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.+ . S 'y <br /> , DISCLOSURE STATEI�NT FOR OTa'NER <br /> ' CIfiY OF ZBPAYItfIII,LS BiT2LDI2+TG DI:PARTMENT <br /> I, � have read aad fu3.1y uaders�and and <br /> agree to the provisious of this instrument. <br /> The flersigned �tat�s aad affirms that he or sh� is desiraus af canstructing, <br /> reao ating, adding to or xeroofing his or h�r owa domicile, that he or she <br /> ac�u lly accupie�a, or will occupy by saa.d domici2e, aad �ame is aat for <br /> reait� lease or sa1e. Tha� he or she shall comply with the folZowiag couditious: <br /> 1. at the owner aad he or she aloae shall act as the buiZder for all phases of <br /> oaetruction. <br /> 2. hat the owa�r wi1Z camply with all pravisions af the City of Zephyrhills <br /> � rdiaaaces aad cades pertineat �o the buildiag. <br /> 3. ha� in the event various phases of coasGructioa are subcoatracGed, he wi11 <br /> ngage auly propesl.y 2icensed subcoutractors aad will persaaally supervise <br /> �ueh work. � <br /> 4. T�ha� ia the event the Buildiag �nspector sha21 require carreetiaas to be made, <br /> t�e owaex will assume full respaasibility to a,asure �they az�� made, aad upaa <br /> completioa wi11 eaZl for a reiaspec�ian before praceeding with �he buildiag. <br /> 5. �a� the owaer shall assume full reaponBibility far the coaa�truation aad will <br /> aot expect supervisioa of his wark from the C3ty of Zephyrhills Suilding <br /> Departmes�st. <br /> 6. T a� priar �a fiaal inapection aay addit3anaZ feea, iacludiag reiasp�ctian <br /> f es, must be paid ia full. A writtea reguest from this ogfice shall <br /> c astitute an official aotice to pay add3tioaal �,f�es. <br /> 7. T a� the owaex shall camply with all City, State aad Federal lavas ia regard to <br /> s ei.al security, workman's campensation, 2ien laws, ete. , where applieab2e. <br /> 8. T at the owaer sha11 comply with all the safety cades issued by the Florida <br /> I dustrial Commisa5.oa. <br /> 9. S ate law requires coastruction to be doae by liceased coatractors. Xou have <br /> a pli�d �or a perm3t under aa e�s,emptioa ta th�t law. The �acemption allows <br /> y u, as the owaer of yaur pzopezty, to act as yaur owu coatraetaar with certaia <br /> x strictioas even though yau do aot have � licease. You must pravide ditect <br /> o site supervisioa af the coastruction yourself. You may build or improve a <br /> o�e.�amixy or two-family re�ic�etsce or a E'arm autbuildiag. You may also build <br /> a zmprove a commercial builc3ing, provided your casts do not exceed $75,OQ0. <br /> T�e building ar residenc� must be for your awa use or occupmacy. It may not <br /> b built ar aubstaatially improved for sale or lease. If yau sell or leaee a <br /> b i3.diag you have built ar substaatially i.mproved yourself withi�a ]. year after <br /> t e coastructioa is complete, the law will presume that you built or <br /> s st�atially impxaved if for sale or lease, which is a vialatian of this <br /> emption. You may ao� hire an valic�nsed persoa �o act as your coa�ractar or <br /> t supervise people workiag on your buildiag. It is your respoasibility to <br /> m�ke sure that peapZe e�ployed by yau have I3.censes required by state la�a aad <br /> b ' caunty or muaicipal liceasiag ordisaancea. Xou may aot delega�e the <br /> r�spoasibility for supexvisiag wark �a a licensed coatraetos krho is aot <br /> 1'censed to perform th� work beiag daae. Any persoa workiag oa your buildiag <br /> w o is aot liaensed muet wotk underyouur direct supervisioa aad must be <br /> ployed bg you, whieh meaas that you must deduct F.I.C.A. and v�ithhoZcliag ta3c <br /> ar�d provi.de warker�' compensation for tha�. employee, all as prescribed by 1aw. <br /> Yo�ur eoas�ructioa must comply wi�h all app2icable 2aws, ordivaaces, Yiui3diag � <br /> c des, aad zoaing regulatioas. <br /> � 1s�lU'��� ����t(�'i''�-- I7ATE ' � ��l j;/ <br /> O R'S SSGNATURE <br /> AD RESS -` 3�'ZZ <br /> P OZdB 'S .3�'-.I�� <br /> Tn�2 SS PSRMIT # <br />