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i <br /> . • <br /> , <br /> DISCLOSIIRE STATEN�NT FOR OWNSR <br /> j CITY QF Z33PIiYRfIII�LS BIIZLDINt� D�PARTI�NT <br /> _, ! have read and fullg uar3erstand aad <br /> agr"e ta the provisioas of thie ins�rumeat. <br /> The�uadersigaed �tates an.d affiz�s►s that he ar she is desiraus of constructing, <br /> ren vatiag, addiag ta or reroofiag his or her owu c3omicile, that he or she <br /> actialZy oceupies, or will. oecugy by saic3 domicile, aad same 3.s no� faz <br /> rea , lease ar sale. That he or she shall camply with the following coaditiaas: <br /> 1. That the owner and he or she alo�ae shall act as the builder for all phases of <br /> coastruc�ion. <br /> 2. �ha� the. owaer will camp2y with all pzavisions of the City of Zephyrhille <br /> ordiaaaces aad codes pertinent to the buildiag. <br /> 3, That in the eveat various phasea of coas�ructioa are subcoatrae�ed, he wi11 <br /> engage only pzoperly 2icensed subcontract�ors and will persaaa3ly supervise <br /> such work. <br /> 4. That in �he eveat th� Buildsug =aspeetor shall reqtzire car�cectioas to be made, <br /> the ownex will assume full respousibility to 3.asure they are made, and upoa <br /> completiaa wi11 call for a xeinsgeet3.on before groceeding v�*ith the buildi�ng. <br /> 5. hat the ownar shall assume �u1Z responsibili�y for the conatruction and will <br /> ot expect supervi�sioa of his work �'rom the Ci.ty of Zephyrhills Buildiag <br /> � epartatent. <br /> 6. hat priar to �iaal iaspection aay additioaal fees, iaaludiag reiaspeatioa , <br /> �ees, must be paid in full. A writtea request fram thia affice shall <br /> Icoae�itu�e aa offs,cial aotiae to pay additional fees. <br /> 7. �That the owaer shall comply with all City, Stat�e and Federal laws ia regard ta <br /> social securi�y, workman's campeasatian, 2ien Iaws, etc. , where applicable. <br /> 8. �hat the owaer shall caznply with all the safety cades iesued by �he Florida <br /> �Lndu�trial Commission. <br /> 9. tate law requires coastruc�ion to be doae by liceased aontractors. Xau have <br /> ��pplied for a permit uad�r aa exemptioa to that law. The e�cemption aZlowe <br /> � ou, as the owaer of your property, t�a act as yous own contractar with certain <br /> � estrictions even though you do aot have a licease. You must pravide direct <br /> � ns3te supervision of the eoastructioa yourself. You may bu31d or improve a <br /> ��ae-£amily or two-familyr reaidence or a �a�n autbuildiag. You may also build <br /> � r improve a commexcial buildiag, pravided your costs do aot exceed $?5,OQ0. <br /> � e buildiag os resideace must be for your owu use or occupa4acy. It may tiot <br /> e built or aubstantially improved far sale or lease. If yau sell or lease a <br /> �uilding gou have buiZt ar eubstaatially impraved yourself withisi 3. year after � <br /> ;�he coastruction ip complete, the law will presuine that you builb or <br /> �ubs�aata.a2ly a.mp=oved if foz sale or lease, which is a vialatiaa af �his <br /> emption. Yau may aot hire, an valiceased person to act as your coatractor or <br /> � o supervise people woxkiag an yaur build3ag. It is your respoaeibility to <br /> i��� ake sure tha� p�ople employed by yan have licenses requir�d by state law �nd <br /> y cauaty or muaicipal liceasiag ordiaaaces. You may aat deZegate the <br /> espo�nsibility for supervising wark ta a liceased contraator who 3.s aot <br /> n <br /> � ice�o,sed �o perform the work beirsg done. Aay persaan working on your buildiag <br /> � ho is aot liaeased musC woxk uader your direct supervision and must be <br /> 2oyed by you, whieh meaas that you must deduct F.I.C.A. axsd withholdiag tax <br /> �nd provide warkers' compensation for tha� employee, all as prescribed by ].aw. <br /> i�our aoastruct3.oa must comply wi�h all agglicable 2ac�s, ar8iaaaces, building <br /> I�odes, and zoning regulatioaa. , <br /> OWNER'S SSGNATURE �'Q'" ,�4i`-- L1ATE <br /> 1�DDRSSS , `�,P i� <br /> ixor� S ~ �7.5� <br /> WTTNSSS PI�RMIT # <br /> � <br />