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�• a <br /> DISCLOSIIRL ST�TEMBNT• FOR OWNER <br /> �.. � <br /> CITY OF ZBPIiYRFIIZtLS SUZLDING DEPARTMtyNT <br /> � I, have reac� aad fully uaderstaad and <br /> ag e to the pro sioas o� th' a�trum�at. , <br /> Th uadersigaed states anc2 affizms that he or she is desirous of caastructing., <br /> re' avatiag, addiag to or rerootiag his ar her owm domicile, that he or she � <br /> ac��ually aceupiea, or will occupy by saa.d domicile, aad same is aa� far j <br /> re' t, lease or sale. That he or she shall comply with the �ollowiag coaditions: � <br /> 1. fiha� th� owaes °and he or she alaae shall act as the buildez for ell phases of <br /> - coastruction. <br /> 2, That the or�rner wi�.l comply with a1Z par�v3.siaas of the Gity of Zephyrhills <br /> ordiaaaces aad codes pertiaent to the buildiag. , <br /> 3. Tha� ia the event various phases of aonstructa.oa are subcontrae�ed, he wi1�. � <br /> enga.ge aaly properly 2icensed subcoatractors aad wiZl per�aaally supervise � <br /> such work. <br /> 4. Tha� ia fih� eveat the Suildiag Saspector sha11 requir� correations ta be made, <br /> the owaer will assume full respoasib3lity to 3asure they are made, a�n.d upom <br /> completioa will ca11 for a reinsp�eticn before proceediag with the b�►siidiug. <br /> 5. That the owaex sha11 assume full re�poasibili�y far the constructioa aad isvill <br /> aot expect superviaioa of his work from the City of Zephyrhills Suildiag � <br /> Departmeat. <br /> 6. IThat priar to final iaepectioa aay additioaal �ees, includiag reiaspectioa <br /> fees, must be p�.id in full. A wzitteu requeat from this office shall <br /> cons�itu�e aa official aotiae to pay additioaa•1 f��s. <br /> 7. That the owa�r shall camply with all City, State aad Federal laws in xegard to <br /> � soeial seanrity, warkman's oompensation, lien laws, etc. , where applicable. <br /> 8. IThat the awaer sh�ll camply zaith all the safe�y cades i.�sued by the Florida <br /> ' Iadustrial Co�nisa3on. <br /> 9. � State law requires con�truc�ioa to be doae by liceased contractos�s. You have <br /> applied for a permit under aa eacceznptioa to that law. The eatemptioa a11ow� <br /> �you, as the ocau�r a� yaur prag�xty, to act as yaur awa aontractor with certain <br /> resbrictic�ns even though you do aot have a licease. Yau must provide direct <br /> ansite s�aperv3.sioa of the coa�truetioa yoursel�. Xou may build or improve a <br /> one-�amily or two-�amily residenae ox a farm autbuildiag. You may also build <br /> or improve a commereial buildiag, provided your costs do aot� exceed $75,OOQ. <br /> �The buildiag oz residence must be for youx ovaa use or occupaacy. It may aat , <br /> !be bu31t or substaatial].y improved for sale or lease. Zf you se11 or lease a <br /> !b�zildiag you have built or substaatially impsoved yoursalf �rith3.n 1 year a�tez <br /> 'the coastruction ie complete, the law will presume that you built or <br /> �substaatially 3mproved 3f for sale or lease, w*hiah is a violatioa af this <br /> iexemptioa. Yau m�.y ao� hir� an ualic�:ased persoa to act as your coataractor or <br /> �to supervise p�ople workiag an yaur buildiag. It is yaur r�spoasibil3ty to <br /> � ake sure tha� people employed by yau have licenses required by state Iaw �ad <br /> ^ y cauaty or muaicipal liceasiag ordiaaaces. 'SCou may act delegate the <br /> espoasibs.lity far supexvissag work to a 23ceased contractor s,rho is rsot <br /> iceused to perform the work beiag daae. Any persca �vorkiag on your buildiag <br /> ho is aot liceased must woxk vnder yaur direc� aupervisioa and must be <br /> '�:mployed by yc1x, s�,rrhich m�aas that you mus� dedvet F.I.C.A, �ad w3.thholding t� <br /> � nd provide warkers' campensation for that employee, al1 as prescribed by Za�v. <br /> �our cons�ruetioa must comgly with a11 agplicable l�ws, ordivaaces, buiZdi�.g <br /> odes, and zoaiag regulatioas. <br /> r '° � � <br /> �J rv �} <br /> WNER'S SI�NATURE DATE �� �Oy J� <br /> .�l.DDRBSS <br /> �xor�s <br /> L+1'TTNESS P]3RMIT # <br />