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i <br /> i <br /> . � <br /> DISCLOSIIR$ STA`+'�*�'�' FOR OWNSIt i <br /> CITY OF Z8P8YRHILLS BIIILDING DEPARTMENT <br /> . _, �2Ur c� /'4 i/`�S'tiP �� have read and fully understaad aad ! <br /> agree to the provisions c�f this iastzvment. " <br /> : � <br /> The uadersigned states aad affirme tha.t he or she is deaizous o� constructing, � <br /> renovatiag, addirig to os reroofiag his or her owa domicile, that he or she <br /> actually occupi.es, or will ocaupy by said domicile, and same is not for <br /> sent, lease or sale. That he or ahe ahall comply ovith the following cond9.tioas: , <br /> I.. Tha� the owaer aad he or she alone shall act as the bni.lder fos a17. phases o£ , <br /> conatructioa. <br /> 2. That the oamer av3.1Z comply m3.th al.l provisions of the C.i.ty of Zephprhills ; <br /> o��**�*+ces and codes pertineat to th� building. <br /> 3. That ia tlie eveat variauts phase� vf construction ase subcontracted, he will j <br /> E.'ILgage only psoperly licensed subcoatractors�aad will personally supesvise ' <br /> such v�ork: <br /> 4. That in the event the Buildiag Inspector shall requ3re �orsections to be made, <br /> the owaer v�rill asaume full respoasibi.2ity to iasnse they, are made, and upon <br /> completioa will call fox a reinspectioa before proceediag with the building. <br /> 5. That the ownea sha1Z assnme full responsibility �or the construetioa and wi1l <br /> not expect supesvisioa of his work trom the C3.ty of xephyr3zills Bnildi�o�g � <br /> Department. <br /> 6. That prior to final i.nspeation aay additioaal fees, inclnd:i.n.g re.inspection <br /> fees, must be paid ia fu].l. A mrittea, reqnest from this oEfice sha.11 � <br /> i <br />� consti.tute aa o�ficial notice to pay addi.ti.onal fees. <br /> 7. That the oo�aer sha�.l comply wi.th a17. C3ty,' State aad 8ederal 1ao�s ia rega=d to � <br /> social security, worI�ta.a's compeasation, Ziea laws, eto., where appli.cable_ <br /> 8- Z`ha� i-he owaer shal], comply w3th al.l the tsafety aodes issued by �he Florida <br /> Industrial Commissioa. <br /> 9. 3tate lao+r requires constructian to be done by licensed coatrac�ors. You have <br /> applied for a permi.t nader aa exemption to �hat law. The exemptioa allows � <br /> you, as the owner o� your property, to act as ponr owa contsactor arith certain � <br /> rest:rictions even though you do not have a Zicens�. You must provide direct � <br /> onsite supervision of the coas�saction yourseli. You may bnild or i.mprove a � <br /> one-family or taro-family reside�nae or a farm outbui], , <br /> diag. Yon. may also bui.ld <br /> or improve a cwamercial buildi.ng, provided your costs do aot exceed $25,0�0. . i <br /> The building or resideace mnst be fos yous owa use or occupaacy. St tnay aot <br /> be built or substantially improved ior sale or lease_ Sf you se1Z ox� lease a � <br /> b�i.ldiag you have buil.t or substaat3.ally impsoved yousse].f within I year after � <br /> the caastrnctioa. is canaple�e, �� 7.aea c$±11 presume �tlaat you built o�c � <br /> snbatantially improved if £or sale or 7.ease, avhich is a violation of this � <br /> exemption. You map not h�.x�e aa ur�licensed persoa to act as your contractor or i <br /> to superviee people workiag on your bui.ldiag_ It is your rasponsibility to � <br /> make evs'e tisat peop].e employed by you have licenaes required by s�ate law an.d <br /> by cpuaty or mnaicipal licensiag ordinaacas. Yott utay not deZegate tlie , <br /> reapoasibility for supervisi.ag woric to a liaen.sed cantractor who is not i <br /> licensed to perfoxm the �vork being done. Any pexson wor3c-i.ng on yo� bvi.lcliag <br /> � <br /> who is not licen�ed muat work under yanr direct superv3sioa and ntust be <br /> eaiQloyed by you, which meaas that yon mus� dednct F.I.C.A. and wi�hholdiag tax <br /> and psovide worlcers' compensatioa for that etaployee, all. as prescribed by law_ <br /> Yvur constructi.oa must camply 9vi.th al.l applicable lasva, ordiaaaces, bnildi.ag <br /> codes, and zoniag regalationa. <br /> ow�sa.•s s=�,suxs � � ne� ///��l/�U <br /> ADDxsSS " g5 v _ n. , � .s iCL --c� � <br /> .t_- <br /> �$o� S'��- ��3- 7�G <br /> � <br /> WITNSSS• `�_1/12� P�IIT # <br /> � <br /> � <br /> � <br /> � <br />