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� DISCLOSDRS STAT�NT FOR O�R <br /> CITY QF ZEPIiYRSILLS BIIILDING DEPARfiM'E�NT <br /> I, (�/'r"'��— � � �Q'��y have read aad fulZy uaderstand aad <br /> agr e ta the provisioas of this iastxumeat. <br /> i The uadersigned statas aa@ affixms �hat he or she is desiraus of constructing, <br /> ren vatiag, addiag to or reroofing his or her owa domiaile, that he or she <br /> aat �ally+� ocaugies, or will occupy by sai.d domicile, and same is aot for <br /> rea , lease or sale. That he ar she shaZl comply with the followiag coaditioas: <br /> 1. That the awner aat'i he or she alon� shall act as the builder for all phases of <br /> con�truction. <br /> 2. That the own.ex will comgl� i,rith all provisioas af the Gity af Ze,phyrhills <br /> ordiaances aad codes p�stineat to the building. <br /> 3. That ia the e�crent various phasee of coas�zuction axe subcomtracted, he will <br /> engage ouly prop�rly liceased subcoatractors aad will persoaally superviee <br /> auch work. <br /> 4. That in �he event the Buildiug xaspector shaZl r�quire correetioas to be made, <br /> the cwner wi11 assume full sespoasib3lity to iusure they are made, aad upoa <br /> completion wi1Z call far a xeiaspection before proceedisag wa.th the buildiag. <br /> 5. hat the owaes shall assume full respoasibili�y for the coastruction and will <br /> ot �xpect supervieioa�.of his work £rom the Ci.ty of Zephyrhills Build3ag , <br /> epartm�at. • , <br /> 6. hat prior to �inal iaspectioa aay additiaaal �ees, iacludiag reiaspeatioa <br /> �ees, must be paid ia full. A wr3.ttea reguest from this affice sha21 ' <br /> Foas�itute aa official motice to pay additioaal fees. � : ; <br /> 7. hat the owaer shall comply with all City, State and Federal laws ia regard ta • ; <br /> aeial security, workman's compensation, 3.ien 1aws, etc. , where appla.cable. <br /> B. hat the ovaaer sha11 camply with all the safety codes iesued by the Florida <br /> adustrial Commissian. <br /> 9. tat� law requires coastruc�ion �o be doae by liceased aoatractors. You have <br /> pplied for a perxnit uader an exemptiaa to that law. The e;yttempti.aa allows <br /> ou, �s the owuer of yaur property, �o aat as ycur owa contraetor with certain <br /> estrictious evea though you do aot have a lic.ease. Yau muet pravide direct <br /> nsi�e supervision of the constructiaaa �rouzse�.f. You may hui3.d ar improve a <br /> -� ae-�amily or two-�amily reaidence or a farm outbui].diag. You may also build <br /> r imgrove a commescial building, provided your costs do aot exceeci $75,000. <br /> he building or residence muet be for your owa use or occupaacy. It may nat � <br /> e built or substaantial].y improved far sale or lease. Zf you sell or leaee a <br /> uildiag yau have built ar substantial].y improved yaurself within 1 ye�r a�ter <br /> he coastructioa is complete, the law will preaume that you buil� or <br /> ubstautia2ly improved i� for sale os Zease, which 3.s a violatioa of �his <br /> emptioa. Yau may aot hire aa ualiceased per�on to act as your coatsactar or <br /> o superva.se people workiag aa yaur buildiag. It is your reapone3bility to <br /> ake sure that people employed by yau have I.iceases required by state lav� aad <br /> y cauaty or mvaicipal liceasiag ordiszaaces. You may aot deZegate the <br /> espoasibi.lity for supervisiag work to a liaeased contractor who is aot <br /> iceased �o pexform the work beix�.g doae. Aay persoa working on your buildiag <br /> ho is aot liceased must work under your d3recb supervision aad must be <br /> glayed by you, arhieh meaa.s that yau must deduct F.I.C.A. and wi�hhol.diag ta�c <br /> nd provide warkers' compensation for that employee, all as ,preseribed by law. <br /> �our aoas�t�uctsaa must comply wi.th all app2icable laws, ordinances, bui2diag { <br /> �odes, and zoniag regulations. � <br /> C�f%�� ��f.z��� 9�2'' , <br /> WNER'S SSGNATURE • DATE ar�� ' <br /> DRBSS G�'�v �"F�4� CT � <br /> xQrrs �-�'13— �'�� � 1`Z� � <br /> � <br /> i <br /> =�ss ps��r # � <br /> i <br /> . � I <br />