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<br /> � DISCLOSIIFLE STAT�NT FOR OWNER �
<br /> I CITY QF ZBPIiYRHII,I�S BIIZ7�D�1�TG DEPARTl�I�7'P ,
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<br /> I, ' a� � .�,� ('�`,� have read and fu21y ua@erstaad and
<br /> agri�e ta th� provisiaas of thie instrumeat.
<br /> The�undersigued states aad affisms that he ar she is desirous of ccnstructiag,
<br /> reaovatiag, addiag to or reroo�iag his ar her owa domicile, that he or she
<br />' act�allg occupies, or s�rill accupy by ��U�u,� said 8omicile, and same is ao� for
<br />' rea� lease or sale. That he or she sha11 com 1 with the follow'
<br /> , p y' a.ag coaditions:
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<br />� 1. � Tha� the owner and h� or she alone shal]. act �s the buildex for all phases of
<br />� Icoastructioa.
<br /> 2. , Tha� the owa�r w:i..11 comgly with a1Z provisions af the City af Zephyrhills
<br /> ordiaaaces aad cades pertineat to the buildiag.
<br /> 3. � That in the event various phases of coas�zuctian are subeositrac�ed, he wi11
<br /> lengag� aaly pzaperly 2iceaeec3 svbcoatractors and will persoaally supervise
<br /> � such work.
<br /> 4. That in the event the Suildiag zaspector shall require correeticns to be made,
<br /> � the owaer will aesume full responsiba.lity to iasure th�y axe made, aad upan
<br /> Icompletiou wi11 caZl for a reinspeation befoxe proceedixtg with �he build3.ug.
<br /> 5. That the owaes shall assume £ul1 reeponsibility far the constructioa and will
<br /> �aot expect superva,siom of his work �rom �he City o� Zephyrhills Suildiag �
<br /> Departmeat. - . , „
<br /> 6. ,Tha� prias ta fiaal iaspecti,oa aay additioaal feee, includiang reinspectidm
<br /> � fees, must be paid in full. A writtea request from this cf�ice shall
<br /> ' constitu�e aa official aotice ta pay add3tional fees.
<br /> 4 7. �That the owaer sha11 camply with all City, State and Federal laws in regasd to
<br />� soeza2 security, �,rorkman's, aampensatian, Iien laws, ete. , where applicable.
<br /> 8. That the owaer shall camply with all the safety cades issued by the Florida
<br /> �Industria2 Commisaion,
<br />�� 9. State law requires construction to be doae by liceased contxactors.� You have
<br /> '� �applied fcir a permit uader aa e�cemptioa ta tha�t law. Tl�e e�cemption allows �
<br /> yau, as �he cwaer of your property, to act as yaur owa coatractor wi�h certaia
<br /> restrictians evea though you do aot have a license. You muet provide direct
<br /> ; �onsite stzpervisicxz of �he canstruction yot�rself. You may build ar improve a
<br /> ,one-family or two-family resideace oz a farm outbuilding. Y'ou may also build
<br /> lor improve a cammercial building, provided �ouz costs da� not exceed $75,400.
<br /> The building ar sesideuce must be £or your owa use or accupaacy. 2t may aot
<br /> Ibe built ar substaatially improved for sale or lease. If�yau se11 or leaee a
<br /> bixildiag you have bui2� or substantiaZly imgsaved yaurself within I y�ar after
<br /> the aoastzuction is complet�, the law wi1Z pr�sume tha� you built or
<br /> �substanti.ally impsovedsif far sale or Zease, which is a vialatioa of this
<br /> eacemption. You� may�not hire aa ualiceased persoa to act as your coatractar or
<br /> " ��o supervise people workiag oa- your ]buildisig. It is your responsibility �o
<br /> 'make sure that peop3.e emp2ayed by you have licenses required by state law and
<br /> , by caunty or municipal liceasing ordiaaaces. You may aot delega�e tb.e
<br /> �=espaasib�.lity for supervisiag work �o a lieensed cont=actos who is aot
<br /> licerrsed to perform the work beiug dcae. Any persaa workiag on your builda.ng
<br /> .iwho� is,.,aot liceased must work wa.der,yaur direct aupervision aad must be �
<br /> + employ�d by you, whieh meaas that yau mus� deduct F.I.C.A. and �itlihalding tax
<br /> �and provide woxkers' campensation for that employee, all as prescribed by law. �
<br /> �Your construc�3on must comply wi�h a13. applicab3.e Saws, ordiaaace�, buildiug
<br /> ' icodes, aad zorsing regulations.
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<br /> , �OWNER'S SSGNATURE • "� DATE ()/���
<br /> ADDRI�SS �TI�.� �� �'a�� �e� ---�
<br /> � ��xarn� � i 3- �.3� -��
<br /> I WTTNESS. - --� PBRMIT #
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