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I ,�� li � i • � � � DISCLOSIIRE STATEMTSNT FOR OWNBR CITY OF �SFfiYRHILL& BIIILI3ING DSPARTt�.NT I, ��4�1��.•��C.�.Z� have read aad fully uaderstand aad i agree to the rovisioas of this instrum�at. a � The uadersigned �tates �nd aff3za►s that h� or she is desirous of coastructing, . rea�ovatiag, addiag to or reroo�iag his or her owa domicile, that he pr she � ac�ual].y� accupi�s, or wi31 aecupy by sa3.d domici2e, and same is aot for ' reat, le�se or sale. That he ar she shall comply with the followiag coaditioas: 2, That the owae� end he or she aZone shail aet as th� bu3lder for alI phasee af ; conetruction. � 2. Tha� the owaer wi�.I camply with a21 provisioas of the C3ty of ZephyrhiZ2s � ordiaances aad codes pertiaent bo the buildiag. 3. , xha� ia �he event various phasee of caastruction a�re subeoa�rac�ed, he vri1�. ' Iengage auly properly licensed subcoatractors aad will persaaa3ly aupesviae such work. , 4. ;That sa �he eveat the Suilt3iag Saspector shall require correctioas to be aeade, , the owaer will assume full respoasibilit�r to iasure they are made, aad upoa � completion will caZl for a reiaspect3.an before proceed3:nc� with the bu�.ldixig. 5. That the owaes shall assume full responsibility for the coastruction aad taill aot expect supervisiou of his wark from. the City of Zephyrh3.11s Huildi�ag - Depaxtme�t. 6. That prior ta fimmal iaspect3.oa aay additional :Eees, includiag. reiaspeatioa fees, must be gaid ia Eull. A w=ittea re.ques� from th�.s office shall cons�itute aa off�.cial uotice ta pay additional fees. , 7. That the owaer shall camply with all City, Stat�e and Federal laws ia regard ta social security, warkman's compensation, lien laws, ete. , where applicabI.e. ' 8. �That the owaer shall camply �r�vith all the safety codes issued by �he Florida ' �Iadustrial Commissson. ; 9. �Stat� law requires coastruc�ioa to be doae by liceased contractors. You have � ;�applied far a permzt under sa e�cemptioa to th�t law. The eacempGioa �llow� you, �s th� awaer af your progerty, �a�act as your owa contractaz with certain � 'xestrictiaas evea though you do uot have a licease. Yau mus� provide direat � ,�nsi�e sup�rvisian of the coastruetioa yourself. Yau m�y bu31d az improve a one-family or two-�amily reaidence or a farm autbui].ding. You may also build or imgrove a commercia7. buiZdiag, provided your costs do not exc�ed $75,000. � �he buildiag ar residence must b� for your own use or occupaacy. It may aot be built ar substantially improved for sale or lease. If yau s�ll or lease a buildiag gou hav� built ar stzbstaati�lZy improved yourself withis� 1 ye�ar after �he construction is complete, the law will presume that you built or eubstantially improved a.f for sale or ].ease, which a.s a violatioa cf �his exemption. Yau may aot hire aa ualiceased persoa to act as your contractor or ' to superv3se people working oa your buildiag. Tt is your reaponsibility to � make sure tha� p�opl.e emp3ay�d by yatt have liceases xequired by st�te law aad � kay covaty or muaicipal licensiag ordiaaances. X'ou may aot deZegat�e the I respoasib:tlity for supervisiag woxk to a liceased coatractar who is aot � liceased to perform the work being daae. Aay persoac� working on yaur build3ag i �ho is aot licensed must work uader your direct supervision and must be i e.mplay'ed by you, wlaich m��as that yau mus� deduct F.T.C.A. aad tvi.�hhalding t� ; �ad provide warkers' compensation for that employe�, alZ as pre�cribed by l�sa. � '�our caas�ruction must comp3.y wi.th a11 applicable laws, o�diaaac�s, buildits.g ; �odes, and zoaiag r�egulatioas. � � � owr��Rr s s=cu�u� � ��E �-1.-� -�41�+ � 'AnaRsss � � i , , � �xorrs ; W�ITNLSS P8RA3IT # � I �