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i I � + � , i , DISCLOSURS STATEMENT FQR OWNER I CITY OF ti33PIiXRHILT�S BIIZT�DING DEPARR'M.ENT a I, � have read and ful.ly uaderstand aad ; ag�'ee ta the provisio�ns o£ this ias�rumeut. � i � The� uadersigaed states and affizsns that he cr she is desiraus of constructing, � rea�ovat3ag, adding to or reroofing his ar her owa dom3cile, that he or she � I actua3.ly accugiss, os i,ril3. oacupy by said damici2e, aad same is aot far � rea�t, lease or sale. That he or she 'sha11 camply with the follawiag conditiaass: I I 1. Tha� the owner and he or she aloae shall act as the build�r for all phases of � conetructioa. 2. That the oFrner tvill aomply with alI provisioas af the City af Zephyrhil2g { � ordiaances and codes pertinent �o the buildiag. � 3. � Tha� in the event various phasee of aoas�ructioa axe subcoatxact�d, he wi11 ' eagage only proper2y lic�nsed subcaatrac�ors and will persoaally supervise euch work. 4. That ia �h� eveat �he 8uildiag zaspector shall require correctiaus to be made, � the owuer wi11 aesume full respoasibility to 3.asure they are made, aad upaa aompletian wi.Il c�ll for a xeiaspeat3.oa before proceeding wa.th the buildiag. a 5. That the owner shali assume full respoasibility► far the coaetruc�ioa aad +iv�ill � ,aot expect superviaioa of his wark �xom the City of Zephyrhills Huilding � Departm�at. i 6. That priox to �iaa1 iaapect3oa aay additioaal fees, includiag reiaspeatioa � � fees, must be paid ia full. A wxitten reques� from this offiee shall � 1 consi:a.tut�e an official aotice to pay add3tioaal fees. 1 7. ,That the awaex shall camply with all City, Sta,te atid Federal lawe ia xegard to � ;social security, workman's aompensation, 2ien 2aws, etc. , where appli.cable. , 8. ;That the owaer aha11 comply with all the safety codes issued by the Florids ! ;Industrial Commis�ioa. 9. iState law requires coastruc�ion to be doae by liceased aoatractors. You have �i �appl3ed for a permit uader aa exempt3on to thmt law. The eacemptioa allows � , you, as the awaer of yaur psoper�y, �a aa� as your awa cantxactor with certaia - �restrictioas evea though you do �not have a licease. You mus'� provide direat onsite supervision of �he coastruction yaurse2t. You may bui,ld or impzave a �,lane-Eamily or two-�amily resideaae or a farm autbuilding. You may also build i �or improve a cominercial buildiag, pravided your costs do aot easceed $75,Q4Q. �� ��Ie buil8ing ox re�ideace must be for yaur owa use or ocaupaucy. It may aot ,�►e built or su}astaatially improved far sale or lease. If you sell or lease a �bui].diag yau have built or substa�atiaZly improved yaurse2f withia 1 year after � ;jthe conetxuctian is complete, the law will presume that you buil� or � „svbs�aatially a.mpsaved if far sale or lease, which is a vio3atioa of this '�exemptioa. You may ao� hire an ualiceased person to ac� as your coatractor or � �to supervise people wor]cing an yaur build3ag. It is your responsibility ta i � meke sure that peaple exap3oyed by yotz have licenses required by state law aad by couaty or muaicipal liceaeiag ordiaaaces. You may aat delega�e the � �espoasibiZity far supervisiag work ta a 2iceased coatractor �ho is aot ' 1.iceased �o pexform the work beiag doae. Aay persaa workiag on your buildiag � '�who ia aot liceased mus� work und�er your d3rect supervisioa aad must be f�played by you, wh3eh meaas that you mus� deduct F.I.C.A. aad withhol.ding ta�c and provide warkers' comgensation for that employee, all as preseribed by 1aw. � Yaur cans�xuctiou must camgly wi�h all applicable laws, ordivances, buildix�,g � �odes, and zoma.ag regulatioas. ! ; � / � OWNER'S SIGNAR'URE j��;u.a. �,�.,�,,.,� DATE �"� � "�'�l� { ��.DDRBSS � �►xorzs � � i w=xx�ss �sxrszs # � , � � i