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..��.. <br /> , -- - <br /> Frotri: O9l�8l20�5, 10:49 #aY4 P.001 <br /> Dx$CLOSIIItg STATBi�NT FOR QWN�R <br /> GITY OP ZSPBYRIiTLLB SUILDS�TQ DBPAR'17JEN'P <br /> �. \.J�/`c2� l/-r'c�� h�►�" ma�ve �ead r�a.d �ullY usac3ertsa8 saad <br /> agree to the provieioaa of �his iastzument. <br /> Tha uadersigaed s�a�es an@ r►�firms that he ar ehe ia desiroua of coastructia�, i <br /> ren atiag, addiag to or reroofiag hia c�r her awa domicile, that he ar she <br /> ac� lly ocau�ies, or aili occupy by said domi�iie, and �ame ie ao� for <br /> rea , iea+�e or sale. �'hat he or she �hall comply with the followiag conditious: <br /> 1. That the awaer aad he oz she alone shall act as the builder for all phaee� o� ' <br /> eanstructian. <br /> 2. Tha� the owaer wiil cea►�r2y with a1S provisions a�E the City of Zephyrhiils <br /> ord�..aance� aad codes pe�t3aesa,b to the buildiag. <br /> 3. fihat in fi:he aveat var3oue phases af aaastructiazt are avbeaatracted. he ari1Z <br /> engage oa7.�r pxcmesly liceasQd subcan�racbore and will pereaaalxy eulaervise <br /> such �vork. <br /> 4. That 3n the eveat the Hui2diug Iaeg�c�or eha12 reguire ecrxeotiaas �o ba ma8e, <br /> the owaer wi11 aesvme full reopon�ibility to iaeure they axe made, aud u,pon <br /> campletiou wiZZ caZ2 £or a re3nspect3on before groceadiag arith Che build3ag. <br /> 5. That the owaer sha11 ae�ume �'ull respaaaibility for the coastructioa and wili <br /> aot expeat superviaioss of hi� worlc fram the City o� Zephyrhills Sui],ding <br /> i D�:xt�rzSLr. <br /> 6. That psior to �inal iaapectiou any addi�iona2 �e+zs, 3,acluding reiuepec�i.oa <br /> fee�, must be paid ia �'u3.1. d�i orrittext zequest irosn t3s3.s aff3ce shall <br /> coastitu�e aa ogficiai aotice to pay additioaal �ees. <br /> T. That the awnes s�ii co�ly w3th aJ.l CSty, State aad Pederal lavra ist regard to <br /> soeia3 security, warkmanrs compensation, liea lawa, etc., v�i�are apgZ3.eab2�. <br /> 8. That the o�cnaer shall comply with a11 the ea�ety codea� iseued by the Fiorida � <br /> ���us��ial Car�s#ss3.aa, . <br /> 9. Sta�e law requfres coa��ruct�,oa ta be daae by ii�eased can�raatara. Stou izave � <br /> applied fcir a germit under aa cxemption to that law. The exempGioa aliow�a ' <br /> yon, as the awtter of yaur proper�y, to act aa your oxn eon�ractor with oextaia <br /> restrictiana evea though you do ao� have a l�.cenee. You raust provide direct <br /> cnsite supervieian cf t�he coastseictioa youseeif. You may build or improve a <br />, oae-�amily or �wa-family reaidence ar a farm autbuildi,ag. Yon may alaa build <br /> ar i�mprove a commercial buildiag. Prvvi$e� �rv�� �c,se� w� a�� �cae3 $7�.OS?d. <br /> The buiidiag Ox re�ideaCe atust be for your owa uee or accupanay. _� may aot <br /> be l�uilt or aube�a�tisily 3m�xoved �or sale or lease. I� ycu se�.I ar iease a <br /> building you b�ve built or aubetaa�ially improved yoursel� withia 1 year after <br /> the ecast�sction is e�lete. the iavr will presume that you built cr <br /> aub��m�tially �t.mproved 3.� €os eaZe �s �.�sa��, whi+�h ia a vic�latiaa of thie <br /> exemption. Ycu may aot hire aa ualieea�ed persou tc aat as yQur aflatraa�or or <br /> to eu�pervi�e peogla workiag aa your bu3lding. �b ie yaur respoasabi�3.ty to <br /> make eure tha� people employad by you have licans�ea requised by state law and <br /> by eauaty or muu3eipa2 lieenaing ordinaace�. Yase may aat 8elegate the <br /> respoueib:Llity for �supesvisia+g work to a lic�ased coa�ractor wha is r�at � <br /> liaexiaed �o gexfarm the �+ark beiag daae. Aay pexean workirng oa yous buildfag <br /> aha ie aot 7.3,cenaed �nus� work uadex your direct +�upervisio�a aad must be <br /> �lo�red b�r you. �chich meaas that you arust deduct F.I.C.P,. aad withholding taae <br /> and provide workers' ee�peasa�.ion £or that emplayee, a17. �� ps�sesibed by laa. <br /> xour aonetruct3oa must compiy with all applicable lawe, ord3nances, buildiag � <br /> - . aodeee, and zoni.ag r�guiatioag. ' <br /> i QWNFR�3 STGNATUE2E DATE <br /> AI3DR�SS �/ � .S r G, y.,� <br /> , <br /> �sor� • �r <br /> i <br /> WITi3'S8S PSRM:CT # i <br />