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i I , � 4 DISCLOSURE STATEA�S�]T FOR OWNER CITY OF ZBPFIYRHILL� BIISLDING DBPAR� i I, ' fr¢" � have read aad fuZly un8erstaad aud agrla�e to th ,provieiou� ot th' inatrumeat. The undersigaed states aad affirms �hat he ox she ie desiraus of conetructing, rea vatixig, addiag to or rezoofiag his or her owa domicile, tha� he ar she actually occupies, or will oecupy by safd damieiZe, and same ie aot far rent, lease ar sale. That he or she sha11 comply with the �ollawiag coaditioas: 1. That the owaer and he a= she alane shall aet sa the builder �or sIl phases of aoas�x�uc�ioa. 2. That the ownez wi1Z comply with a1Z pravisioas of �he Ca.ty af Zephyrhills ardiaances aad cod�s pertiaeat to the bui].diag. 3. That ia the eveat variaus phases of caastruetioa -are stabeoa�racted, he will engage only pxoperly licensed subcoatractors and wi11 persoaally aupervise ' auch work. �. R'hat in the event the Buildiag Iu,speetor sha21 require correctioae to be made, the awaer will aesume full respoaaib3lity to iasure they are made, aad upan aompletian wi3.Z ca2l for a reiaspeetian before proceediszg with the buiiding. 5. That the awaes sha11 assume tull respaasibility for the coastructiioa and wi11 ot expect eupervision of his work from the C3tg o� Zephyrhills Building � epartmeat. � 6. �2'hat prior to fiaal inspecta.aa a�ny additiarsal Eees, iacZudiag reiaspec�ion ��ees, must be gaid in ful2, A i�ritten regu�st from this off3.ce shall �constitute an official a,otice to pay �ddi�ional fee�. 7. �hat �he owaer shall comply with all City, State aad, Federal laws ia regesd to C sacial security, workman's ecampensation, 19.en laws, etc. , whe�e applicable. 8. ��hat the cwaer sha11 comply with all the s�,fety codes igpued by the Florida ZadustriaZ Coa�nission. 9. ��3tate law requires cons�ructa.on ta be done by licensed contractors. You have �ppZied for a permit uader a�a exemgtiau ta that law. The exeatption� alla�vs ou, as th� owaer a� you'r property, to act as your owa caatractor with cerCaia zestrictioas even though you do aot have a licease. You must grovide direat �aasit� sup�rvisioa of the CO�StZ't1Ct1821 ycurself. You m�,y'build or improve a ioue-family or two-family res3.dence or a farm outbuildiag. Yau may alsa build !ar imgrcve a eommesc3a2 buildiag, provic��d gour costs do act escceed $75,OQ0. 1'he buildin.g os resideace muat be .for your owa use ar occupanay. Tt m�y ao� be built or sub�taa.�Gially improved for sale or leas�. I� you se11. or lease a buildiag you have hruilt or substantially improved yaurself withia 1 year aEter �he caastructioa ie complete, the law will preeume �hat you built ar substaatially imgraved 3.f for sale or lease, which is a v3ala�ioa of this ��.acemptioa. You may aot ]�ire aa uszliceaeed persau ta act as your caatractor or ta supervise people workiag oa your buildiag. St is your respons3bility ta sn�.ke suse that people empioyed by you have licenaes requixed by state law aad �y covaty ox muinicipal liceasiag ordiaances. You may aot delegate the esposasibility far supervisiag work to a licensed eontractor t,rha is nc� licen�ed to perform the work beiag done. Aay persoa working on your buildiag �ho ia aot liceased must work uader your dixect supervis3on aad must be loyed by you, wh3.ch meaas that you must deduat F.x.C.A. aad wit�aholdiag �ax in.d provide wor]cers' compensation for �hat employee, all ae parescr3bed by law. ' our constzuctioa must camply with a31 app3ieab2e Iaws, ardinas�ces, bu3lding �cdes, and zoaiag regulatioas. OWNER'8 SIGNATURE � � DA2'E J`/ "'"� '��x�ss � � �� >� s' . 3.�5�.,� � i�or� �z�ss �s�T # . � �