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' � DISCLOSIIRE STATEI�NT FOR OWNBR <br /> CITY OF ZSPIiYRHILLS BIIILDING DBPARTMENT <br /> I, hav� read and fully vaders�aad aac3 <br /> agree ta the provisia�ns of thie inatrumeat. <br /> The�undersigned states an8 affisms that he ar she is desiraus af ccnstruetiag, <br /> reaovatiag, adding to or reroo£'ing his or her owa domicile, that he or she <br /> ac��ally oecupies, or will oceupy by said damiaile, aad same is not for <br /> rea , lease ar sale. That he or she shall aomply with the followiag couditioas: <br /> l. Tha� the ovmer and he or she alone shal.l �et as the builder for aIl phases of <br /> - coastructioa. <br /> 2. Tha� the owaer will camgly with a31 prov3.sious of the City of Zephyrhills i <br /> ordiaances at�,d cades pertiaent to the buildiag. I <br /> 3. That� ia the event various phasea of coas�ructioa are subcoz►trac�ed, he will <br /> engage aaly properly liceased subcontractors aad wi1Z persoaally snpervise ' <br /> such work. ' <br /> 4. Tha� ia �he eveat the Built33ng Saspeetor shall require correctioas to be mad�, � <br /> the owaex wi17. assume �ull respaasibility to iasure they are made, aad upaa � <br /> completica wa.11 c�ll for a xeinspect3on before proceeding with the buildiag. <br /> 5. That the awnes shai2 assume fu31 responsibility for the construction and will <br /> aot expect supervisioa of his work fxom the City of Zephyrhills Buildiag <br /> i <br /> Depastmeat. j <br /> 6. That priar to fiaal iaspectioa aay additioaal £ees, includiag reiaspectiots ' I <br /> fees, must be paid ia full. A writtea reques� from this affice shaZl , <br /> caastitute aa. official aotice to pay additional fees. <br /> 7. That the awa�r shall camply with all City, State and Federa]. laws ia regard to <br /> social security, workman's compensatian, I.ien laws, e�tc. , where agpliaabZe. <br /> 8. That the owaer shall camply with all the safe�y codes issued by the Florida <br /> Industrial Cammiss3aa. <br /> 9. State Iaw requires construc�ion to be done by liceased contractors. You have <br /> applied itir a permit uader aa eu�mption ta that law. The exempGion allows <br /> ou, as the cwaer af your proper�y, to ae� as yaur awn caatractoz with certain <br /> restrictions even though you do not have a licease. Yau mus� provide direat <br /> 'onsi�e superv�.sion af the oonstructiaa yourse].f. You may bu3l.d or impxove a <br /> one-family or two-family res3.deace or a £arm autbu3.ldiag. You may also build <br /> or improve a cammercial buildiag, provided youz costs clo aot exceed $75,OQ0. <br /> he build3ng or re�aidene� must be for youx owa use or cccupancy. It may aot <br /> � e built or substantial].y improved for sale or lease. xf you seZl or lease a <br /> �uildtiag you have built ar substaatiaZly 3.mprav�d yourself withia 1 year after <br /> I he coastruction ie complete, the law wi11 presume that you buil� or <br /> �ubs�aatially impzoved if for sale or lease, which 3s a violatiasi af this <br /> emption. Yotz may not hire an ualicensed pereon to act as your oontractos or <br /> 'to supervise people workiag oa yaur build3ag. Tt is your responeibil3ty to <br /> e sure that p�ople employed by you have licenses required by state law aud <br /> y county or muaicipal licea�iag ordiszaaces. You may aot delegate the <br /> xespo,nsibility for supervisitxg work to a lieen�sed contraator who a.s aot <br /> icensed �o pexforrn th� work beiag daae. l�ay persoa wor]ting on your builda.ag <br /> a <br /> ho is aot licensed mus� work under your direct supervieion sud muat be <br /> ployed by you, vrhich meaas tha� you must deduct F.I.C.A. as�d w3.thhoSding tas� <br /> ;�nd provide workers' compensation for that employee, all as prescribed by ].aw. <br /> aur coastruct3on must aamply with all appZicable laws, ardiva.nces, buildiug <br /> ades, and zoaiag xegulatioas. <br /> �7WNER'S SIGRIATURE �' c�l� � � � �% ��/� DATE �/�`�(o, <br /> .�UDRSSS a�' ` ,� ' <br /> �xoxs �i.3 - 7�,��-1�7.3� ��° �'J..� �'�� � ? <br /> TTNESS " PSRMIT # <br /> t <br />