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<br /> DISCLOSIIRE STATEMENT FOR OWNER �
<br /> CITY OF ZSPHYRHILL3 BIIILDZN� DFPARTMFSRZ'P ;
<br /> I, ��'�� ,C/� (/V!'fG�-��" have read and fuZly v,aderstaad and I
<br /> ag�e� �o the,_provisions of this instrumeat. 1 �
<br /> The undersigaed atates and affirms that he or she is desiraus of ccastructiag, I
<br /> re�ovatiag, addiag ta or reroofiag his or h�x ow,n ciomicile, that he or she ,
<br /> ac�ualZy occupies, or will aacupy bg said damicile, aa� same is not for '
<br /> reat, lease or "sale. That he or she shall comply wit]� the following couditioas: �
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<br /> I. Tha� the owaer aad he or she alone �hall aat as the builder for alI phases af
<br /> constructioa. ,
<br /> 2. �hat the awner will comply with �11 prcvisioas af the City of Zephyrhills '
<br /> ordiaances aad cades pertiaent �o the buildiag. '
<br /> 3. That in the eveat variaus phasea of aonstzuc�3on are svbcoatracted, he w3ll
<br /> engage oaly praperly Siceased subcot�,traators aad will personally sup�rvi�e
<br /> ' � such work. �
<br /> 4. That in the eveat the Sui2ding Snspector sha12 require corsections �o be made, � �
<br /> the owaer will �assume �ull respoasibility to insure they are made, and upon ;
<br /> completian wi13 call faz a reiaspection before praceediag with �he buildiag, ;
<br /> 5. That the owaer shall assume full responaibility far the conatructioa and will
<br /> not expect supervisioa of his work £rom �he City of Zephyrhills Building i
<br /> D�partmeat. ;
<br /> 6. ', Tha� priar ta fiaal iaspectioa aay addit3.ona1 fees, iacludiag reinspectiaa
<br />�' €ees, must be paid in �ull. A writtea reques� fram this otfiee sha21 i
<br />� - � coastitut�e an offa.cial aotice ta pay add3.tional feea. !
<br /> 7. Tha� the owaer sha11 comply with all City, State and F�deral laws in xegard to �
<br /> sacial security, workman's comp�nsation, 3ien laws, etc. , where applicable.
<br /> 8. That the owaex shall camply with all the safety cades atssued by the Florida
<br /> , Iadustrial Commission.
<br /> 9. State law requires construction to b� doae by liceased contractars. You ha.ve
<br /> , applied for a permit uader aa e�cempta,oa to that law. The,exemptioa allows
<br /> you, as the owuer of your property, �o act as your os,ra coatractaz with certaia
<br /> restrictioas even though yau do aot have a lic�nse. Yau muet provide direct
<br /> onsitie supervisioa af the aonstruct3.on yaurself. You may build or imprave a
<br /> one-�amily os two-family residence or a farm autbuildiag. You may also build
<br /> or a.mprov� a commercial buildiag, pravided your costs do not exaeed $75,000. '
<br /> The buildiag or resideace must be fox, you= owa use or accupancy. It may aot �
<br /> be built or substa�ntially improved far sale or lease. Zf yau sell or leaee a
<br /> build�.ag you have bui2� or substaatially impsoved yours�lf t,rithix�, 1 year afte= ;
<br /> the conatructioa ie complete, the lata will preaume that you built or �
<br /> substaatially impxaved if for sale or lease, which is a violatiaa of this
<br /> exemptioa. Yau may no� hire an unliceased peraoa to act as your coa�ractar or
<br /> �to superv3se people workiag oa your buildiag. It is your respoasibility �o
<br /> m�ke sure tha� people employed by �rou have licenses rec;w.ired by state Iaw aad
<br /> by cavaty or municipal liceasiag ordiaanc�s. Xou may aat delega�e the
<br /> x�spansibility for supervisiag work to a licensed contraetor who is aot
<br /> Iiaex�,sed �o perform the work beiag daae. Any persoa workiag on your building
<br /> who is aat liceused muet work under gour direct supervision and must be
<br /> I emplayed by you, which meaas that you mus� deduct F.I.C.A. �nd withhol.ding ta�c
<br /> , �and provide warkers' campensation for tha�G employee, a17. as presaribed by law. I
<br /> Your aoastruc�ion must comply with all applicabZe laws, ordiaaaees, buildi�ng
<br /> ,�codes, and zoaing regulatioas.
<br /> OWNER'S SIGNAfiURE L�'i%L[' - L{/�-aiG�f� DATE ��c� "'l`� }
<br /> i�,nnxz�ss �'SO 7'ERK �T,. - �l�/�t'S. �c. �3SY� !
<br /> �xorr�
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<br /> ;=xxsss ���� .#
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