aad zoaiug regulatioas. OWNER'S SIGNATURE DATE �'� � � ADDRESS � / � PHONE WITNESS PFsRMIT #