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<br /> DISCLOSURg STATEMBNT FOR OWNER ;
<br /> CITY' OF ZEPFiYRFIILT�S BIIILDIItiTts DEPARTI!'�'NT ` �
<br /> I, ��(j C► � � .,�i,t r""�Q-°� have read and fullg e=adersGand aad
<br /> agr�e to the provisioas o� th instrumeat. �
<br /> The! undersigned states aad affirms that he or she is r2esirous af co�structing, ; ,
<br /> reabvatiag, adding to or reroofing his ar her owa domicile, that he or she j ,
<br /> actually oeaupie�, os will oecupy by said domicile, aad same 3.s nc� for
<br /> reat, lease ar sale. That he ar she sha11 camply with the following couditians:
<br /> 1. �That the ov�aer anci he or she alaae shall act as the builder £or aIl phases af �
<br /> �coastructioa..
<br /> 2. Tha� the owaer will compZy w�tYi a21 pravi.sions af the City of Zephyshills �
<br /> �ordiaaaces aad codes pertiaeat �o the bui.ldiag�.
<br /> 3. Tha�G ia the event various phases of coastruction are subcontrae�ed, he will!
<br /> engage oaly properly liceased subcosltractors aad will persoaa3ly supervise i '
<br /> �uch work. '
<br /> 4. That a.n the event the Suildiag Saspector sha22 reguire correctiaus ta be maiie,
<br /> the awae� wil]. aesume full respoasibility to iasure .th�y are mad�, aad upaa� '
<br /> eompletion wi11 call for a reiaapect3on befose praareediag with the liuilc3iag:
<br /> 5. That the owaear shall a�sume-full respoasibitity► for the construction and ivill
<br /> aot expect supervisioa of h3s work �rom the City of Zephyrhi.11s Suildiag '
<br /> 'Department. , ,
<br /> 6. That priar ta fia�1- ia�pectioa aay additianal �ees, includiag reinspectiaa
<br /> fees, must b� paid in fu12._ A wzittea reques� from this af�iee shall� � '
<br /> coastitut�e aa offi.cial aotice ta pay additional fees. .
<br /> 7. That the a�,mer sha11 comply with all City, Sta�e aad Federal la�,rs ia regardito-
<br /> ,sacial seaurity, workman's aampensatian, lien laws, etc. , where appliaable. +
<br /> 8. That the owaer shall comply with all the safety codes issued by �he FZorida�
<br /> 'InduatriaZ Commisaian. ,
<br /> 9. �State law requires coastruction to be doae by 1ice,nsed aontractoss. Yau have
<br /> 'applied for a perrnit uader aa eacemptioa to that law. The eacemptiaa a].lows ��
<br /> ,you, as t�he awaer af yaur praperty, to act as yaur own contractoz with certaia
<br /> �restrictiaas even though you do aot have a liaense. Yau must provide direct i
<br /> 'onsi�e supervision of the constructiou yourse2f. You may buiZd oz improve a
<br /> �ane-family or two-�amily residence or a farm outbuildiag. You may also build
<br /> �or improve a cammercial building, provided youx costs do no� easceed $75,000. ;
<br /> ,�The buildiag ar resideace must be £or youx owa use or accupaacy. It may aat ,
<br /> be built ar substantially improved far sale or lease. If you se11 or lease �a
<br /> buiZdiag yau have built or svbstaatially improved yourself w3.thin 1 year a£ter �
<br /> ithe aonstructioa is complete, the lava will presume that you buil� or � ,
<br /> subs�satial3y improved i� foz sale or lease, which is a violation af �his � �
<br /> ye3cemptioa. You may aot hire an ualiceased persoa �o ac� as your coatsactor or �
<br /> to supervi�se people workiag an yaur build3ug. It is your .resQonsibility to '
<br /> �ake sure that peop2e emp3cyed by yau have liceases required by state law ancl �
<br /> by covaty or muaic3pal licensiag ordiaances. You may aat deZega�� th� � i
<br /> z�espoasib3lity far sugarvisiag work ta a liceased eontractor �.►ho is uat , �
<br /> liceased to perform the work beiag doae. Aay persaa working on your buildiag i
<br /> dvho i� naG liceased muaG work. uuder your direct supervision aad must ba ; �
<br /> employed by you, which meaus tha� you must deduct F.I.C.A. az�d withhol8ing tax �
<br /> ��nd provide workers' compensation for tha�, employee, all as pxescribed by law. i
<br /> Your construetioa must comply wi�h a3I. applicable I.aws, ordiaanees, buildirig; ,
<br /> �odes, aad zosxiag regulationa. ! '
<br /> oc�Rj s s�crrx�v� �� �, ` ��a� 1 Q I!a �
<br /> �a� l�n �
<br /> ADDRESS �1 ! (v -rh r -�- ti r ; � � y a �
<br /> �saNs r�1 � -''? x 2--���`i t�`7 �
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<br /> WTTNBSS PERMI'T' # ' I
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