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I ' I(� ��` i J ' 6 ' ;� � j, DTSGLpSIIRE STAT�' FOR OiVNER � '; CITY OF ZEPH7t'RHII,�LS BIIILDING DBPARTf�3ENR' I i� r � ` T: i! � �� have read aad fu13y uade=staa8 aad agxe�e to t e provsgiaas o£ this instrumea�. I� The lunderaigaed sta�tea sad a£firms that he ar she is deairous of cotistructiag, reaovat3.ng, adding to or reraofiug his or her own domicile, that he or ehe �e�ua2ly oeaupies, or will aceupy by eaid domicile, aad Bame is aot far � xent,; lease or sale. That he or she shall aomgiy with �he fallowiag aoaditiaas: �! 1. T�a� the owaer �ad he or she alone Bhall act as the builder for all phases of coastructioa. 2. That th� owaer will comply with all p�ovisioas of the City of Zephyrhills ozdzaaaces and cades pertiaeat ta the buildiag. 3. Tha� ia the event various phases of caastruetion ate stabcoatrae�ed, he wi21 eug�ge oaly propexly liceased subcontractors aad will persoaally sugervise such work. �, 4. Tlxat ia the �vent the Suildiag Iaspectar shall require carrec�ious ta be made, th� owaer will aseume fu1Z regpoasibility to xasure they �re made, and upoa ccmpletiaa wi21 caZl for a reinspection befare proc�edinc� with the buildiag. 5. That the otvaex ah�.11 assum� full respoasa.bili�y fox the coa�tructioa aad wi12 nat expect aupervision oE h3s wvork from the City o� Zephyxhills 8u31diag Departmeat. b. That pziot to fia�l iaspecti.oa �ny additioaal feee, iacluc�iag reiaspectioa fees, mnst be paid ia �u3.1. A svx�ittea request frcm this affice sh�ll cionsti�ute aa o�fiaial aotice to pay additional fees, � 7. That the owaer shall camply with all City, State aad Feciexal laws ia re�ard �o soaial securi�i, workman's compensation, lien laws, etc. , whete applicable. 8. That the owner shall comply with aIl the safetg► codes iaeueol by �he Florida Iadu�tria2 Ca�aission. 9. S+�tate law requires eanstrtictioa �a be done b� lieeased aontraetors. Ycru ha�se a�plied for a pexzc�3t aader asi exemption to th�t law. The e�cempti.oa aZlaws you, as the oivner of your proper�y, to act as your own coatractos with certaia I r�estrictioas even thongh you da aot h�ve a lic�ease. You must provide diarect oiaei�e supervisiaa of the coaatructioa yourself. You may 'buildl or improve a o�ne-fa:ui3y or two-family resici�nce or a fa.rn► outbuildiag. You may alsc bn3.Zd or improve a commexcial buildiag, provided youz aosts c3o aot �atceed $75,000. I The buildiag or residence must be for yous owa use or occupar�cy. =t may aot i b�e built or substasi,tially impraved for eale or lesee. If you se1Z ar lease a b�ui3diag gou have built or svbstant�.ally improved yourself withia 1 year after the cosistructioa is comp3ete, �he law wi12 presvme �hat you built or substa.atially smproved if for sale or lease, which 3s a vioZatica a� this i exemptioa. You may aat hire aa wnliceased person to �ct as your co�ntractor ox , to supexvi�e people workiag aa your builtliag. It is your responai.bility to � mlake sure that people employed by yau have Iiceuses required by state law and by eat�a�y or muaieip�l iicea�iag ort3iaances. You may aot delegate the respoas3bility far sup�rvisia+g vdork to a 13ceas�d caatractor who is aot liceaeed to perform the woxk lieiag done. Any persoa workiag oa yaur buildiug wlio ia aot lic�ased muet wark und�r your direct sup�rvis3.oa and must be emplayed by you, which meaas th�t you muat deduat F.�.C.A.. aad withholdiag ta�c arid pxovide workers� tsompeasation for that QmpZayec, ail as pre�erib�d by law. ' Youx coa�struatioa must eomp3y �rith all �pplieable laws, ordiaances, bu3ldiag codes, aud zaaa.ag re atiaas , O�R'S SltfifiAT DATE � , f �Dl2ESS --��_l� - P,�IONS ' kl �TNSSS PBRMTT # i � - I I� � � � � I! i, f � � ; --- - -